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新冠疫情期间确诊患有情感性和应激性精神障碍患者中,新冠相关恐惧、压力及社会支持水平在自杀行为发生中的作用——一项比较分析

The Role of COVID-19-Associated Fear, Stress and Level of Social Support in Development of Suicidality in Patients Diagnosed with Affective and Stress-Induced Psychiatric Disorders during the COVID-19 Pandemic-A Comparative Analysis.

作者信息

Kuljancic Dusan, Cvjetkovic Bosnjak Mina, Siladji Djendji, Hinic Darko, Veskovic Dunja, Janjic Nebojsa, Ratkovic Dragana, Zivanovic Olga, Vasic Vesna, Sakic Branislav

机构信息

Medical Faculty, University of Novi Sad, Hajduk Vejkova 3, 21000 Novi Sad, Serbia.

Clinic of Psychiatry, University Clinical Centre of Vojvodina, Hajduk Veljkova 4, 21000 Novi Sad, Serbia.

出版信息

Brain Sci. 2023 May 17;13(5):812. doi: 10.3390/brainsci13050812.

Abstract

Only a few studies seem to address suicidality as an effect of the COVID-19 pandemic in persons previously affected by psychiatric disorders. The relationship between fear and stress caused by the COVID-19 pandemic and the level of social support and suicidality in patients diagnosed with affective and stress-induced psychiatric disorders prior to the onset of the COVID-19 pandemic were investigated. This study was observational and involved 100 participants. The examined period was from April 2020 to April 2022. The Fear of COVID-19 Scale (FCV-19S), the Oslo Social Support Scale 3 (OSSS-3) and general psychiatric interviews were used to obtain data. A statistically significant relationship between the impact of COVID-19-related distress on the occurrence of suicidality and the year of the pandemic χ(2, N = 100) = 8.347, = 0.015 was observed. No statistically significant correlation was found between suicidal behavior, stress intensity, fear and the score on the social support scale ( > 0.05). Fear related to the COVID-19 pandemic can only be seen as a contributor to suicidality. Overall, social support does not always act protectively. Previously stressful experiences such as wars, poverty and natural disasters seem to play a significant role in the resilience to each new public health crisis.

摘要

只有少数研究似乎探讨了自杀倾向作为新冠疫情对先前患有精神疾病的人的一种影响。研究了新冠疫情引发的恐惧和压力与在新冠疫情爆发前被诊断患有情感和应激性精神疾病的患者的社会支持水平及自杀倾向之间的关系。本研究为观察性研究,涉及100名参与者。研究时间段为2020年4月至2022年4月。使用新冠恐惧量表(FCV-19S)、奥斯陆社会支持量表3(OSSS-3)和一般精神科访谈来获取数据。观察到新冠相关困扰对自杀倾向发生的影响与疫情年份之间存在统计学显著关系χ(2, N = 100) = 8.347, = 0.015 。在自杀行为、压力强度、恐惧与社会支持量表得分之间未发现统计学显著相关性(> 0.05)。与新冠疫情相关的恐惧只能被视为自杀倾向的一个促成因素。总体而言,社会支持并不总是起到保护作用。先前的压力经历,如战争、贫困和自然灾害,似乎在应对每一次新的公共卫生危机的恢复力方面发挥着重要作用。

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本文引用的文献

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Suicidal Behaviours During Covid-19 Pandemic: A Review.新冠疫情期间的自杀行为:综述
Clin Neuropsychiatry. 2022 Apr;19(2):84-96. doi: 10.36131/cnfioritieditore20220202.

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