COVID-19康复患者创伤后应激障碍的评估

Sachin Patidar, Manjula Gupta, Ruchi Soni, Simmi Dube, Sarthak Verma
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摘要

背景:解决COVID-19康复患者的心理健康问题,特别是创伤后应激障碍(PTSD)问题至关重要。对个人心理健康的负面影响会对与健康有关的生活质量产生负面影响。作者旨在评估从COVID-19和COVID-19相关合并症中康复的患者的PTSD。方法:本研究是一项观察性横断面研究,研究对象是在20个月的研究期间,从印度博帕尔的甘地医学院和哈米迪亚医院出院并在出院后6个月内返回医学/精神病学门诊随访的COVID-19患者。详细记录了社会人口统计学变量、既往病史、与COVID-19相关的合并症(如毛霉菌病等)。使用PTSD症状量表(PSS)评估PTSD。结果:本研究共纳入120例在作者中心就诊的COVID-19感染康复患者,平均年龄37.520±12.756岁。平均PTSD评分为3.350±1.528,85%的患者存在PTSD。其中,83.3%为轻度PTSD, 1.7%为中度PTSD。作者在单变量和多变量分析中观察到社会人口学变量与PTSD无显著关联(p>0.05)。结论:虽然新冠肺炎大流行浪潮已经消退,但长期发病率,特别是对心理健康的影响仍然存在。创伤后应激障碍是COVID-19感染恢复后的常见后果。因此,必须为COVID-19感染后康复的患者提供心理卫生服务,主要针对预防PTSD。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Assessment of Post-Traumatic Stress Disorder in Patients Who Recovered from COVID-19
Background: It is essential to address psychological health, particularly post-traumatic stress disorder (PTSD), among patients who have recovered from COVID-19. The negative impacts on the psychological health of an individual have negative impacts on health-related quality of life. The authors aimed to assess PTSD in patients recovered from COVID-19, and COVID-19-related comorbidities. Methodology: The present study was conducted as an observational cross-sectional study on patients diagnosed with COVID-19 who were discharged from Gandhi Medical College and Hamidia Hospital, both in Bhopal, India, and returning to follow-up at the medicine/psychiatry outpatient department within 6 months after discharge, during the study period of 20 months. Detailed history regarding sociodemographic variables, previous medical history, comorbidities associated with COVID-19 (e.g., mucormycosis, etc.) were noted. PTSD was assessed using the PTSD Symptom Scale (PSS). Results: A total of 120 cases, who recovered from COVID-19 infection and sought care at the authors’ centre, were included in this study, with mean age of 37.520±12.756 years. Mean PTSD score was 3.350±1.528, and PTSD was noted in 85% cases. Of these, 83.3% cases had mild, and 1.7% cases had moderate PTSD. The authors observed no significant association of sociodemographic variables with PTSD on univariate as well as multivariate analysis (p>0.05). Conclusions: Though the wave of COVID-19 pandemic has subsided, the long-term morbidities, particularly due to the impact on psychological health, are still persistent. PTSD is a common consequence following recovery from COVID-19 infection. Thus, mental health services must be provided to patients recovered from COVID-19 infection, mainly targeted at prevention of PTSD.
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