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长新冠谜团:揭示独特人格特征作为风险因素的作用

Long COVID-19 Enigma: Unmasking the Role of Distinctive Personality Profiles as Risk Factors.

作者信息

Amsterdam Dana, Kupershmidt Aviv, Avinir Asia, Matalon Ron, Ohana Ofir, Feder Omri, Shtrozberg Shai, Choshen Guy, Ablin Jacob Nadav, Elkana Odelia

机构信息

Department of Internal Medicine H, Tel Aviv Medical Center, 6 Weizmann St., Tel Aviv 6423906, Israel.

School of Behavioral Sciences, The Academic College of Tel-Aviv-Yaffo, Tel Aviv 6818211, Israel.

出版信息

J Clin Med. 2024 May 14;13(10):2886. doi: 10.3390/jcm13102886.

Abstract

The COVID-19 (Coronavirus disease 2019) pandemic has prompted extensive research into lingering effects, especially in 'Long COVID' patients. Despite exploration, contributing factors remain elusive; This study explores the potential link between distinctive personality profiles, particularly type D personality, and an increased risk of Long COVID; A retrospective cross-sectional study at Tel-Aviv Sourasky Medical Center's Post-COVID clinic analyzed data from 373 Long COVID patients through comprehensive questionnaires covering Long COVID syndrome, Fibromyalgia criteria, personality assessments, social support, and subjective evaluations of cognitive decline, health and life quality. In total, 116 out of 373 patients completed the questionnaire, yielding a 31% participation rate; Cluster analysis revealed two groups, with Cluster 1 (N = 58) exhibiting Type D personality traits while Cluster 2 (N = 56) not meeting criteria for Type D personality. In comparison to Cluster 2, Cluster 1 patients reported heightened anxiety, depression, reduced social support, increased pain symptoms, manifestations of fibromyalgia, cognitive decline, and poor sleep quality, contributing to a diminished quality-of-life perception; findings highlight diverse personality profiles among Long COVID patients, emphasizing the need for tailored care. This approach shows potential for improving Long COVID patient care, aligning with the evolving personalized medicine paradigm.

摘要

2019冠状病毒病(COVID-19)大流行促使人们对其长期影响进行了广泛研究,尤其是对“长新冠”患者的研究。尽管进行了探索,但相关影响因素仍不明确;本研究探讨了独特的人格特征,特别是D型人格与长新冠风险增加之间的潜在联系;特拉维夫索拉斯基医疗中心新冠后诊所开展的一项回顾性横断面研究,通过涵盖长新冠综合征、纤维肌痛标准、人格评估、社会支持以及认知能力下降、健康和生活质量主观评价的综合问卷,分析了373例长新冠患者的数据。373例患者中共有116例完成了问卷,参与率为31%;聚类分析揭示了两组,第1组(N = 58)表现出D型人格特征,而第2组(N = 56)不符合D型人格标准。与第2组相比,第1组患者报告焦虑、抑郁加剧,社会支持减少,疼痛症状增加,出现纤维肌痛表现、认知能力下降和睡眠质量差,导致生活质量感知下降;研究结果突出了长新冠患者中不同的人格特征,强调了个性化护理的必要性。这种方法显示出改善长新冠患者护理的潜力,符合不断发展的个性化医疗模式。

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