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新冠大流行对五种精神心理障碍的长期影响:从就诊次数、药物使用和量表评分方面来看。

Long-term effects of the COVID-19 pandemic on five mental and psychological disorders: in terms of the number of disease visits, drug consumption, and scale scores.

机构信息

Department of Neurology, The Quzhou Affiliated Hospital of Wenzhou Medical University, Quzhou People's Hospital, Quzhou, Zhejiang, 324000, China.

The Second Clinical College, Wenzhou Medical University, Wenzhou, Zhejiang, 325000, China.

出版信息

BMC Psychiatry. 2023 Sep 18;23(1):677. doi: 10.1186/s12888-023-05166-0.

DOI:10.1186/s12888-023-05166-0
PMID:37723474
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10506188/
Abstract

BACKGROUND

COVID-19 caused mild to severe infections in humans. The long-term epidemic environment harms people's mental health. To explore the impact of the epidemic on people's mental and psychological conditions, we surveyed in Wenzhou.

METHODS

We collected the data of people who visited the First Affiliated Hospital of Wenzhou Medical University for five types of mental and psychological diseases from January 2018 to December 2021. Then, taking December 2019 as the cut-off point, the 48-month data were divided into the pre-epidemic group and the dur-epidemic group. Based on the above data, statistical analysis was done.

RESULTS

From 2018 to 2021, the number of initial diagnoses, the number of disease visits, and drug consumption for these five types of mental and psychological diseases were all on the rise. Compared with the number of disease visits for all disorders in both psychiatry and neurology departments, it was found that the growth rate of these five diseases was higher than the growth rate of all disorders. We found that the number of disease visits, drug consumption, and scale scores after the COVID-19 outbreak were significantly different from those before the outbreak (P < 0.05). And the number of disease visits positively correlated with drug consumption (P < 0.0001, r = 0.9503), which verified the stability of the data.

CONCLUSION

The epidemic environment has had a long-term and negative impact on people's mental and psychological conditions. Therefore, whether or not the epidemic is receding, we still need to be concerned about the impact of COVID-19 on mental and psychological health.

摘要

背景

COVID-19 可导致人类发生轻度至重度感染。长期的疫情环境危害人们的心理健康。为了探讨疫情对人们心理状况的影响,我们在温州进行了调查。

方法

我们收集了 2018 年 1 月至 2021 年 12 月期间在温州医科大学第一附属医院因五种精神心理疾病就诊的患者数据。然后,以 2019 年 12 月为时间节点,将 48 个月的数据分为疫情前组和疫情持续组。基于以上数据进行统计分析。

结果

2018 年至 2021 年,五种精神心理疾病的初诊人数、就诊人数和药物消耗量均呈上升趋势。与精神科和神经科所有疾病就诊人数相比,发现这五种疾病的增长率高于所有疾病的增长率。我们发现,COVID-19 爆发后,疾病就诊人数、药物消耗量和量表评分与爆发前相比差异有统计学意义(P < 0.05)。并且,疾病就诊人数与药物消耗量呈正相关(P < 0.0001,r = 0.9503),验证了数据的稳定性。

结论

疫情环境对人们的心理状况产生了长期的负面影响。因此,无论疫情是否消退,我们仍然需要关注 COVID-19 对心理健康的影响。

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