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多专业干预对 COVID-19 中老年超重幸存者心理健康的影响:一项临床试验。

Effects of a Multi-Professional Intervention on Mental Health of Middle-Aged Overweight Survivors of COVID-19: A Clinical Trial.

机构信息

Postgraduate Program in Health Promotion, Cesumar University, Maringa 87050-390, Brazil.

Interdisciplinary Laboratory of Intervention in Health Promotion, Cesumar Institute of Science, Technology and Innovation, Maringa 87050-390, Brazil.

出版信息

Int J Environ Res Public Health. 2023 Feb 25;20(5):4132. doi: 10.3390/ijerph20054132.

Abstract

The present study aimed to investigate the effects of a multi-professional intervention model on the mental health of middle-aged, overweight survivors of COVID-19. A clinical trial study with parallel groups and repeated measures was conducted. For eight weeks, multi-professional interventions were conducted (psychoeducation, nutritional intervention, and physical exercises). One hundred and thirty-five overweight or obese patients aged 46.46 ± 12.77 years were distributed into four experimental groups: mild, moderate, severe COVID, and control group. The instruments were used: mental health continuum-MHC, revised impact scale-IES-r, generalized anxiety disorder-GAD-7, and Patient health questionnaire PHQ-9, before and after eight weeks. The main results indicated only a time effect, with a significant increase in global MHC scores, emotional well-being, social well-being, and psychological well-being, as well as detected a significant reduction in global IES-R scores, intrusion, avoidance, and hyperarousal, in addition to a reduction in GAD-7 and PHQ-9 scores ( < 0.05). In conclusion, it was possible to identify those psychoeducational interventions that effectively reduced anxiety, depression, and post-traumatic stress symptoms in post-COVID-19 patients, regardless of symptomatology, in addition to the control group. However, moderate and severe post-COVID-19 patients need to be monitored continuously since the results of these groups did not follow the response pattern of the mild and control groups.

摘要

本研究旨在探讨多专业干预模式对 COVID-19 中老年超重幸存者心理健康的影响。采用平行组和重复测量的临床试验研究。八周内进行多专业干预(心理教育、营养干预和体育锻炼)。将 135 名年龄在 46.46 ± 12.77 岁之间的超重或肥胖患者分为四组:轻症、中症、重症 COVID 和对照组。使用的工具包括:心理健康连续体-MHC、修订后的影响量表-IES-r、广泛性焦虑症-GAD-7 和患者健康问卷 PHQ-9,分别在八周前后进行评估。主要结果表明仅存在时间效应,MHC 总分、情绪健康、社会健康和心理幸福感显著增加,同时 IES-R 总分、侵入、回避和过度警觉显著降低,此外 GAD-7 和 PHQ-9 评分也降低(<0.05)。总之,无论症状如何,心理教育干预都能有效减轻 COVID-19 后患者的焦虑、抑郁和创伤后应激症状,而对照组也有此效果。然而,中度和重度 COVID-19 后患者需要持续监测,因为这些组的结果并未遵循轻度和对照组的反应模式。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/20c3/10002443/3dab31c25653/ijerph-20-04132-g001.jpg

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