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长新冠应激症状:心理健康、焦虑、抑郁或创伤后应激。

Long-COVID stress symptoms: Mental health, anxiety, depression, or posttraumatic stress.

机构信息

School of Social Work, Tulane University.

School of Medicine, Tulane University.

出版信息

Psychol Trauma. 2024 Oct;16(7):1169-1178. doi: 10.1037/tra0001567. Epub 2023 Aug 10.

DOI:10.1037/tra0001567
PMID:37561435
Abstract

OBJECTIVE

Currently, there is no single profile of mental health sequela in long-coronavirus disease (COVID) patients, impacting identification, treatment, and exacerbating stigma among this population. This article highlights the rationale for mental health professionals to consider a summary of mental health symptoms in long-COVID patients.

METHOD

This article provides an overview of the existing literature regarding the health and mental health impact of long COVID on patients and proposes an approach to conceptualizing mental health symptoms in individuals living with long COVID. This article summarizes the health and mental health impacts of long COVID and underscores the limitations of the current approach to measuring and screening mental health symptoms in long-COVID patients.

RESULTS

Long-COVID patients have reported new and worsening mental health symptoms; most frequently reported are depression, anxiety, posttraumatic stress disorder (PTSD), and insomnia. The article concludes by proposing the notion of and calls for mental health researchers to identify the unique and complex mental health profiles emerging among this patient population.

CONCLUSIONS

Though some long-COVID patients survived life-threatening illnesses and may, therefore, meet the formal criteria for PTSD, many will present with posttraumatic symptomology that mimics PTSD but may not arise from life-threatening medical trauma. A better understanding of the mental health burden of long-COVID stress symptoms is essential to providing efficient and effective mental health treatment, supporting physicians treating long-COVID patients, and enhancing access to and utilization of medical services. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

摘要

目的

目前,长期冠状病毒病 (COVID) 患者的心理健康后遗症没有单一的表现模式,这影响了对此类人群的识别、治疗和加剧污名化。本文强调了心理健康专业人员考虑总结长期 COVID 患者心理健康症状的基本原理。

方法

本文概述了关于长期 COVID 对患者健康和心理健康影响的现有文献,并提出了一种概念化长期 COVID 患者心理健康症状的方法。本文总结了长期 COVID 的健康和心理健康影响,并强调了当前衡量和筛查长期 COVID 患者心理健康症状方法的局限性。

结果

长期 COVID 患者报告了新的和恶化的心理健康症状;最常报告的是抑郁、焦虑、创伤后应激障碍 (PTSD) 和失眠。本文最后提出了这一概念,并呼吁心理健康研究人员确定在这一患者群体中出现的独特而复杂的心理健康特征。

结论

尽管一些长期 COVID 患者从危及生命的疾病中幸存下来,因此可能符合 PTSD 的正式标准,但许多人会出现类似 PTSD 的创伤后症状,但这些症状可能不是由危及生命的医疗创伤引起的。更好地了解长期 COVID 应激症状的心理健康负担对于提供高效和有效的心理健康治疗、支持治疗长期 COVID 患者的医生以及增强获得和利用医疗服务的机会至关重要。(PsycInfo 数据库记录(c)2024 APA,保留所有权利)。

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