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患有病理性健康焦虑症的患者会害怕新冠病毒吗？对德国新冠疫情“第一波”期间12个单病例的时间进程分析。

Do patients with pathological health anxiety fear COVID-19? A time-course analysis of 12 single cases during the "first wave" of the COVID-19 pandemic in Germany.

作者信息

Sauer Karoline S, Schmidt Andrea, Jungmann Stefanie M, Bailer Josef, Witthöft Michael

机构信息

Department of Clinical Psychology, Psychotherapy, and Experimental Psychopathology, Johannes Gutenberg-University of Mainz, Germany.

DIPF | Leibniz Institute for Research and Information in Education, Germany.

出版信息

J Psychosom Res. 2021 Dec 1;152:110687. doi: 10.1016/j.jpsychores.2021.110687.

DOI:10.1016/j.jpsychores.2021.110687
PMID:34875465
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8632435/
Abstract

OBJECTIVE

Pre-existing health anxiety is associated with an intensified affective response to the novel COVID-19 pandemic in the general population. Still, results on the reaction of people with a diagnosis of pathological health anxiety (i.e., hypochondriasis) are scarce.

METHODS

In the present study, we investigated the course of (health) anxiety related to SARS-CoV-2/COVID-19 in comparison to (health) anxiety related to other severe diseases (e.g., cancer) in a sample of 12 patients with the diagnosis of pathological health anxiety during the "first wave" of the COVID-19 pandemic in Germany. Both SARS-CoV-2 related anxiety and anxiety related to other severe diseases were assessed weekly over 16 measurement points (30.03.-19.07.2020) and primarily analyzed with fixed effects regression analyses.

RESULTS

Unexpectedly, SARS-CoV-2 related anxiety was on average significantly lower than anxiety related to other severe diseases (d = -0.54, p < .001) and not significantly associated with anxiety related to other severe diseases or pre-COVID-19 health anxiety.

CONCLUSION

It therefore appears premature to assume that SARS-CoV-2 related anxiety and other health worries are necessarily strongly interrelated and comparably high in people with pathological health anxiety.

摘要

目的

在普通人群中，既往存在的健康焦虑与对新型冠状病毒病（COVID-19）大流行的强化情感反应相关。然而，关于诊断为病理性健康焦虑（即疑病症）的人的反应的研究结果却很少。

方法

在本研究中，我们调查了在德国COVID-19大流行“第一波”期间，12名被诊断为病理性健康焦虑的患者样本中，与严重急性呼吸综合征冠状病毒2（SARS-CoV-2）/COVID-19相关的（健康）焦虑的病程，并与与其他严重疾病（如癌症）相关的（健康）焦虑进行比较。在16个测量点（2020年3月30日至7月19日）每周评估一次与SARS-CoV-2相关的焦虑和与其他严重疾病相关的焦虑，并主要采用固定效应回归分析进行分析。

结果

出乎意料的是，与SARS-CoV-2相关的焦虑平均显著低于与其他严重疾病相关的焦虑（d = -0.54，p <.001），且与与其他严重疾病相关的焦虑或COVID-19前的健康焦虑无显著关联。

结论

因此，认为与SARS-CoV-2相关的焦虑和其他健康担忧在病理性健康焦虑患者中必然密切相关且程度相当高，这种假设似乎为时过早。

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Do patients with pathological health anxiety fear COVID-19? A time-course analysis of 12 single cases during the "first wave" of the COVID-19 pandemic in Germany.患有病理性健康焦虑症的患者会害怕新冠病毒吗？对德国新冠疫情“第一波”期间12个单病例的时间进程分析。
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