在COVID-19后的状态和焦虑和抑郁症状之间存在复杂的关联
Sarah Tebeka1,2,3, Laure Carcaillon-Bentata1, Valentina Decio1
1Department of Non-Communicable Diseases and Injuries, Santé Publique France, The National Public Health Agency, Saint-Maurice, France.
在COVID-19之前的慢性焦虑和抑郁症可能会导致COVID-19后的病情 (PCC). 研究结果表明,这些症状本身不应该定义PCC,挑战当前的诊断标准.
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:
- 调查焦虑,抑郁症状和COVID-19后状态 (PCC) 之间的关系.
- 探索这些协会的方向性及其在定义PCC中的相关性.
研究的目的:
- 评估焦虑和抑郁症状与PCC之间的关联.
- 确定焦虑和抑郁是否应纳入PCC的定义.
主要方法:
- 法国全国调查 (2022年3月至4月),采用代表性抽样.
- 包括符合世界卫生组织 (WHO) PCC定义的参与者和对照组.
- 使用GAD-2和PHQ-2问卷测量焦虑和抑郁.
主要成果:
- 21%的PCC参与者报告了焦虑,18%的抑郁;测量的症状更高 (33%的焦虑,20%的抑郁).
- 很少有症状符合仅PCC的世卫组织标准;慢性和测量的焦虑与PCC有关.
- 慢性焦虑 (aOR 1.27) 和测量焦虑 (aOR 1.29) 与PCC有显著的关联.
结论:
- 以前存在的慢性焦虑和抑郁症可能会影响PCC的发展或共享风险因素.
- 结果质疑将焦虑和抑郁作为PCC定义中的唯一标准.
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