对患有长期新冠的退伍军人的生活经历、心理健康治疗需求和心理治疗应用的定性分析。

A qualitative analysis of lived experiences, mental health treatment needs, and psychotherapeutic applications among veterans with long COVID.

作者信息

Boucher Caroline, Glatt Sofie, Silver Chana, Chennapragada Lakshmi, Sullivan Sarah, Dichiara Ariana, Sokol Yosef, Patel Sapana, Goodman Marianne

机构信息

Veterans Integrated Service Network 2 Mental Illness Research, Education, and Clinical Center, James J. Peters Veterans Affairs Medical Center.

出版信息

Psychol Serv. 2024 Dec 30. doi: 10.1037/ser0000925.

Abstract

Long COVID remains a pressing health concern among Americans, with current data suggesting that 45% of those infected by COVID-19 experience at least one symptom of Long COVID. Veterans are a particularly at-risk population due to their unique demographic characteristics and lived experiences. Despite this, there has been a lack of treatment development for Long COVID that targets mental health symptoms and is veteran specific. There is a need for effective treatments to help veterans cope with a Long COVID diagnosis and recovery. This quality improvement project aims to gain insight into the lived experiences and mental health needs of veterans with Long COVID to help inform future treatment development. A sample of 21 veterans (57% male, 67% Black, 43% Hispanic) participated in qualitative interviews where they were asked 23 questions about their experiences living with Long COVID and seeking medical treatment, as well as their ongoing mental health needs. Qualitative data were extracted from these interviews and analyzed. Four main themes were identified: interpersonal concerns and challenges with social interaction; difficulties with day-to-day living; barriers and facilitators to accessing medical treatment; and mental health effects and attitudes toward psychotherapy. Veterans described significant impairments in functioning, as well as feelings of isolation and loneliness. These findings demonstrate the need for a psychotherapeutic intervention that can facilitate interpersonal connection, improve functioning, and decrease psychiatric symptoms. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

摘要

长期新冠症状仍是美国民众面临的一个紧迫的健康问题,目前的数据表明,45% 的新冠病毒感染者至少出现一种长期新冠症状。退伍军人因其独特的人口统计学特征和生活经历,是特别高危的人群。尽管如此,针对长期新冠症状的心理健康症状且专门针对退伍军人的治疗方法仍未得到开发。需要有效的治疗方法来帮助退伍军人应对长期新冠症状的诊断和康复。这个质量改进项目旨在深入了解患有长期新冠症状的退伍军人的生活经历和心理健康需求,为未来的治疗方法开发提供参考。21名退伍军人(57%为男性,67%为黑人,43%为西班牙裔)参与了定性访谈,访谈中他们被问及23个关于他们患有长期新冠症状的经历、寻求医疗治疗的情况以及他们持续的心理健康需求的问题。从这些访谈中提取并分析了定性数据。确定了四个主要主题:人际交往方面的担忧和社交互动中的挑战;日常生活中的困难;获得医疗治疗的障碍和促进因素;心理健康影响以及对心理治疗的态度。退伍军人描述了功能上的显著损害,以及孤独和寂寞的感觉。这些发现表明需要一种心理治疗干预措施,以促进人际交往、改善功能并减轻精神症状。(PsycInfo数据库记录 (c) 2025美国心理学会,保留所有权利)

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