在英国成年人中严重的COVID焦虑:队列研究和嵌套可行性试验
Mike J Crawford1, Jacob D King2, Aisling McQuaid2
1Division of Psychiatry, Commonwealth Building, Imperial College London, Hammersmith Hospital Campus, Du Cane Road, London, W12 0NN, UK. m.crawford@imperial.ac.uk.
BMC psychiatry
|January 6, 2024
概括
严重的COVID焦虑在六个月内有所改善,但许多人仍然经历了高度焦虑和功能不良. 健康焦虑是心理干预的关键目标,如CBT-HA.
科学领域:
- 心理健康研究 心理健康研究
- 心理干预 心理干预
- COVID-19 影响研究 影响研究
背景情况:
- 严重的COVID焦虑与心理健康不佳和功能障碍有关.
- 严重的COVID焦虑的长期过程和心理治疗的有效性仍然不清楚.
研究的目的:
- 为了调查严重的COVID焦虑的六个月的过程.
- 检查影响COVID焦虑水平的因素.
- 评估远程传递的健康焦虑认知行为疗法 (CBT-HA) 的可行性和影响.
主要方法:
- 进行了一项带有嵌套可行性试验的定量队列研究.
- 招募了患有严重COVID焦虑的参与者 (18岁以上,总部位于英国).
- 线性回归分析了焦虑水平;对符合条件的参与者实施了CBT-HA的可行性试验.
主要成果:
- 在六个月内,COVID焦虑水平从12.4显著下降到6.8.
- 在老年人和基线较高的一般化和健康焦虑患者中,减少的程度较低.
- 该CBT-HA可行性试验显示高吸收率 (90%) 和随访率 (90%),在活跃手臂中改善了心理健康和社会功能.
结论:
- 在严重的COVID焦虑中,心理健康往往会改善,尽管严重的焦虑和功能障碍仍然存在.
- 健康焦虑是这一群体中普遍存在的问题,也是治疗干预的潜在焦点.
- 远程传递的CBT-HA在改善心理健康和社会功能方面似乎是可行的和有效的.
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