The Impact of SARS-CoV-2 Transmission Fear and the COVID-19 Pandemic on the Mental Health of Patients with Primary Immunodeficiency Disorders and Severe Asthma, and Other High-Risk Groups

IF 0.3 Q4 ALLERGY

Astim Allerji Immunoloji Pub Date : 2021-08-20 DOI:10.21911/aai.651

Fatih Çölkesen, Oğuzhan Kılınçel, M. Sözen, Eray Yıldız, Ş. Beyaz, Fatma Çölkesen, G. Aytekin, M. Koçak, Y. Alsancak, M. Araz, Ş. Arslan

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引用次数: 6

Abstract

ABSTRACT Objective: The effect of the COVID-19 pandemic on mental health in the long term is unclear. We evaluated severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2)–related transmission fear and mental-health disorders in populations at high risk for COVID-19. Materials and Methods: Healthcare workers and patients with primary immunodeficiency disorders (PIDs), severe asthma, malignancy, cardiovascular disease, hypertension, and diabetes mellitus were included in the study. The hospital anxiety and depression scale (HADS) and Fear of Illness and Virus Evaluation (FIVE) scales were applied during face-to-face interviews. Results: There was a total of 560 participants, 80 per group; 306 (55%) were female. The FIVE and HADS-A scale scores of health care workers were significantly higher than the other groups (p = 0.001 and 0.006). The second-highest scores were in patients with PID. There was no significant difference between the groups in HADS-D scores (p = 0.07). There was a significant positive correlation between FIVE scale scores and anxiety (r = 0.828; p < 0.001) and depression (r = 0.660; p < 0.001). The FIVE scale had significant discriminatory power for anxiety (AUC = 0.870, 95% confidence interval [CI] = 0.836–0.904; p < 0.0001) and depression (area under the curve = 0.760, 95% CI = 0.717–0.803; p < 0.0001). Conclusion: During the COVID-19 pandemic, mental-health disorders may develop in patients with comorbidities, especially healthcare workers. They should be referred to mental-health centers. Keywords: Asthma, COVID-19, fear of virus transmission, mental health, primary immunodeficiency

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SARS-CoV-2传播恐惧和新冠肺炎大流行对原发性免疫缺陷疾病和严重哮喘患者及其他高危人群心理健康的影响

摘要目的：新冠肺炎疫情对心理健康的长期影响尚不清楚。我们评估了新冠肺炎高危人群中严重急性呼吸综合征冠状病毒-2（SARS-CoV-2）相关的传播恐惧和心理健康障碍。材料和方法：医护人员和原发性免疫缺陷疾病（PID）、严重哮喘、恶性肿瘤、心血管疾病、高血压和糖尿病患者纳入研究。医院焦虑和抑郁量表（HADS）和对疾病和病毒的恐惧评估量表（FIVE）在面对面访谈中使用。结果：共有560名参与者，每组80人；女性306例（55%）。医护人员的FIVE和HADS-A量表得分显著高于其他组（p=0.001和0.006）。PID患者得分第二高。两组HADS-D评分无显著差异（p=0.07）。FIVE量表评分与焦虑（r=0.828；p<0.001）和抑郁（r=0.660；p<001）呈显著正相关。FIVE量表对焦虑（AUC=0.870，95%置信区间[CI]=0.836–0.904；p<0.0001）和抑郁具有显著的判别力（曲线下面积=0.760，95%CI=0.717–0.803；p<0.0001）。结论：在新冠肺炎大流行期间，患有合并症的患者，尤其是医护人员，可能会出现心理健康障碍。他们应该被转介到心理健康中心。关键词：哮喘、新冠肺炎、对病毒传播的恐惧、心理健康、原发性免疫缺陷

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Astim Allerji Immunoloji ALLERGY-

CiteScore

0.80

自引率

0.00%

发文量

期刊介绍： Asthma Allergy Immunology has been published three times a year in April, August and December as the official and periodical journal of the Turkish National Society of Allergy and Clinical Immunology since 2003. All articles published in the journal have been available online since 2003. A peer reviewed system is used in evaluation of the manuscripts submitted to Asthma Allergy Immunology. The official language of the journal is English. The aim of the journal is to present advances in the field of allergic diseases and clinical immunology to the readers. In accordance with this goal, manuscripts in the format of original research, review, case report, articles about clinical and practical applications and editorials, short report and letters to the editor about allergic diseases and clinical immunology are published in the journal. The target reader population of the Asthma Allergy Immunology includes specialists and residents of allergy and clinical immunology, pulmonology, internal medicine, pediatrics, dermatology and otolaryngology as well as physicians working in other fields of medicine interested in allergy and immunological diseases.

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