Mental health symptoms one year after acute COVID-19 infection: Prevalence and risk factors

IF 5.2 3区 医学 Q1 PSYCHIATRY
Marco Colizzi , Maddalena Peghin , Maria De Martino , Giulia Bontempo , Valentina Gerussi , Alvisa Palese , Miriam Isola , Carlo Tascini , Matteo Balestrieri
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引用次数: 19

Abstract

Introduction

Emerging evidence suggests that mental health symptoms in COVID-19 survivors are higher than expected, possibly indicating that such symptoms are more likely to develop post-infection than just persist as a residual component of the acute phase. It is thus imperative to investigate the potential development of a post-COVID mental health syndrome in the longer-term and identify its risk factors.

Material and methods

A prospective study investigated mental health symptoms associated with COVID-19 and its determinants over a 12-month period following the disease onset in all consecutive adult inpatients and outpatients with COVID-19 attending a tertiary referral hospital from March to May 2020.

Results

A total of 479 patients (female, 52.6%) were followed-up for 12 months after COVID-19 onset. Of them, 47.2% were still presenting with at least one symptom. While most symptoms subsided as compared to COVID-19 onset (all p < 0.001), a significant increase was observed only for symptoms of psychiatric disorders (10.2%) and lack of concentration and focus (20%; all p < 0.001). Patients presenting with symptoms related to multiple body systems 12 months after contracting COVID-19 (all p  0.034) were more likely to suffer from mental health domain-related symptoms at follow-up. Also, a higher risk of presenting with lack of concentration and focus 12 months post infection was found in those suffering of psychiatric symptoms at COVID-19 onset (p = 0.005).

Conclusions

Findings of this study may have important public health implications, as they underlie the increased need for mental health support in COVID-19 survivors.

急性COVID-19感染后一年的精神健康症状:患病率和危险因素
引言新出现的证据表明,新冠肺炎幸存者的心理健康症状高于预期,这可能表明这些症状更有可能在感染后发展,而不仅仅是作为急性期的残余成分持续存在。因此,有必要长期研究新冠肺炎后心理健康综合征的潜在发展,并确定其风险因素。材料和方法一项前瞻性研究调查了2020年3月至5月在三级转诊医院就诊的所有连续成年新冠肺炎住院患者和门诊患者在发病后12个月内与新冠肺炎相关的心理健康症状及其决定因素开端其中,47.2%的患者仍有至少一种症状。虽然与新冠肺炎发作相比,大多数症状消退(全部p<0.001),仅在精神障碍症状(10.2%)和注意力不集中(20%;所有p<0.001)方面观察到显著增加。在感染新冠肺炎12个月后出现与多个身体系统相关症状的患者(所有p≤0.034)更有可能在随访中出现与精神健康领域相关的症状。此外,在感染后12个月,新冠肺炎发病时出现精神症状的患者出现注意力不集中和注意力不集中的风险更高(p=0.005)。结论这项研究的发现可能对公共卫生有重要影响,因为它们是新冠肺炎幸存者对心理健康支持需求增加的基础。
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来源期刊
自引率
3.30%
发文量
58
期刊介绍: The Spanish Journal of Psychiatry and Mental Health (SJPMH), incorporated into ISSN 1888-9891, is the official scientific publication of the Spanish Society of Psychiatry and Mental Health. The journal focuses on studying mental illnesses, their pathological processes, and their psychosocial consequences, and aims to disseminate scientific advances in all areas related to mental health and illness. SJPMH accepts unpublished works on psychiatry and mental health, including their medical and social implications. The journal provides space for research in the biological, clinical, and psychosocial fields. Manuscripts undergo peer-review by external reviewers before being accepted for publication. SJPMH is indexed in Index Medicus/Medline, IBECS, Social Sciences Citation Index Journal Citation Reports/Social Sciences Edition, and Current Contents/Social and Behavioral Sciences.
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