Pawłowski Marcin, Fila-Witecka Karolina, Rymaszewska Julia Ewa, Kamińska Dorota, Poznański Paweł, Augustyniak-Bartosik Hanna, Zielińska Dorota, Krajewska Magdalena, Krajewski Piotr K, Stefaniak Aleksandra, Szepietowski Jacek C, Pokryszko-Dragan Anna, Chojdak-Łukasiewicz Justyna, Budrewicz Sławomir, Pawłowski Tomasz, Szcześniak Dorota, Rymaszewska Joanna
Psychiatry Department, Wroclaw Medical University, Wroclaw, Poland.
Nephrology and Transplantology Department, Wroclaw Medical University, Wroclaw, Poland.
Psychol Res Behav Manag. 2022 Sep 16;15:2659-2669. doi: 10.2147/PRBM.S362918. eCollection 2022.
The global severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic had a drastic psychological and economic impact on the global population. Having a chronic disease during the pandemic is associated with numerous limitations and challenges like regular hospital visits, access to health-care units and getting specialized treatment. In addition, chronically ill patients are at great risk of acquiring the SARS-CoV-2 virus and at experiencing a more severe course of illness, due to comorbid conditions as well as more frequent encounters with health-care workers and other patients in medical facilities. The aim of this study was to examine the psychological disturbances, during the pandemic in chronically ill patients.
During the cross-sectional survey conducted between May and October 2020, 398 patients with four different chronic conditions (psoriasis, multiple sclerosis and patients who have undergone a kidney transplant or received dialysis). Study sample was examined regarding the occurrence of psychopathological symptoms (General Health Questionnaire 28) and their perceived stress levels (Perceived Stress Scale).
The highest scores were found in the MS group and the lowest scores were found in the kidney transplantation group in every subscale of the GHQ-28. Close to half of the studied population (48.74%, n = 193) patients scored above the cut-off for psychopathology.
As the study was conducted during the SARS-CoV-2 pandemic in Poland, it stands to reason that the pandemic affected the psychological wellbeing of chronically ill patients. A COVID-19 infection, being quarantined and having had contact with a person who was infected, did not significantly affect the outcome measures; however, further research is needed to explore this topic.
全球严重急性呼吸综合征冠状病毒2（SARS-CoV-2）大流行对全球人口产生了巨大的心理和经济影响。在大流行期间患有慢性病会带来诸多限制和挑战，比如定期去医院就诊、前往医疗机构以及接受专科治疗。此外，慢性病患者感染SARS-CoV-2病毒的风险很高，并且由于合并症以及在医疗机构中与医护人员和其他患者的接触更为频繁，他们患病的病程可能更严重。本研究的目的是调查慢性病患者在大流行期间的心理障碍。
在2020年5月至10月进行的横断面调查中，纳入了398名患有四种不同慢性病（银屑病、多发性硬化症以及接受过肾移植或透析的患者）的患者。研究样本接受了心理病理症状（一般健康问卷28项）及其感知压力水平（感知压力量表）的检查。
在GHQ-28的每个子量表中，多发性硬化症组得分最高，肾移植组得分最低。近一半（48.74%，n = 193）的研究人群患者的心理病理学得分高于临界值。
由于该研究是在波兰的SARS-CoV-2大流行期间进行的，大流行影响慢性病患者的心理健康是合乎情理的。感染新型冠状病毒肺炎、被隔离以及与感染者接触，并未对结果指标产生显著影响；然而，需要进一步研究来探讨这一主题。
