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新冠疫情前和疫情期间的心理健康:使用症状清单 90-R 的对比研究。

Mental health in pre-COVID-19 and during the COVID-19 pandemic: a comparative study using symptom checklist-90-R.

机构信息

Department of Psychiatry, Istanbul Education and Research Hospital, Istanbul, Turkey.

出版信息

Eur Rev Med Pharmacol Sci. 2022 Sep;26(17):6382-6390. doi: 10.26355/eurrev_202209_29665.

Abstract

OBJECTIVE

The aim of this study is to search the psychopathological effects of the Coronavirus disease on the patients with psychiatric symptoms on the COVID-19 pandemic process.

PATIENTS AND METHODS

The study was designed according to the data obtained from 323 patients (171 women and 152 men) who participated in the study pre-COVID-19 period and 423 patients (205 women and 218 men) who participated in the study during COVID-19 period. All participants underwent the Symptom Checklist-90-Revised (SCL-90-R) examination. The SCL-90-R is a psychiatric screening tool that measures the level of reactions elicited by the compulsion or negative stress of individuals. The SCL-90-R was utilized to define psychiatric symptoms and evaluate psychological problems, statistically compared to patient groups with similar demographic and sociocultural characteristics (education level, marital status).

RESULTS

There were no statistically significant differences in participants' characteristics for the mean age distribution, marital status, education level, and smoking habits between the groups of pre-COVID-19 and during COVID-19 period (p>0.05). When comparing the scores of the participants' SCL-90-R Psychological Symptom Screening Scale and its sub-dimensions before and during the COVID-19 period, no statistically significant difference was found between the scores of the participants in both groups (p>0.05). 187 patients (52.97%) had the disease, and 166 patients (47.03%) did not have the disease during COVID-19 period. It was observed that there was statistically significant difference for obsessive-compulsive and depression scores of the SCL-90-R scale between the participants who had or had not COVID-19 (p<0.05). It was higher in the first group. There was a statistically significant difference between the depression, anxiety and phobic anxiety scores of the vaccinated compared to the unvaccinated participants (p<0.05).

CONCLUSIONS

Psychological symptoms general and subscales during the COVID-19 pandemic were similar to pre-pandemic levels according to the SCL-90-R. This is important for planning mental health provisions and for long-term impact of the COVID-19 pandemic.

摘要

目的

本研究旨在探讨冠状病毒病对 COVID-19 大流行期间出现精神症状的患者的精神病理学影响。

患者和方法

该研究根据在 COVID-19 大流行前参加研究的 323 名患者(171 名女性和 152 名男性)和在 COVID-19 大流行期间参加研究的 423 名患者(205 名女性和 218 名男性)的数据进行设计。所有参与者都接受了症状清单 90 修订版(SCL-90-R)检查。SCL-90-R 是一种精神科筛查工具,用于衡量个人强迫或负面压力引起的反应水平。SCL-90-R 用于定义精神病症状并评估心理问题,并与具有相似人口统计学和社会文化特征(教育水平、婚姻状况)的患者组进行统计学比较。

结果

在 COVID-19 大流行前和 COVID-19 大流行期间,两组参与者的年龄分布、婚姻状况、教育水平和吸烟习惯的平均年龄分布无统计学显著差异(p>0.05)。当比较 COVID-19 大流行前后参与者 SCL-90-R 心理症状筛查量表及其子维度的得分时,两组参与者的得分无统计学显著差异(p>0.05)。187 名患者(52.97%)患有 COVID-19,166 名患者(47.03%)在 COVID-19 期间未患有 COVID-19。观察到 SCL-90-R 量表的强迫和抑郁得分在患有或未患有 COVID-19 的参与者之间存在统计学显著差异(p<0.05)。前者更高。与未接种疫苗的参与者相比,接种疫苗的参与者的抑郁、焦虑和恐惧症焦虑评分存在统计学显著差异(p<0.05)。

结论

根据 SCL-90-R,COVID-19 大流行期间的心理症状总体和子量表与大流行前水平相似。这对于规划心理健康服务以及 COVID-19 大流行的长期影响很重要。

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