在COVID-19感染后失眠的患病率和相关性
Alexandra Kadl1,2, Eric M Davis1, Samuel F Oliver1
1Division of Pulmonary and Critical Care Medicine, Department of Medicine, University of Virginia, Charlottesville, Virginia.
概括
失眠是长期COVID的常见持续症状,最初影响50%的患者. 用基于证据的治疗方法来解决睡眠问题,例如对失眠的认知行为疗法,建议在长时间的COVID恢复中使用.
科学领域:
- 睡眠医学 睡眠医学
- 传染性疾病 传染性疾病
- 精神病学是一个精神病学.
背景情况:
- 在长期COVID患者中经常报告睡眠障碍.
- 睡眠问题的严重程度与COVID-19感染的强度之间的关系需要进一步调查.
- 这项研究侧重于急性COVID-19感染后的失眠.
研究的目的:
- 评估从COVID-19中康复的患者中失眠的患病率和持续性.
- 为了确定与COVID后失眠相关的并发症.
- 在长期COVID的背景下评估失眠的临床影响.
主要方法:
- 调查了280名住院和门诊患者,这些患者患有持续的COVID后症状.
- 使用失眠严重程度指数 (ISI) 评估失眠严重程度.
- 评估神经心理症状,心肺状况,功能结果和生活质量.
- 利用多变量回归模型来分析失眠的严重程度.
主要成果:
- 50%的患者在初次访问时报告了显著的失眠,而42%的患者在随访时经历了失眠.
- 年龄较低,女性性别,非白人种族和非西班牙裔种族与较高的ISI分数有关.
- 焦虑和抑郁症状与失眠严重程度有很强的相关性;失眠的改善与焦虑和PTSD的改善并行.
- 感染和失眠的生理后果之间没有发现相关性.
结论:
- 失眠是长期COVID患者常见和持续的问题.
- 基于证据的治疗方法,如对失眠的认知行为疗法 (CBT-I),建议用于管理这种后COVID症状.
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