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COVID-19 幸存者的心理病态:医护人员横断面研究。

Psychological Morbidity Among COVID-19 Survivors: A Cross-Sectional Study Among Health Care Workers.

机构信息

Department of Psychiatry, Iqraa International Hospital and Research Centre, Calicut, Kerala, India.

Corresponding author: N. A. Uvais, MBBS, DPM, Iqraa International Hospital and Research Centre, Malaparamba, Calicut, Kerala 673009, India (

出版信息

Prim Care Companion CNS Disord. 2022 May 3;24(3):21m03177. doi: 10.4088/PCC.21m03177.

DOI:10.4088/PCC.21m03177
PMID:35522828
Abstract

A range of psychiatric morbidities such as persistent depression, anxiety, insomnia, and posttraumatic stress disorder (PTSD) has been observed in coronavirus disease 2019 (COVID-19) survivors. The objective of this study was to explore the psychological status of health care workers after recovery from COVID-19 and to examine the sociodemographic and clinical factors associated with psychiatric morbidity. A cross-sectional study was conducted among health care workers of a tertiary care hospital in South India. The study included health care workers who tested positive for COVID-19 according to the provisional guidelines of the World Health Organization. The data were collected after they tested negative for COVID-19 from September 2020 to October 2020. The study used a semistructured proforma and rating scales such as the 9-item Patient Health Questionnaire, 7-item Generalized Anxiety Disorder Scale, and Posttraumatic Stress Disorder Checklist for to assess for depression, anxiety, and PTSD. The results indicate that the prevalence of depression, anxiety, and PTSD among 107 post-COVID patients was 26.2%%, 12.1%, and 3.7%%, respectively. Female sex ( = .017), patients with post-COVID persistent physical symptoms ( = .05), and the duration of fever during the acute phase of COVID-19 infection ( = .005) were found to have a statistically significant association with a higher rate of depression among the study population. The study findings indicate that all COVID-19 survivors working in the health care sector should be screened for depression and anxiety disorders regularly for early detection and effective management.

摘要

一系列精神病理学问题,如持续性抑郁、焦虑、失眠和创伤后应激障碍(PTSD),在新冠病毒疾病 2019(COVID-19)幸存者中已经被观察到。本研究的目的是探索 COVID-19 康复后医护人员的心理状况,并研究与精神病理学相关的社会人口学和临床因素。

这是一项在印度南部一家三级保健医院进行的医护人员的横断面研究。研究纳入了根据世界卫生组织临时指南检测出 COVID-19 阳性的医护人员。这些数据是在他们 COVID-19 检测呈阴性后于 2020 年 9 月至 2020 年 10 月间收集的。研究使用半结构化问卷和评分量表,如 9 项患者健康问卷、7 项广泛性焦虑症量表和 PTSD 检查表,来评估抑郁、焦虑和 PTSD。

结果表明,107 名 COVID-19 后患者中抑郁、焦虑和 PTSD 的患病率分别为 26.2%、12.1%和 3.7%。女性(=0.017)、有 COVID-19 持续性躯体症状的患者(=0.05)和 COVID-19 感染急性期发热持续时间(=0.005)与研究人群中更高的抑郁发生率具有统计学显著相关性。

研究结果表明,所有在医疗保健部门工作的 COVID-19 幸存者都应定期筛查抑郁和焦虑障碍,以便早期发现和有效管理。

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