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新冠病毒感染后疲劳和心理症状与原有精神状况的关系。

Effects of Pre-Existing Mental Conditions on Fatigue and Psychological Symptoms Post-COVID-19.

机构信息

Department of Rheumatology and Immunology, Hannover Medical School, 30625 Hannover, Germany.

Dean's Office, Hannover Medical School, 30625 Hannover, Germany.

出版信息

Int J Environ Res Public Health. 2022 Aug 11;19(16):9924. doi: 10.3390/ijerph19169924.

Abstract

BACKGROUND

Patients who are post-COVID-19 will require more treatment soon. Therefore, it is important to understand the root cause of their psychological and somatic conditions. Previous studies showed contradictory results on the influence of pre-existing mental conditions. The present study examines the influence of these pre-existing conditions and their pre-treatment on the severity of post-COVID-19 symptoms.

METHODS

This analysis employs questionnaire data from a large study sample in Germany. Overall, 801 participants were included. All participants rated their health status on a scale from 0 to 100. Fatigue, depression, and anxiety were measured using the FAS, PHQ-9, and GAD-7 scales.

RESULTS

All pre-pandemic values showed no significant differences between the groups. The current health status was rated similarly by the recovered patients (μ = 80.5 ± 17.0) and the control group (μ = 81.2 ± 18.0) but significantly worse by acutely infected (μ = 59.0 ± 21.5) and post-COVID-19 patients (μ = 54.2 ± 21.1). Fatigue, depression, and anxiety were similar for recovered patients and the control group. By contrast, there were significant differences between the control and the post-COVID-19 groups concerning fatigue (45.9% vs. 93.1%), depression (19.3% vs. 53.8%), and anxiety (19.3% vs. 22.3%).

CONCLUSION

Fatigue and psychological conditions of post-COVID-19 patients are not associated with pre-existing conditions.

摘要

背景

新冠康复患者将很快需要更多的治疗。因此,了解他们心理和躯体状况的根本原因很重要。先前的研究表明,先前存在的精神状况对其影响存在矛盾的结果。本研究检查了这些先前存在的条件及其治疗前对新冠后症状严重程度的影响。

方法

本分析采用了德国一项大型研究样本的问卷调查数据。共有 801 名参与者被纳入研究。所有参与者均在 0 到 100 的量表上对自己的健康状况进行评分。疲劳、抑郁和焦虑采用 FAS、PHQ-9 和 GAD-7 量表进行测量。

结果

所有大流行前的数值在组间均无显著差异。康复患者(μ=80.5±17.0)和对照组(μ=81.2±18.0)当前的健康状况评分相似,但急性感染患者(μ=59.0±21.5)和新冠后患者(μ=54.2±21.1)的评分明显更差。康复患者和对照组的疲劳、抑郁和焦虑评分相似。相比之下,对照组和新冠后患者在疲劳(45.9%比 93.1%)、抑郁(19.3%比 53.8%)和焦虑(19.3%比 22.3%)方面存在显著差异。

结论

新冠后患者的疲劳和心理状况与先前存在的疾病无关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1453/9408008/07b58cfb7938/ijerph-19-09924-g001.jpg

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