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长新冠对既往有精神疾病合并症患者的精神影响及问题:一项范围综述

Psychiatric consequences and issues of long COVID on patients with prior psychiatric comorbidities: a scoping review.

作者信息

Hovagemyan Francesca, Dugerdil Adeline, Braggion Axelle, Mallet Luc, Flahault Antoine

机构信息

Institute of Global Health, Faculty of Medicine, University of Geneva, Geneva, Switzerland.

Department of Mental Health and Psychiatry, University of Geneva, Geneva, Switzerland.

出版信息

Front Psychiatry. 2023 Jun 7;14:1181767. doi: 10.3389/fpsyt.2023.1181767. eCollection 2023.

Abstract

SARS-CoV-2 is a growing field of research and mental health in long COVID is one of its interesting domains. This scoping review aims at studying the outcomes of mental health in patients already known for psychiatric illness. This was done by researching the literature in two databases (Embase and PubMed) for articles studying mental health consequences of long COVID in patients already known for psychiatric history. Eleven studies were included. 6/11 studies found an effect of long COVID, with varying severity of outcomes studied, with either a worsening in length or severity. 4/11 did not find any correlation between worsening symptoms and psychiatric history. The methods for assessing which psychiatric symptoms to include and how to determine prior history were heterogeneous, making direct comparison sometimes difficult. The data seem to show worse effects of long COVID on mental health of patients with prior mental illness, with limitations regarding the heterogeneity of the studies' designs and focuses. It also highlights how neglected this population of patients is in the current state of research.

摘要

严重急性呼吸综合征冠状病毒2(SARS-CoV-2)是一个不断发展的研究领域,长期新冠患者的心理健康是其中一个有趣的领域。本范围综述旨在研究已知患有精神疾病患者的心理健康结果。这是通过在两个数据库(Embase和PubMed)中检索研究有精神病史患者长期新冠心理健康后果的文献来完成的。共纳入11项研究。11项研究中有6项发现了长期新冠的影响,所研究的结果严重程度各不相同,时长或严重程度均有恶化。11项研究中有4项未发现症状恶化与精神病史之间存在任何关联。评估纳入哪些精神症状以及如何确定既往病史的方法各不相同,有时难以进行直接比较。数据似乎显示,长期新冠对既往有精神疾病患者的心理健康影响更严重,不过研究设计和重点的异质性存在局限性。这也凸显了在当前研究状况下,这类患者群体被忽视的程度。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/29ec/10282140/c812891b1079/fpsyt-14-1181767-g001.jpg

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