心理负担与事件持续症状及其在COVID-19大流行期间的演变:一个前性基于人口的研究研究
Baptiste Pignon1, Joane Matta2, Emmanuel Wiernik2
1Population-based Cohorts Unit, Paris Saclay University, Paris, France baptistepignon@yahoo.fr.
BMJ mental health
|March 15, 2024
概括
在COVID-19后持续症状的心理负担预测了它们的延续,无论感染状态如何. 减少这种负担可能会改善持久症状的长期结果.
科学领域:
- 公共卫生 公共卫生
- 精神病体医学是一种精神病体医学.
- 流行病学 流行病学
背景情况:
- 在COVID-19之后的持续症状构成了重大的公共卫生挑战.
- 确定长期症状的预测因素对于开发有针对性的干预措施至关重要.
- 可修改的心理因素是治疗策略的关键目标.
研究的目的:
- 调查与新发性持续症状相关的心理负担是否预测它们在6-10个月内持续存在.
- 在一个大规模的基于人口的队列中分析这一关联 (CONSTANCES).
主要方法:
- 在8424名患有事件持续症状的参与者的前性研究 (2020年12月-2021年2月).
- 心理负担使用体征症状障碍-B标准尺度 (SSD-12) 进行评估.
- 后勤回归分析了SSD-12得分与随访时症状持续性之间的关联.
主要成果:
- 13.3%的参与者在随访时报告了至少一个持续的症状.
- 在基线较高的SSD-12得分显著预测了随访时的持续症状 (OR 1.42-1.39).
- 女性性别,年龄较大,自我评估健康状况较差,以及先前感染也预测了持续性.
结论:
- 心理负担是COVID-19后持续症状的重要预测因素,无论SARS-CoV-2感染状况如何.
- 未来的干预措施应侧重于减轻心理负担,以改善长期症状管理.
关键词:
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