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沙特阿拉伯新冠疫情隔离患者心理健康状况的预测因素

Predictors of Mental Health Status among Quarantined COVID-19 Patients in Saudi Arabia.

作者信息

Alodhayani Abdulaziz A, Almutairi Khalid M, Alshobaili Fahda A, Alotaibi Adel F, Alkhaldi Ghadah, Vinluan Jason M, Albedewi Hadeel Mohammed, Al-Sayyari Lamis

机构信息

Department of Family and Community Medicine, College of Medicine, King Saud University, Medical City, Riyadh 11362, Saudi Arabia.

College of Applied Medical Sciences, King Saud University, Riyadh 11433, Saudi Arabia.

出版信息

Healthcare (Basel). 2021 Sep 26;9(10):1271. doi: 10.3390/healthcare9101271.

Abstract

BACKGROUND

The negative psychological impact of COVID-19 in the general population has been well documented. Similar studies among those who were infected and who underwent quarantine remain scarce, particularly in the Arab region. The present study aims to fill this gap.

METHODS

In this cross-sectional study, suspected/confirmed COVID-19 individuals who were quarantined in the Ministry of Health (MOH) facilities were invited to participate in an online survey. All consenting participants answered a generalized questionnaire that included demographic characteristics, as well as a five-part questionnaire that assessed the symptoms of depression, anxiety, insomnia, and distress.

RESULTS

A total of 335 suspected/confirmed COVID-19 individuals (198 males and 137 females) participated. Being female is associated with increased risk of depression (odds ratio OR 1.8 (confidence interval, CI 1.1-3.1; = 0.03)) as well as being employed by the government (OR 2.8 (CI 1.1-7.0; = 0.03)). Level of education (OR 2.3 (CI 1.0-5.4; = 0.049)) and employment in government (OR 3.0 (CI 1.2-7.8; = 0.02)) were significantly associated with distress. Increasing age (45 years and above) appeared to be protective against distress (OR 0.2 (CI 0.02-0.69; = 0.008)), as well anxiety and sleep pattern (OR 0.3 < 0.05).

CONCLUSION

Findings of the present study highlight that infected COVID-19 populations are at higher risk for acute and detrimental psychological well-being during quarantine and/or self-isolation. Identification of the coping mechanisms of older adults during periods of distress may prove beneficial in the pandemic preparedness of younger generations.

摘要

背景

新冠病毒病(COVID-19)对普通人群的负面心理影响已有充分记录。在感染者和接受隔离者中进行的类似研究仍然很少,尤其是在阿拉伯地区。本研究旨在填补这一空白。

方法

在这项横断面研究中,邀请在卫生部设施中接受隔离的疑似/确诊COVID-19患者参与在线调查。所有同意参与的参与者都回答了一份综合问卷,其中包括人口统计学特征,以及一份评估抑郁、焦虑、失眠和痛苦症状的五部分问卷。

结果

共有335名疑似/确诊COVID-19患者(198名男性和137名女性)参与。女性与抑郁风险增加相关(优势比OR 1.8(置信区间,CI 1.1 - 3.1;P = 0.03)),以及受雇于政府部门(OR 2.8(CI 1.1 - 7.0;P = 0.03))。教育程度(OR 2.3(CI 1.0 - 5.4;P = 0.049))和受雇于政府部门(OR 3.0(CI 1.2 - 7.8;P = 0.02))与痛苦显著相关。年龄增长(45岁及以上)似乎对痛苦有保护作用(OR 0.2(CI 0.02 - 0.69;P = 0.008)),对焦虑和睡眠模式也有保护作用(OR 0.3 < 0.05)。

结论

本研究结果强调,感染COVID-19的人群在隔离和/或自我隔离期间急性和有害心理健康风险更高。确定老年人在痛苦时期的应对机制可能对年轻一代的大流行防范有益。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/23a8/8535755/cf40e38e6bdf/healthcare-09-01271-g001.jpg

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