Won Geun Hui, Lee Hye Jeong, Lee Jong Hun, Choi Tae Young, Hong Hyo-Lim, Jung Chi Young
Department of Psychiatry, Daegu Catholic University School of Medicine, Daegu, Republic of Korea.
Department of Internal Medicine, Daegu Catholic University School of Medicine, Daegu, Republic of Korea.
Psychiatry Investig. 2023 May;20(5):471-480. doi: 10.30773/pi.2022.0295. Epub 2023 May 25.
Following the coronavirus disease-2019 (COVID-19) outbreak, the importance of addressing acute stress induced by psychological burdens of diseases became apparent. This study attempted to evaluate the effectiveness of a new mode of psychiatric intervention designed to target similar psychological crises.
Participants included 32 out of 114 COVID inpatients at a hospital in Daegu, Korea, who were assessed between March 30 and April 7, 2020. Multiple scales for screening psychological difficulties such as depressed mood, anxiety, insomnia, acute stress, and suicidality were done. Psychological problem evaluations and interventions were conducted in the form of consultations to alleviate participants' psychological challenges via telepsychiatry. The interventions' effects, as well as clinical improvements before and after the intervention, were analyzed.
As a result of screening, 21 patients were experiencing psychological difficulties beyond clinical thresholds after COVID-19 infection (screening positive group). The remaining 11 were screening negative groups. The two groups differed significantly in past psychiatric histories (p=0.034), with the former having a higher number of diagnoses. The effect of the intervention was analyzed, and clinical improvement before and after the intervention was observed. Our intervention was found to be effective in reducing the overall emotional difficulties.
This study highlighted the usefulness of new interventions required in the context of healthcare following the COVID-19 pandemic.
在2019冠状病毒病（COVID-19）疫情爆发后，应对疾病心理负担所致急性应激的重要性变得显而易见。本研究试图评估一种旨在针对类似心理危机的新型精神科干预模式的有效性。
参与者包括韩国大邱一家医院114名COVID住院患者中的32名，他们于2020年3月30日至4月7日接受评估。使用多种量表筛查心理困难，如情绪低落、焦虑、失眠、急性应激和自杀倾向。通过远程精神病学以咨询形式进行心理问题评估和干预，以减轻参与者的心理挑战。分析了干预效果以及干预前后的临床改善情况。
筛查结果显示，21名患者在感染COVID-19后存在超出临床阈值的心理困难（筛查阳性组）。其余11名是筛查阴性组。两组在既往精神病史方面存在显著差异（p=0.034），前者的诊断数量更多。分析了干预效果，并观察到干预前后的临床改善情况。我们的干预被发现对减轻总体情绪困难有效。
本研究强调了COVID-19大流行后医疗保健背景下所需新干预措施的有用性。
