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接种疫苗和未接种疫苗的人群中的COVID-19和精神疾病
Venexia M Walker1,2,3, Praveetha Patalay4,5, Jose Ignacio Cuitun Coronado1
1Population Health Sciences, University of Bristol, Bristol, United Kingdom.
JAMA psychiatry
|August 21, 2024
概括
在未接种疫苗的个人中,COVID-19 (冠状病毒病2019) 诊断与精神疾病发病率增加有关,特别是严重病例. 接种疫苗可以减少这些不利的心理健康影响.
科学领域:
- 心理健康研究 心理健康研究
- 流行病学 流行病学
- 传染病影响传染病的影响.
背景情况:
- COVID-19 (冠状病毒疾病2019) 与随后的精神疾病有关.
- 根据COVID-19疫苗接种状况,关于精神疾病风险的证据有限.
研究的目的:
- 通过疫苗接种状态来确定与COVID-19相关的精神疾病.
- 为了比较住院和一般人群.
主要方法:
- 对英格兰2400万个人的链接电子健康记录进行分析.
- 三个队列:接种疫苗前,接种疫苗和未接种疫苗 (Delta变种时代).
- 评估抑郁症,严重精神疾病,焦虑,PTSD,饮食障碍,成,自我伤害和自杀后COVID-19诊断的发生率.
主要成果:
- 在所有队列中,精神疾病发病率在COVID-19后的诊断中增加.
- 与疫苗前和未接种疫苗的队列相比,接种疫苗的队列中发生率较低.
- 在严重的COVID-19后,增加的发病率更高,持续时间更长,特别是在未接种疫苗的人群中.
结论:
- COVID-19诊断与精神疾病发病率的增加有关.
- 疫苗似乎可以减轻COVID-19对心理健康的一些不利影响.
- 严重的COVID-19带来了长期的心理健康风险,尤其是未接种疫苗的人.
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