Krüger-Malpartida Hever, Arevalo-Flores Martin, Anculle-Arauco Victor, Dancuart-Mendoza Mauricio, Pedraz-Petrozzi Bruno
Departmento de Psiquiatría, Facultad de Medicina, Universidad Cayetano Heredia, Lima, Perú.
Servicio de Neuropsiquiatría, Hospital Cayetano Heredia, Lima, Perú.
Rev Colomb Psiquiatr. 2022 May 27. doi: 10.1016/j.rcp.2022.04.004.
This study aims to determine differences between the number of underlying medical conditions, depression, and anxiety, when controlling for the covariates of age, sex, and completed education. Participants (n=484) indicated the number of medical conditions present during the survey, also including the PHQ-9 and GAD-7, to assess depression and anxiety, respectively. Differences were found between groups of medical conditions and the combined values of PHQ-9 and GAD-7 after controlling for the covariates mentioned above (F=5.78; Wilks' Λ=0.95; <0.0005). The univariate tests showed differences for PHQ-9 (F=8.70; <0.0005) and GAD-7 (F=11.16; <0.0005) between the 3 groups. Finally, post-hoc analysis showed differences between participants with one medical condition and with no medical condition (PHQ-9: M=1.82; 95%CI, 0.25-3.40; GAD-7: M=1.73; 95%CI, 0.55-2.91), and between participants with more than one medical condition and participants with no medical condition (PHQ-9: M=3.10; 95%CI, 1.11-5.10; GAD-7: M=2.46; 95%CI, 0.97-3.95). Our results suggest that people who had a medical condition during the COVID-19 pandemic were more prone to developing severe symptoms of anxiety and depression.
本研究旨在确定在控制年龄、性别和受教育程度等协变量时,潜在医疗状况的数量、抑郁和焦虑之间的差异。参与者(n = 484)指出了调查期间存在的医疗状况数量,还包括分别用于评估抑郁和焦虑的PHQ - 9和GAD - 7。在控制上述协变量后,发现医疗状况组与PHQ - 9和GAD - 7的综合值之间存在差异(F = 5.78;威尔克斯'Λ = 0.95;<0.0005)。单变量检验显示三组之间PHQ - 9(F = 8.70;<0.0005)和GAD - 7(F = 11.16;<0.0005)存在差异。最后,事后分析显示患有一种医疗状况的参与者与没有医疗状况的参与者之间存在差异(PHQ - 9:M = 1.82;95%CI,0.25 - 3.40;GAD - 7:M = 1.73;95%CI,0.55 - 2.91),以及患有多种医疗状况的参与者与没有医疗状况的参与者之间存在差异(PHQ - 9:M = 3.10;95%CI,1.11 - 5.10;GAD - 7:M = 2.46;95%CI,0.97 - 3.95)。我们的结果表明,在新冠疫情期间患有医疗状况的人更容易出现严重的焦虑和抑郁症状。