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四分之一的 COVID-19 患者出现创伤后应激障碍症状:一项为期一年的纵向研究。

One-quarter of COVID-19 patients developed PTSD symptoms: A one-year longitudinal study.

机构信息

Lab for Post-traumatic Stress Disorder, Faculty of Psychology and Mental Health, Naval Medical University, Shanghai, China; The Emotion & Cognition Lab, Faculty of Psychology and Mental Health, Naval Medical University, Shanghai, China.

Department of Medical Psychology, Changzheng Hospital, Naval Medical University, Shanghai, China.

出版信息

Psychiatry Res. 2023 May;323:115161. doi: 10.1016/j.psychres.2023.115161. Epub 2023 Mar 14.

Abstract

This study investigated the longitudinal development of PTSD symptoms and respiratory sequelae among COVID-19 patients one year after hospital discharge. The cumulative occurrence of probable PTSD in COVID-19 survivors (n = 329) was 26.7%, which significantly decreased over the 12-month period (23.1% to 4.3%). Non-severe patients showed marked improvement in all four clusters of PTSD symptoms at 12 months compared to 3 months, while severe patients only showed improvements in re-experiencing and numbing symptoms. Moreover, being female and having respiratory sequelae increased the risk for chronic PTSD. Psychological interventions are required for COVID-19 patients during long-term convalescence.

摘要

这项研究调查了 COVID-19 患者出院一年后 PTSD 症状和呼吸后遗症的纵向发展。COVID-19 幸存者(n=329)中可能患有 PTSD 的累积发生率为 26.7%,在 12 个月期间显著下降(从 23.1%降至 4.3%)。与 3 个月相比,非重症患者在 PTSD 症状的所有四个聚类中在 12 个月时均有明显改善,而重症患者仅在再体验和麻木症状方面有所改善。此外,女性和有呼吸后遗症会增加慢性 PTSD 的风险。COVID-19 患者在长期康复期间需要心理干预。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5698/10011031/5a9a56c021fd/gr1_lrg.jpg

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