类风湿关节炎或系统性红斑狼疮患者在 COVID-19 封锁期间焦虑、抑郁和创伤后应激障碍的患病率:一项系统综述

Prevalence of anxiety, depression, and post-traumatic stress disorder during the COVID-19 lockdown in patients with rheumatoid arthritis or systemic lupus erythematosus: a systematic review.

作者信息

Eslami Azin, Allami Pantea, KamaliZonouzi Sara, Ravanbakhsh Mohammadamin, Razi Sepideh, Yazdanpanah Niloufar, Rezaei Nima

机构信息

School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.

Students' Scientific Research Center, Tehran University of Medical Sciences, Tehran, Iran.

出版信息

BMC Psychiatry. 2025 May 26;25(1):546. doi: 10.1186/s12888-025-06996-w.

Abstract

The COVID-19 pandemic and its associated lockdown measures had a profound impact on mental health, particularly among individuals with chronic illnesses. Patients with autoimmune arthritis, such as rheumatoid arthritis (RA) and systemic lupus erythematosus (SLE), are already at increased risk for psychological disorders due to the chronic nature of their disease, physical disability, and long-term medication use. The added stress of the pandemic, including fear of infection, limited access to healthcare, and social isolation, may have further exacerbated mental health issues in this population. This systematic review aims to evaluate the prevalence of anxiety, depression, and post-traumatic stress disorder (PTSD) among individuals with autoimmune arthritis during the pandemic. A comprehensive search of major medical databases identified 18 relevant studies, encompassing 9,666 participants from various geographic regions. By synthesizing findings across diverse populations, this review examines the extent of the mental health burden in this vulnerable group and highlights the importance of mental health support during public health crises. Understanding these impacts can help guide future research and inform healthcare policies to better support autoimmune arthritis patients in times of crisis.

摘要

新冠疫情及其相关的封锁措施对心理健康产生了深远影响,尤其是在慢性病患者中。患有自身免疫性关节炎的患者,如类风湿关节炎(RA)和系统性红斑狼疮(SLE),由于其疾病的慢性性质、身体残疾以及长期用药,本身就面临着更高的心理障碍风险。疫情带来的额外压力,包括对感染的恐惧、获得医疗保健的机会有限以及社会隔离,可能进一步加剧了这一人群的心理健康问题。本系统综述旨在评估疫情期间自身免疫性关节炎患者中焦虑、抑郁和创伤后应激障碍(PTSD)的患病率。对主要医学数据库进行全面检索后,确定了18项相关研究,涵盖来自不同地理区域的9666名参与者。通过综合不同人群的研究结果,本综述考察了这一弱势群体的心理健康负担程度,并强调了公共卫生危机期间心理健康支持的重要性。了解这些影响有助于指导未来的研究,并为医疗政策提供参考,以便在危机时期更好地支持自身免疫性关节炎患者。

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