住院COVID-19患者中的焦虑:马来西亚一家高等教学医院的病例控制研究
Hui Jan Tan1, Abdool Alleem Hj Shahren1, Ching Soong Khoo1
1Department of Medicine, Faculty of Medicine, The National University of Malaysia, Kuala Lumpur, Malaysia.
Frontiers in psychiatry
|June 5, 2023
概括
COVID-19 患者的焦虑程度明显高于对照组,风险增加了 36.92 倍. 神经症状也预示着焦虑,强调了这些患者早期精神支持的需要.
科学领域:
- 精神病学是一个精神病学.
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 焦虑是COVID-19患者中公认的心理社会问题,在低收入和中等收入国家可能被低估.
- 住院治疗COVID-19可能会导致严重的社会心理障碍.
研究的目的:
- 与对照人群相比,估计COVID-19患者焦虑的患病率.
- 为了确定马来西亚COVID-19患者焦虑的风险因素.
主要方法:
- 一个病例控制研究,涉及因COVID-19住院的成年患者和匹配的对照.
- 数据收集包括人口统计,临床信息和焦虑评估,使用通用焦虑障碍-7 (GAD-7) 问卷.
- 进行单变量和多变量分析以确定风险因素.
主要成果:
- 在COVID-19组中,焦虑的患病率为86.6%,对照组为13.4% (p < 0.001).
- COVID-19 诊断与焦虑的风险增加了 36.92 倍 (OR 36.92; 95% CI 17.09-79.78; p < 0.001).
- 神经症状被确定为焦虑的危险因素 (OR 2.94;95% CI 1.03-8.41;p = 0.044).
结论:
- COVID-19患者表现出与诊断和神经症状相关的更高的焦虑负担.
- 对于那些有发展焦虑症状的风险的COVID-19患者,建议早期精神病学转诊.
- 这项研究强调了COVID-19在马来西亚第三级医院环境中对心理健康的影响.
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