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从新冠肺炎中康复的肺部疾病患者的创伤后应激与成长

Posttraumatic stress and growth in pulmonary patients recovered from COVID-19.

作者信息

Milanowska Joanna, Mackiewicz Barbara, Aftyka Anna, Mazurek Patrycja, Samardakiewicz Marzena

机构信息

Department of Psychology, Chair of Psychosocial Aspects of Medicine, Medical University of Lublin, Lublin, Poland.

Department and Clinic of Pneumonology, Oncology, and Allergology, Medical University of Lublin, Lublin, Poland.

出版信息

Sci Rep. 2025 Jan 31;15(1):3850. doi: 10.1038/s41598-025-88405-6.

DOI:10.1038/s41598-025-88405-6
PMID:39890901
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11785730/
Abstract

The COVID-19 pandemic has profoundly affected mental health, with many survivors experiencing psychological challenges, including Post-Traumatic Stress Disorder (PTSD). This study assessed PTSD symptoms and Post-Traumatic Growth (PTG) among 62 individuals recovering from COVID-19 infection, all of whom were under the care of the Department of Pneumonology, Oncology, and Allergology at the Medical University of Lublin. Results revealed that 40.32% of participants exhibited PTSD symptoms. Key predictors of PTSD severity included cognitive symptoms and post-COVID self-rated health, with cognitive symptoms positively associated and self-rated health negatively associated with PTSD severity. A positive correlation was also found between PTSD severity and PTG, suggesting that while individuals endure significant psychological distress, they may also experience personal growth, such as enhanced resilience and a redefined life perspective. These findings highlight the dual psychological impact of COVID-19 infection, particularly for individuals with preexisting pulmonary conditions. They underscore the importance of holistic, integrated care that addresses both the reduction of PTSD symptoms and the promotion of meaningful psychological growth in COVID-19 survivors.

摘要

新冠疫情对心理健康产生了深远影响,许多康复者都面临心理挑战,包括创伤后应激障碍(PTSD)。本研究评估了62名新冠病毒感染康复者的PTSD症状和创伤后成长(PTG),这些康复者均在卢布林医科大学肺病学、肿瘤学和过敏学系接受治疗。结果显示,40.32%的参与者表现出PTSD症状。PTSD严重程度的关键预测因素包括认知症状和新冠康复后的自我健康评分,认知症状与PTSD严重程度呈正相关,自我健康评分与PTSD严重程度呈负相关。研究还发现PTSD严重程度与PTG之间存在正相关,这表明尽管个体承受着巨大的心理困扰,但他们也可能经历个人成长,比如恢复力增强和生活观念重新塑造。这些发现凸显了新冠病毒感染对心理的双重影响,尤其是对已有肺部疾病的个体。它们强调了全面、综合护理的重要性,这种护理既要减轻PTSD症状,又要促进新冠康复者实现有意义的心理成长。