焦虑和抑郁症在COVID-19精神困境中发挥了核心作用:网络分析
Giovanna Fico1, Vincenzo Oliva2, Michele De Prisco3
1Departament de Medicina, Facultat de Medicina i Ciències de la Salut, Universitat de Barcelona (UB), c. Casanova, 143, 08036 Barcelona, Spain; Bipolar and Depressive Disorders Unit, Hospìtal Clinic de Barcelona, c. Villarroel, 170, 08036 Barcelona, Spain; Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), c. Villarroel, 170, 08036 Barcelona, Spain; Institute of Neurosciences (UBNeuro), p. de la Vall d'Hebron, 171, 08035 Barcelona, Spain.
Journal of affective disorders
|June 19, 2023
概括
焦虑和抑郁症是COVID-19患者的核心,焦虑是关键因素. 恢复力和社会支持对这组患者的心理健康症状的影响很小. 针对焦虑可以预防进一步的心理健康问题.
科学领域:
- 精神病学是一个精神病学.
- 心理学 心理学 心理学
- 公共卫生 公共卫生
背景情况:
- 心理,社会人口和临床因素影响COVID-19患者的治疗结果.
- 了解这些因素之间的复杂相互作用对于有效的患者护理至关重要.
- 网络分析提供了一种探索这些复杂关系的方法.
研究的目的:
- 研究COVID-19患者的心理健康症状,社会支持和恢复力的网络结构.
- 检查网络结构如何根据先前存在的精神障碍或住院状态而有所不同.
- 在COVID-19的背景下,确定影响心理健康的关键因素.
主要方法:
- 在西班牙,对2084名COVID-19患者进行了多中心,横截面的调查.
- 评估社会人口结构,COVID-19状态,弹性,社会支持和心理健康症状 (抑郁,焦虑,PTSD,恐慌,物质使用).
- 网络分析以评估中心性和桥梁影响力,比较患者子组.
主要成果:
- 焦虑和抑郁症在患者网络中表现出高度的中心性.
- 焦虑表现出最高的桥梁影响,表明一个关键的角色.
- 恢复力和社会支持对心理障碍症状的影响有限.
- 在患有或没有先前精神障碍的患者之间或住院/非住院组之间没有观察到显著的网络变化.
结论:
- 焦虑似乎是COVID-19患者的关键治疗目标.
- 解决焦虑可能有助于预防其他不良的心理健康结果.
- 网络分析提供了对影响COVID-19幸存者的心理健康因素复杂相互作用的见解.
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