Do Tinh X, Quach Ha-Linh, Hoang Thi Ngoc Anh, Nguyen Thao T P, Le Lan T H, Nguyen Tan T, Do Binh N, Pham Khue M, Vu Vinh H, Pham Linh V, Nguyen Lien T H, Nguyen Hoang C, Tran Tuan V, Nguyen Trung H, Nguyen Anh T, Nguyen Hoan V, Nguyen Phuoc B, Nguyen Hoai T T, Pham Thu T M, Le Thuy T, Tran Cuong Q, Nguyen Kien T, Vo Han T, Van Duong Tuyen
Department of Psychiatry, Military Hospital 103, Vietnam Military Medical University, Hanoi, 121-08, Vietnam.
Centre for Ageing Research & Education, Duke-NUS Medical School, Singapore, 169857, Singapore.
J Epidemiol Glob Health. 2024 Dec;14(4):1748-1763. doi: 10.1007/s44197-024-00333-2. Epub 2024 Dec 2.
Survivors of COVID-19 are susceptible to diminished health-related quality of life (HRQoL) and adverse psychological health, which may be exacerbated by their experiences of fear and the impact of the pandemic itself. This study aims to identify distinct fear and impact patterns related to the COVID-19 pandemic among survivors through latent profile analysis (LPA) and examine the associations of fear and impact patterns with post-traumatic stress symptoms (PTSS) and HRQoL. A total of 5,890 Vietnamese COVID-19 survivors completed the COVID-19 Impact Battery- Disability Scale (CIB-D), the Fear of COVID-19 Scale (FCoV-19 S), the Impact of Event Scale-Revised for PTSS, and the 36-Item Short Form Survey (SF-36) for HRQoL. Four distinct groups of fear and impact were identified: "Fearful and highly impacted" (26.8%), "moderately impacted yet not fearful" (22.9%), "less impacted and less fearful" (18.6%), and "mildly impacted and neutral" (31.7%). Survivors who were "less impacted and less fearful" exhibited significantly higher HRQoL scores (regression coefficient, B: 10.9; 95% confidence interval (CI): 10.0 - 11.7), both in terms of physical (B: 12.0; 95%CI: 11.1 - 12.9) and mental health (B: 19.4; 95%CI: 9.6 - 11.1), and lower PTSS levels (B: -24.5; 95%CI: -25.8 - -23.3) compared to those who were "highly impacted and fearful". It is imperative to acknowledge the intricate association between fear, impact, and mental health to comprehensively address the diverse needs of this distinct population post-COVID-19. These findings provide insights for designing interventions and support mechanisms for COVID-19 survivors.
新冠疫情幸存者的健康相关生活质量（HRQoL）容易下降，心理健康也会受到不利影响，而他们的恐惧经历和疫情本身的影响可能会加剧这些情况。本研究旨在通过潜在剖面分析（LPA）确定新冠疫情幸存者中与疫情相关的不同恐惧和影响模式，并研究恐惧和影响模式与创伤后应激症状（PTSS）和健康相关生活质量（HRQoL）之间的关联。共有5890名越南新冠疫情幸存者完成了新冠疫情影响量表-残疾量表（CIB-D）、新冠恐惧量表（FCoV-19 S）、用于创伤后应激症状的事件影响量表修订版，以及用于健康相关生活质量的36项简短调查问卷（SF-36）。研究确定了四组不同的恐惧和影响模式：“恐惧且受影响严重”（26.8%）、“受影响中等但不恐惧”（22.9%）、“受影响较小且恐惧程度较低”（18.6%）和“受影响轻微且态度中立”（31.7%）。与“受影响严重且恐惧”的幸存者相比，“受影响较小且恐惧程度较低”的幸存者在身体（回归系数B：12.0；95%置信区间（CI）：11.1 - 12.9）和心理健康（B：19.4；95%CI：9.6 - 11.1）方面的健康相关生活质量得分显著更高（B：10.9；95%CI：10.0 - 11.7），创伤后应激症状水平更低（B：-24.5；95%CI：-25.8 - -23.3）。必须认识到恐惧、影响和心理健康之间的复杂关联，以便全面满足这一特殊人群在新冠疫情后的多样化需求。这些发现为设计针对新冠疫情幸存者的干预措施和支持机制提供了见解。
