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新型冠状病毒肺炎、长新冠综合征和墨西哥人群的心理健康后遗症。

COVID-19, Long COVID Syndrome, and Mental Health Sequelae in a Mexican Population.

机构信息

Cardiometabolism Laboratory, Research Center, División Académica de Ciencias de la Salud (DACS), Universidad Juárez Autónoma de Tabasco (UJAT), Villahermosa 86040, Mexico.

Instituto de Seguridad Social del Estado de Tabasco (ISSET), Villahermosa 86000, Mexico.

出版信息

Int J Environ Res Public Health. 2022 Jun 7;19(12):6970. doi: 10.3390/ijerph19126970.

DOI:10.3390/ijerph19126970
PMID:35742219
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9222368/
Abstract

The COVID-19 pandemic is currently a worldwide threat and concern, not only because of COVID-19 itself but its sequelae. The aim of this study was to evaluate whether a relation between COVID-19, Long COVID, and the prevalence of mental health disorders exist. A total of 203 people from Tabasco were included in this study, answering a survey integrated by three dominions: General and epidemiological data, the DASS-21 test (to determine the presence of signs or symptoms suggestive of depression, anxiety, and/or stress) and an exploratory questionnaire about Long COVID syndrome. A descriptive and inferential statistical analysis was made via Microsoft Excel and Graphpad Prism software, evaluating differences through the Mann−Whitney U test and considering p < 0.05 as statistically significant. Of the 203 people surveyed, 96 (47.29%) had had COVID-19 and 107 (52.71%) had not; from the ones that had COVID-19, 29 (30.21%) presented mental health disorders and 88 (91.66%) presented at least one symptom or sign of Long COVID syndrome; meanwhile, 31 (32.29%) presented 10 or more symptoms or signs. From the comparison between the population with previous mental health disorders and COVID-19 and those without background disorders or COVID-19, the results were the following: 27.58% vs. 16.82% presented severe depression, 48.27% vs. 17.75% presented severe anxiety, and 27.58% vs. 20.56% presented severe stress. A high prevalence of mental health effects was observed in patients without COVID-19 and increased in the population with Long COVID syndrome and previous mental health disorders.

摘要

新型冠状病毒(COVID-19)大流行目前是全球关注的一个威胁,不仅因为 COVID-19 本身,还因为其后遗症。本研究旨在评估 COVID-19、长新冠(Long COVID)与心理健康障碍的流行之间是否存在关联。共有 203 名来自塔巴斯科的人参与了这项研究,他们回答了一份综合了三个领域的调查:一般和流行病学数据、DASS-21 测试(用于确定是否存在抑郁、焦虑和/或压力的迹象或症状)以及关于长新冠综合征的探索性问卷。使用 Microsoft Excel 和 Graphpad Prism 软件进行描述性和推断性统计分析,通过 Mann−Whitney U 检验评估差异,并认为 p < 0.05 具有统计学意义。在接受调查的 203 人中,有 96 人(47.29%)曾感染过 COVID-19,107 人(52.71%)没有;在感染过 COVID-19 的人中,有 29 人(30.21%)患有心理健康障碍,88 人(91.66%)出现至少一种长新冠综合征的症状或体征;同时,31 人(32.29%)出现 10 种或更多症状或体征。从有既往心理健康障碍和 COVID-19 的人群与无背景障碍或 COVID-19 的人群进行比较,结果如下:严重抑郁的比例分别为 27.58%比 16.82%,严重焦虑的比例分别为 48.27%比 17.75%,严重压力的比例分别为 27.58%比 20.56%。在没有 COVID-19 的患者中观察到心理健康影响的高患病率,而在患有长新冠综合征和既往心理健康障碍的人群中患病率增加。

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