Walecka Irena, Ciechanowicz Piotr, Dopytalska Klaudia, Mikucka-Wituszyńska Agata, Szymańska Elżbieta, Bogucki Jacek, Kock Janusz, Kułakowska Karolina, Tuszyńska-Bogucka Wioletta
Dermatology Department, Centre of Postgraduate Medical Education / Central Clinical Hospital MSWiA, 137, Wołoska St., 02-507 Warsaw, Poland.
Department of Clinical Genetics, Medical University of Lublin, 1, Aleje Racławickie St., 20-059 Lublin, Poland.
Curr Psychol. 2023;42(8):6856-6865. doi: 10.1007/s12144-021-01982-3. Epub 2021 Jun 28.
Currently, a very important thread of research on COVID-19 is to determine the dimension of the psychopathological emotional reactions induced by the COVID-19 pandemic. A non-experimental online research project was designed to determine the predictors of the severity of psychopathological symptoms, such as depression and PTSD symptoms, and the nature of the feedback mechanism between them in groups of men, remaining in hospital isolation due to infection and at-home isolation during the COVID-19 epidemic. The presence of symptoms of depression, post-traumatic stress disorder (PTSD) and a sense of threat due to the pandemic were assessed using the following screening tests: IES-R by Weiss and Marmar, PHQ-9 by Spitzer et al., and a self-constructed sliding scale for assessing COVID-19 anxiety. The study was carried out on a group of 57 firefighting cadets, hospitalized in a COVID-19 isolation room (M = 23.01), staying in isolation due to SARS-CoV-2 virus infection and a control group of 57 healthy men (M = 41.38) staying at home during quarantine and national lockdown. COVID-19 pandemic causes many psychopathological reactions. The predictive models revealed that the predictors of symptoms of PTSD in isolated patients included depression and the experienced sense of COVID-19 threat resulting from the disease, while in the control group the symptoms of depression were the only predictor of PTSD. PTSD experiences are usually associated with depression. It may also be a form of the re-experiencing process or the effect of high affectivity, indirectly confirmed by the participation of hyperarousal in the feedback loop. Our findings highlight the importance of mental health aspects in patients treated during the COVID-19 pandemic. The COVID-19 pandemic requires social distancing, quarantine and isolation, which may cause psychopathological symptoms not only in affected people, but also in the general population. Moreover, the need for greater psychological support can be emphasized for both: the sick and the general population.
目前,新冠病毒研究中一个非常重要的方向是确定新冠疫情引发的精神病理情绪反应的程度。一项非实验性在线研究项目旨在确定精神病理症状严重程度的预测因素,如抑郁和创伤后应激障碍(PTSD)症状,以及在新冠疫情期间因感染而住院隔离和居家隔离的男性群体中,这些症状之间反馈机制的性质。使用以下筛查测试评估抑郁症状、创伤后应激障碍(PTSD)症状以及因疫情产生的威胁感:Weiss和Marmar编制的IES-R、Spitzer等人编制的PHQ-9以及自行构建的用于评估新冠焦虑的滑动量表。该研究对一组57名消防学员进行,他们被收治在新冠隔离病房(平均年龄M = 23.01岁),因感染SARS-CoV-2病毒而处于隔离状态,还有一个对照组,由57名健康男性组成(平均年龄M = 41.38岁),他们在检疫和全国封锁期间居家。新冠疫情引发了许多精神病理反应。预测模型显示,隔离患者中PTSD症状的预测因素包括抑郁以及疾病引发的新冠威胁感,而在对照组中,抑郁症状是PTSD的唯一预测因素。PTSD经历通常与抑郁有关。它也可能是一种重现过程的形式,或者是高情感性的结果,过度唤醒参与反馈回路间接证实了这一点。我们的研究结果凸显了新冠疫情期间接受治疗患者心理健康方面的重要性。新冠疫情需要保持社交距离、检疫和隔离,这可能不仅在感染者中,也在普通人群中引发精神病理症状。此外,可以强调对患者和普通人群都需要更多的心理支持。