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[新冠疫情后突尼斯的焦虑、抑郁及应激相关障碍:一项研究]

[Anxiety, depression and stress-related disorders in post Covid-19: A Tunisian study].

作者信息

Halouani Najla, Gdoura Dorra, Chaari Imen, Moussa Nedia, Msaad Sameh, Kamoun Samy, Ellouze Sahar, Turki Mariem, Aloulou Jihen

机构信息

Service de psychiatrie « B », CHU Hédi Chaker, 3029, Sfax, Tunisie.

Service de pneumologie, CHU Hédi Chaker, 3029, Sfax, Tunisie.

出版信息

Ann Med Psychol (Paris). 2022 Jul 14. doi: 10.1016/j.amp.2022.07.009.

Abstract

OBJECTIVES

  • Our study aimed to assess anxiety, depression, and post-traumatic stress disorder in post coronavirus disease 2019 (Covid-19) and identify associated factors.

PATIENTS AND METHODS

  • Our study is a descriptive and analytical cross-sectional study carried out during the period from March 1 to May 15 2021 on patients who were hospitalized and discharged from the Covid-19 unit in the pneumology department at the Hedi Chaker hospital in Sfax (Tunisia). Patients who met all of the following criteria were included: aged 18 and over; having a diagnosis of Covid-19 by polymerase chain reaction (PCR) and/or by CT scan; monitored at the Covid-19 unit and who their clinical conditions did not require intensive care; survivors after 3 months of leaving the service; and having given their informed and informal consent to participate in the study.

RESULTS

  • Our study included 154 patients. The prevalence of anxiety, depression and post-traumatic stress disorder was 24.7%, 11% and 13.6% respectively. We found an association between depression and female gender (p= 0.025), gastrointestinal involvement (p= 0.002) and stigma (p= 0.002). We found an association between anxiety and grade level (p= 0.034), and between anxiety and asthenia (p= 0.032).

CONCLUSIONS

  • Anxiety, depression, and post-traumatic stress disorder were independent of the majority of disease characteristics including the severity of Covid-19.
摘要

目的

我们的研究旨在评估2019冠状病毒病(Covid-19)康复后的焦虑、抑郁和创伤后应激障碍,并确定相关因素。

患者与方法

我们的研究是一项描述性和分析性横断面研究,于2021年3月1日至5月15日期间,对在斯法克斯(突尼斯)赫迪·查克医院肺病科Covid-19病房住院并出院的患者进行。符合以下所有标准的患者被纳入研究:年龄在18岁及以上;通过聚合酶链反应(PCR)和/或CT扫描确诊为Covid-19;在Covid-19病房接受监测且临床状况不需要重症监护;出院3个月后存活;并已给予知情和非知情同意参与研究。

结果

我们的研究纳入了154名患者。焦虑、抑郁和创伤后应激障碍的患病率分别为24.7%、11%和13.6%。我们发现抑郁与女性性别(p = 0.025)、胃肠道受累(p = 0.002)和污名化(p = 0.002)之间存在关联。我们发现焦虑与年级水平(p = 0.034)以及焦虑与乏力(p = 0.032)之间存在关联。

结论

焦虑、抑郁和创伤后应激障碍与包括Covid-19严重程度在内的大多数疾病特征无关。

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