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住院 COVID-19 患者的心理健康结局:来自北印度三级护理医院的观察性分析。

Mental health outcome in hospitalized COVID-19 patients: An observational analysis from North Indian tertiary care hospital.

作者信息

Gupta Pawan Kumar, Singh Shweta, Mahour Pooja, Gupta Bandna, Agarwal Manu, Dalal Pronob Kumar, Agarwal Vivek, Nischal Anil, Tripathi Adarsh, Himanshu D, Arya Amit, Verma Sudhir, Mishra Deepanshu, Gupta Vishal

机构信息

Department of Psychiatry, King George's Medical University, Lucknow, UP, India.

Department of Medicine, King George's Medical University, Lucknow, UP, India.

出版信息

Clin Epidemiol Glob Health. 2023 Jan-Feb;19:101209. doi: 10.1016/j.cegh.2022.101209. Epub 2023 Jan 1.

Abstract

AIM

The study investigate the severity of perceived stress and wide domains of psychiatric symptoms reported on initial screening in hospitalized patients of COVID-19 with a second aim to determine the role of sociodemographic factors and coping styles in the hospitalized patients of COVID-19.

METHOD

Total 224 patients of COVID-19 infection, hospitalized in various isolation facilities were assessed via web-based self-reported questionnaires on perceived stress scale, brief cope inventory, and DSM-5 crosscutting level-1 questionnaire.

RESULTS

Majority of the patients reported moderate level of stress followed by mild and severe. Depression and Anxiety symptoms were most common psychopathologies though the patients have reported greater severity in various domains of psychiatric symptoms. Coping styles explains most of variance (64.8%) of the perceived stress. Similarly total PSS scores, coping styles, COVID-19 status and sociodemographic factors contributed significantly to the variance of all psychiatric symptoms.

CONCLUSION

Factors like female gender, being married, belonging to nuclear families, service class and urban domicile are the significant factors determining higher risk of stress and developing more psychopathologies. Furthermore, coping styles used by the patients have a greater moderating effect on mental health symptoms and their perceived stress which can be a major area for interventions to reduce the mental health morbidities.

摘要

目的

本研究调查新冠病毒病住院患者初次筛查时所报告的感知压力严重程度及广泛的精神症状领域,第二个目的是确定社会人口学因素和应对方式在新冠病毒病住院患者中的作用。

方法

通过基于网络的自我报告问卷,对在各种隔离设施中住院的224例新冠病毒感染患者进行感知压力量表、简易应对方式问卷和《精神疾病诊断与统计手册》第5版交叉切面一级问卷评估。

结果

大多数患者报告的压力水平为中度,其次是轻度和重度。抑郁和焦虑症状是最常见的精神病理状态,不过患者在精神症状的各个领域报告了更高的严重程度。应对方式解释了感知压力的大部分变异(64.8%)。同样,感知压力量表总分、应对方式、新冠病毒病状态和社会人口学因素对所有精神症状的变异有显著贡献。

结论

女性、已婚、核心家庭、服务业阶层和城市户籍等因素是决定压力风险较高和出现更多精神病理状态的重要因素。此外,患者所采用的应对方式对心理健康症状及其感知压力有更大的调节作用,这可能是减少心理健康疾病的主要干预领域。

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