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2019年冠状病毒病对视力低下和失明患者抑郁症状的影响。

Impact of COVID-19 on Depressive Symptoms Among Patients with Low Vision and Blindness.

作者信息

Tantirattanakulchai Pankaew, Hounnaklang Nuchanad, Pongsachareonnont Pear Ferreira, Khambhiphant Bharkbhum, Hounnaklang Suwanchai, Win Nanda, Tepjan Suchon

机构信息

College of Public Health Sciences, Chulalongkorn University, Bangkok, Thailand.

Center of Excellence in Retina, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.

出版信息

Clin Ophthalmol. 2023 Mar 8;17:789-796. doi: 10.2147/OPTH.S401714. eCollection 2023.

Abstract

BACKGROUND

Disability is globally recognized as a key cause of depression. Likewise, the COVID-19 pandemic has significantly increased the vulnerability of patients with low vision to health and health-related issues, especially mental health. This study aimed to examine the association between the impact of COVID-19 and depressive symptoms in patients with low vision and blindness.

METHODS

This cross-sectional study was conducted between February and July 2022 and involved face-to-face interviews. Patients with low vision and blindness diagnosed with depression were excluded. The following items were included in the questionnaire: sociodemographic information, Multi-Dimensional Scale of Perceived Social Support (MSPSS), the impact of COVID-19, and The Center for Epidemiological Studies-Depression (CES-D). Hierarchical linear regression analysis was used to examine the association between the impact of COVID-19 and depression.

RESULTS

The prevalence of depression among patients with low vision and blindness was 43.0%. Three factors were associated with depressive symptoms: compliance with COVID-19 prevention strategies (β = 0.16, p<0.01), anxiety during COVID-19 (β = 0.24, p<0.001), and social support (β = -0.16, p<0.01).

CONCLUSION

The findings indicated that COVID-19 significantly increased depressive symptoms among patients with low vision and blindness. The psychological effects of the COVID-19 pandemic have been considered critical and emergent public health issues. Stakeholders, particularly public health organizations, need to urgently implement preventive and protective measures to help patients with physical and mental disabilities.

摘要

背景

残疾在全球范围内被公认为是抑郁症的一个关键成因。同样,新冠疫情显著增加了视力低下患者面临健康及与健康相关问题的脆弱性,尤其是心理健康问题。本研究旨在探讨新冠疫情的影响与视力低下和失明患者抑郁症状之间的关联。

方法

本横断面研究于2022年2月至7月进行,采用面对面访谈。排除已诊断患有抑郁症的视力低下和失明患者。问卷包含以下项目:社会人口学信息、多维感知社会支持量表(MSPSS)、新冠疫情的影响以及流行病学研究中心抑郁量表(CES-D)。采用分层线性回归分析来检验新冠疫情的影响与抑郁之间的关联。

结果

视力低下和失明患者中抑郁症的患病率为43.0%。有三个因素与抑郁症状相关:遵守新冠疫情预防策略(β = 0.16,p<0.01)、新冠疫情期间的焦虑(β = 0.24,p<0.001)以及社会支持(β = -0.16,p<0.01)。

结论

研究结果表明,新冠疫情显著增加了视力低下和失明患者的抑郁症状。新冠疫情的心理影响已被视为关键且紧急的公共卫生问题。利益相关者,尤其是公共卫生组织,需要紧急实施预防和保护措施,以帮助身心残疾患者。

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