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基于正念的干预措施对新冠长期症状患者抑郁和焦虑的影响

The Effects of a Mindfulness-Based Intervention on Depression and Anxiety in the Long-COVID Population.

作者信息

Welbel Rachel, Rutha Elizabeth, Ording Jeffrey, Wang Douglas, Hirschtick Jana

机构信息

Department of Physical Medicine and Rehabilitation, Rush University Medical Center, Chicago, IL.

Department of Behavioral Health, Advocate Illinois Masonic Medical Center, Chicago, IL.

出版信息

J Patient Cent Res Rev. 2025 Jul 15;12(3):134-139. doi: 10.17294/2330-0698.2128. eCollection 2025 Summer.

Abstract

Long-COVID is a complicated, post-viral syndrome involving multiple body systems and can present with neuropsychiatric symptoms. Little has been reported about the neuropsychiatric symptoms of long-COVID, and validated treatments do not yet exist. There is prior evidence that mindfulness-based strategies have been helpful for those with chronic illnesses; shown significant decreases in anxiety, stress, and depression; and enhanced quality of life. In this study, we report on the utility of a mindfulness-based intervention on levels of anxiety and depression in a long-COVID population. Our hospital system founded both a "Covid Recovery Clinic" (CRC) and a "Post-COVID Resilience Program" (PCRP). The PCRP consisted of a six-week virtual group therapy protocol that focused on mindfulness-based practices. Before and after the therapy intervention, participants answered questionnaires to capture depressive and anxiety symptoms. Pre- and post-questionnaire scores do not show a significant improvement in depressive or anxiety symptoms, although the study was limited by a small sample size. Further research is needed to investigate whether similar programs with a larger sample size can improve the mental health status of patients suffering from long-COVID.

摘要

长期新冠是一种复杂的病毒后综合征,涉及多个身体系统,可能会出现神经精神症状。关于长期新冠的神经精神症状报道较少,且尚无经过验证的治疗方法。先前有证据表明,基于正念的策略对慢性病患者有帮助;能显著降低焦虑、压力和抑郁水平,并提高生活质量。在本研究中,我们报告了基于正念的干预措施对长期新冠患者焦虑和抑郁水平的效用。我们的医院系统设立了“新冠康复诊所”(CRC)和“新冠后恢复力项目”(PCRP)。PCRP包括一个为期六周的虚拟团体治疗方案,重点是基于正念的练习。在治疗干预前后,参与者回答问卷以获取抑郁和焦虑症状。尽管该研究受样本量小的限制,但问卷前后得分并未显示出抑郁或焦虑症状有显著改善。需要进一步研究来调查样本量更大的类似项目是否能改善长期新冠患者的心理健康状况。

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