Integrated Care Academy, University of Suffolk, Ipswich, UK.
Centre for Addiction and Mental Health, Toronto, Canada.
BMC Public Health. 2023 Jun 20;23(1):1186. doi: 10.1186/s12889-023-16079-8.
INTRODUCTION: Long COVID (LC) is a multisystem disease with symptoms lasting weeks or months beyond the acute COVID-19 infection. Several manifestations are reported by people with LC, including effects on mental health, with varying degrees of psychological distress and disturbances to daily activities. Research conducted to identify effective interventions to support mental health among people with LC has been limited by the breadth and scope of studies. AIM: This review aims to identify interventions being tested to support mental health of people with LC. METHODS: A scoping review was conducted by searching five databases for articles published between January 2020 and early October 2022 to identify research evaluating interventions focused on improving mental health symptoms associated with LC. Results from all sources were checked for eligibility by two reviewers, and agreements were resolved by discussion. Gray literature and reference list of included studies and relevant reviews were scrutinised to identify any additional studies. Data extraction was conducted by one reviewer and checked by another reviewer for accuracy. RESULTS: Of the 940 studies identified, 17 were included, the design of which varied but included mainly case studies (n = 6) and clinical trials (n = 5). Several interventions were described, ranging from single interventions (e.g., pharmacologic) to more holistic, comprehensive suites of services (pharmacologic and non-pharmacologic). Several mental health outcomes were measured, mostly anxiety and depression. All included studies were reported to be associated with improvements in participants' mental health outcomes. CONCLUSION: This scoping review identified studies reporting on a variety of interventions to support mental health among people with LC. Although positive changes were reported by all studies, some were case studies and thus their findings must be interpreted with caution. There is a need for more research to be conducted to identify the impact of interventions on mental health of people with LC.
简介：长新冠（LC）是一种多系统疾病，其症状在急性 COVID-19 感染后持续数周或数月。许多患有 LC 的人报告了多种表现，包括对心理健康的影响，表现为不同程度的心理困扰和日常生活活动受到干扰。为了确定支持 LC 患者心理健康的有效干预措施而进行的研究受到研究广度和范围的限制。
目的：本综述旨在确定正在测试的干预措施，以支持 LC 患者的心理健康。
方法：通过搜索五个数据库，对 2020 年 1 月至 2022 年 10 月初发表的文章进行了范围综述，以确定评估专注于改善与 LC 相关的心理健康症状的干预措施的研究。两名评审员对所有来源的结果进行了资格检查，并通过讨论解决了意见分歧。对纳入研究和相关综述的灰色文献和参考文献列表进行了仔细检查，以确定任何其他研究。由一名评审员进行数据提取，另一名评审员检查准确性。
结果：在确定的 940 项研究中，有 17 项被纳入，其设计各不相同，但主要包括病例研究（n=6）和临床试验（n=5）。描述了多种干预措施，范围从单一干预（例如，药理学）到更全面、综合的服务套件（药理学和非药理学）。多项心理健康结果被测量，主要是焦虑和抑郁。所有纳入的研究都报告了参与者的心理健康结果有所改善。
结论：本范围综述确定了报告各种干预措施以支持 LC 患者心理健康的研究。尽管所有研究都报告了积极的变化，但其中一些是病例研究，因此必须谨慎解释其结果。需要进行更多的研究，以确定干预措施对 LC 患者心理健康的影响。
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