Abdul Karim Mustafa, Ouanes Sami, Reagu Shuja M, Alabdulla Majid
Psychiatry Department, Hamad Medical Corporation, Qatar; and Weill Cornell Medicine, Qatar.
Psychiatry Department, Hamad Medical Corporation, Qatar.
BJPsych Open. 2021 Nov 24;7(6):e222. doi: 10.1192/bjo.2021.1060.
The mental health burden of COVID-19 has been examined in different settings. Existing research has relied on the latent variable model in assessing COVID-19-related distress. Network theory provides an alternative framework wherein symptoms are conceptualised as causal, interconnected constituents rather than outcomes of mental disorders.
To assess networks of self-reported anxiety and depressive symptoms among quarantined individuals.
Consenting individuals in different quarantine centres in Qatar completed the Patient Health Questionnaire Anxiety and Depression Scale. We used partial correlation network methods to illustrate interactions of self-reported psychopathology.
Participants with COVID-19 were significantly older and had a significantly higher proportion of males. The most central node was COVID-19, followed by thoughts of self-harm. COVID-19 status was strongly positively connected to thoughts of self-harm, which was positively connected to psychomotor changes, which were connected to decreased concentration. COVID-19 status was also positively connected to feeling anxious, which was strongly connected to inability to concentrate, which was connected to feeling afraid.
COVID-19 was the most influential factor, with the highest number and strength of connections to psychopathology in a network of anxiety and depressive symptoms in a quarantine setting. Beyond the resolution of the infection, therapeutic interventions targeting psychomotor changes might prove beneficial in reducing suicidality among quarantined individuals with COVID-19. Follow-up with mental health services after COVID-19 infection is needed to restore psychological well-being. Further research is needed to understand the short- and long-term psychological effects of COVID-19, and the outcomes of different therapeutic interventions.
新冠疫情对心理健康的影响已在不同环境中得到研究。现有研究在评估与新冠疫情相关的痛苦时依赖于潜变量模型。网络理论提供了另一种框架，其中症状被概念化为因果相关、相互关联的组成部分，而非精神障碍的结果。
评估被隔离个体自我报告的焦虑和抑郁症状网络。
卡塔尔不同隔离中心的自愿参与者完成了患者健康问卷焦虑和抑郁量表。我们使用偏相关网络方法来说明自我报告的精神病理学之间的相互作用。
感染新冠病毒的参与者年龄显著更大，男性比例也显著更高。最核心的节点是新冠病毒感染，其次是自我伤害念头。新冠病毒感染状态与自我伤害念头呈强正相关，自我伤害念头与精神运动变化呈正相关，精神运动变化与注意力下降有关。新冠病毒感染状态还与焦虑情绪呈正相关，焦虑情绪与注意力不集中密切相关，注意力不集中又与恐惧情绪有关。
在隔离环境中，新冠病毒感染是焦虑和抑郁症状网络中最具影响力的因素，与精神病理学的联系数量最多且强度最大。除了解决感染问题，针对精神运动变化的治疗干预可能有助于降低新冠病毒感染隔离者的自杀倾向。新冠病毒感染后需要跟进心理健康服务以恢复心理健康。需要进一步研究以了解新冠病毒感染的短期和长期心理影响，以及不同治疗干预的效果。
