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尼日利亚中北部隔离中心出院的新冠病毒疾病患者的焦虑和抑郁症状:一项横断面研究

Anxiety and Depressive Symptoms among Discharged COVID-19 Patients from Isolation Centers in North-Central, Nigeria: A Cross-sectional Study.

作者信息

Tungchama Friday Philip, Gomerep Simji Samuel, Maigari Yusufu Taru, Akogun Margret, Bako Amabu Enoch, Nwoga Charles Nnemeka, Ajuma Ebiloma Christiana, Amupitan Emmanuel Tope, Shehu Nathan Yakubu

机构信息

Department of Psychiatry, University of Jos, Jos University Teaching Hospital, Jos, Plateau, Nigeria.

Department of Medicine, Infection Disease Unit, University of Jos, Jos University Teaching Hospital,Jos, Plateau, Nigeria.

出版信息

Niger J Med. 2023 Nov-Dec;32(6):606-613. doi: 10.4103/njm.njm_135_23. Epub 2024 Sep 10.

Abstract

INTRODUCTION

The COVID-19 pandemic brought about an unprecedented number of people to be isolated and this negatively impacted on manifestations of various anxiety and depressive symptoms. Our study determined the prevalence of anxiety and depressive symptoms and the associated sociodemographic and clinical factors among discharged COVID-19 patients in North-Central, Nigeria.

METHODS

One hundred and sixteen discharged COVID-19 patients were assessed in a cross-sectional study during the early phase of the COVID-19 outbreak in Jos, North-Central, Nigeria. The age, gender, educational level, length of stay in isolation, and presence of symptoms of COVID-19 were assessed with a semi-structured questionnaire designed by the authors. The Hopkins Symptom Checklist-25 was used to assess for the symptoms of anxiety and depression among participants.

RESULTS

The mean age was 38.7 ± 14.6 years. More men (59%) were assessed with 67.2% of the participants "ever married," and 43% had tertiary education. Voluntary admission was 62% and about 14% had symptoms of COVID-19. Forty-three percent had stayed for more than 10 days. The prevalence of symptoms of anxiety and depression was 17.2% and 9.5%, respectively, with 10.3% having combined symptoms. No significant association between the various sociodemographic and clinical factors, with symptoms of anxiety, except for the female gender which was significantly associated with depressive symptoms ( = 0.026).

CONCLUSION

Isolation and COVID-19 impact on the manifestation of anxiety and depressive symptoms. Screening for anxiety and depressive symptoms should be integrated into the comprehensive psychological management of patients, especially for epidemic-prone diseases like COVID-19 that are associated with stigma.

摘要

引言

新冠疫情导致前所未有的大量人员被隔离,这对各种焦虑和抑郁症状的表现产生了负面影响。我们的研究确定了尼日利亚中北部新冠康复患者中焦虑和抑郁症状的患病率以及相关的社会人口学和临床因素。

方法

在尼日利亚中北部乔斯市新冠疫情爆发的早期阶段,对116名新冠康复患者进行了横断面研究。通过作者设计的半结构化问卷评估年龄、性别、教育水平、隔离时间以及新冠症状的存在情况。使用霍普金斯症状清单-25评估参与者的焦虑和抑郁症状。

结果

平均年龄为38.7±14.6岁。接受评估的男性更多(59%),67.2%的参与者“曾经结婚”,43%拥有高等教育学历。自愿入院率为62%,约14%有新冠症状。43%的人隔离时间超过10天。焦虑和抑郁症状的患病率分别为17.2%和9.5%,10.3%的人同时有这两种症状。除女性性别与抑郁症状显著相关(=0.026)外,各种社会人口学和临床因素与焦虑症状之间无显著关联。

结论

隔离和新冠疫情对焦虑和抑郁症状的表现有影响。焦虑和抑郁症状筛查应纳入患者的综合心理管理中,特别是对于像新冠这样与污名化相关的易流行疾病。

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