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[加泰罗尼亚地区长期新冠神经心理症状患者的经历:一项现象学研究]

[Patients' experiences of long-covid neuropsychological symptoms in Catalonia: A phenomenological study].

作者信息

Moreno-Gabriel Eduardo, Bielsa-Pascual Jofre, Verdaguer Maria, Carmona-Cervelló Meritxell, Lamonja Vicente Noemí, León Gómez Brenda Biaani, Violan Concepción, Torán-Monserrat Pere

机构信息

Unitat de Suport a la Recerca Metropolitana Nord, Fundació Institut Universitari per a la recerca a l'Atenció Primària de Salut Jordi Gol i Gurina (IDIAPJGol), Mataró, España; Departamento de Psicología Social, Facultad de Psicología, Universitat Autònoma de Barcelona, Bellaterra (Cerdanyola del Vallès), España; Grup de Recerca en Salut I Societat (GREMSAS), Barcelona, España; Institut d'Investigació Germans Trias i Pujol Research Institute (IGTP), Badalona, España.

Unitat de Suport a la Recerca Metropolitana Nord, Fundació Institut Universitari per a la recerca a l'Atenció Primària de Salut Jordi Gol i Gurina (IDIAPJGol), Mataró, España.

出版信息

Aten Primaria. 2025 Jun;57(6):103214. doi: 10.1016/j.aprim.2024.103214. Epub 2025 Jan 23.

DOI:10.1016/j.aprim.2024.103214
PMID:39854988
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11803842/
Abstract

OBJECTIVE

To describe the experiences of people living with neuropsychological symptomatology associated with long-COVID, as well as identifying the barriers they encounter in their daily lives and the strategies they develop to deal with them.

DESIGN

Descriptive qualitative study following an interpretative phenomenological perspective.

LOCATION

Primary Care Centres in the Northern Metropolitan Area of Barcelona and the Germans Trias i Pujol University Hospital (Badalona), Spain.

PARTICIPANTS

34 adults with any persistent neuropsychological symptoms of COVID-19 (>12 weeks since disease onset).

METHOD

In-depth individual interviews were conducted following a script of open-ended questions to elicit their narratives around the research objective.

RESULTS

3 clusters detailing the life impact of long-COVID and its neuropsychological symptomatology were identified: long-COVID as life-breaking and life-changing; coping strategies; and (ac)knowledge (of) the emerging subjectivity.

CONCLUSIONS

From the participants' accounts and the existing literature emerges the relevance of critically integrating lessons learned from analogous syndromes such as fibromyalgia and chronic fatigue, as well as involving patients in the design and implementation (even at the consultation level) of clinical practices that raise awareness of these neuropsychological sequelae (psychoeducation) both to other patients and to caregivers and professionals. This would facilitate a greater and better specialised psychological approach and reduce the stigma that still accompanies the condition.

摘要

目的

描述患有与新冠长期症状相关的神经心理学症状的人群的经历,识别他们在日常生活中遇到的障碍以及他们制定的应对策略。

设计

采用解释现象学视角的描述性定性研究。

地点

西班牙巴塞罗那北部大都市区的初级保健中心以及德国人特里亚斯·伊·普约尔大学医院(巴达洛纳)。

参与者

34名患有任何持续性新冠病毒神经心理学症状的成年人(自疾病发作起超过12周)。

方法

按照开放式问题脚本进行深入的个人访谈,以引出他们围绕研究目标的叙述。

结果

确定了3个详细描述新冠长期症状及其神经心理学症状对生活影响的类别:新冠长期症状对生活造成破坏且改变生活;应对策略;以及(对)新出现的主观性的(再)认识。

结论

从参与者的叙述和现有文献中可以看出,批判性地整合从纤维肌痛和慢性疲劳等类似综合征中学到的经验教训具有重要意义,并且让患者参与临床实践的设计和实施(甚至在咨询层面)也很重要,这些临床实践旨在提高对这些神经心理学后遗症(心理教育)的认识,面向其他患者以及护理人员和专业人员。这将有助于采取更广泛、更专业的心理方法,并减少仍然伴随着这种疾病的污名化。

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引用本文的文献

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Patients' experiences of long-covid neuropsychological symptoms: Comment.长期新冠神经心理症状患者的经历:评论
Aten Primaria. 2025 Aug;57(8):103241. doi: 10.1016/j.aprim.2025.103241. Epub 2025 Feb 19.

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Soc Sci Med. 2024 Jun;350:116901. doi: 10.1016/j.socscimed.2024.116901. Epub 2024 Apr 17.
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Development of a Definition of Postacute Sequelae of SARS-CoV-2 Infection.开发 SARS-CoV-2 感染后后遗症的定义。
JAMA. 2023 Jun 13;329(22):1934-1946. doi: 10.1001/jama.2023.8823.
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Recovery and symptom trajectories up to two years after SARS-CoV-2 infection: population based, longitudinal cohort study.SARS-CoV-2 感染后长达两年的恢复和症状轨迹:基于人群的纵向队列研究。
BMJ. 2023 May 31;381:e074425. doi: 10.1136/bmj-2022-074425.
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Cognitive impairment in young adults with post COVID-19 syndrome.新冠后综合征年轻患者的认知障碍。
Sci Rep. 2023 Apr 19;13(1):6378. doi: 10.1038/s41598-023-32939-0.
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Patients' lived experience and reflections on long COVID: an interpretive phenomenological analysis within an integrated adult primary care psychology NHS service.患者对长新冠的体验和反思:在综合成人初级保健心理 NHS 服务中进行的阐释现象学分析。
J Patient Rep Outcomes. 2023 Mar 20;7(1):30. doi: 10.1186/s41687-023-00570-2.
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Getting back to normal? Identity and role disruptions among adults with Long COVID.回归正常?长新冠成年患者的身份认同与角色混乱
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Cognitive impairments among patients in a long-COVID clinic: Prevalence, pattern and relation to illness severity, work function and quality of life.长新冠诊所患者的认知障碍:患病率、模式以及与疾病严重程度、工作功能和生活质量的关系。
J Affect Disord. 2023 Mar 1;324:162-169. doi: 10.1016/j.jad.2022.12.122. Epub 2022 Dec 28.
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Brain Fog and Fatigue following COVID-19 Infection: An Exploratory Study of Patient Experiences of Long COVID.新冠病毒感染后出现的脑雾和疲劳:长新冠患者体验的探索性研究。
Int J Environ Res Public Health. 2022 Nov 23;19(23):15499. doi: 10.3390/ijerph192315499.
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Neuropsychiatric aspects of long COVID: A comprehensive review.长新冠的神经精神方面:全面综述。
Psychiatry Clin Neurosci. 2023 Feb;77(2):84-93. doi: 10.1111/pcn.13508. Epub 2022 Dec 12.
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Patient-led integrated cognitive behavioural therapy for management of long COVID with comorbid depression and anxiety in primary care - A case study.患者主导的综合认知行为疗法在初级保健中用于管理长新冠合并抑郁和焦虑 - 案例研究。
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