COVID-19感染患者中首次发作的精神和神经精神疾病:范围综述

PCN reports : psychiatry and clinical neurosciences Pub Date : 2025-06-25 eCollection Date: 2025-06-01 DOI:10.1002/pcn5.70146
Wali Yousufzai, Alex Heo, Kyle Gu, Edward Sun, Gabriel Lopez, Shreya Balamurali, Jennifer Adjei-Mosi, Riley Shin, Daniel B Stuart, Peggy Edwards, Regina Baronia, Wail Amor, Terry McMahon
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引用次数: 0

摘要

本综述旨在研究2019年冠状病毒病感染患者报告的神经精神疾病的频率和患病率,以及这些疾病在感染期间和感染后发展的机制。采用相关检索词和关键词对6个电子数据库2020 - 2023年新冠肺炎感染后神经精神疾病文献进行系统检索。数据是按照乔安娜布里格斯研究所的指导方针提取的,重点是关键发现、干预细节和结果。我们在综述中纳入了333项研究。研究表明,2019年冠状病毒病后神经精神疾病的风险升高,一些风险在诊断后2年仍然很高。在2019年冠状病毒病幸存者中,抑郁症、精神病和焦虑症以及创伤后应激症状的患病率很高。失眠和其他睡眠障碍、轻度到重度认知功能障碍和饮食失调的患病率有所增加。2019年冠状病毒病感染与发生各种神经精神疾病的重大风险相关,包括精神分裂症、抑郁症、焦虑、创伤后应激障碍和认知功能障碍。长期监测和早期干预对于减轻这些风险和改善患者预后至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
First episode of psychiatric and neuropsychiatric disease among patients infected with COVID-19: A scoping review.

This scoping review aims to examine the frequency and prevalence of neuropsychiatric disorders reported in patients infected with coronavirus disease 2019, and the mechanisms by which these develop during and post infection. A systematic search using relevant search terms and key words was done on six electronic databases of literature on neuropsychiatric conditions post-coronavirus disease 2019 infection from 2020 to 2023. Data were extracted following Joanna Briggs Institute guidelines, focusing on key findings, intervention details, and outcomes. We included 333 studies in the review. Studies indicated an elevated risk of neuropsychiatric disorders post-coronavirus disease 2019, with some risks remaining high 2 years after diagnosis. A significant prevalence of depressive, psychotic, and anxiety disorders, as well as post-traumatic stress symptoms were noted among coronavirus disease 2019 survivors. There was increased prevalence of insomnia and other sleep disturbances, mild to severe cognitive dysfunction, and eating disorders. Coronavirus disease 2019 infection is associated with a significant risk of developing various neuropsychiatric disorders, including schizophrenia, depressive disorders, anxiety, post-traumatic stress disorder, and cognitive dysfunction. Long-term monitoring and early interventions are essential to mitigate these risks and improve patient outcomes.

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