后COVID状态:专注于精神病症状和诊断在患有认知投诉的患者
Matteo Cerioli1,2, Luca Giacovelli1,2, Chiara Nostro1,2
1Department of Psychiatry, ASST Fatebenefratelli Sacco, Milan, Italy.
CNS spectrums
|November 11, 2024
概括
在COVID-19后经历认知问题的患者中,近一半的患者也患有精神疾病. 对于长期COVID认知症状的早期精神病学查有助于诊断和治疗.
科学领域:
- 神经科学是一个神经科学.
- 精神病学是一个精神病学.
- 传染性疾病 传染性疾病
背景情况:
- 在SARS-CoV-2感染后,持续的认知和精神症状是常见的.
- 认知投诉和COVID-19后精神疾病之间的关系需要进一步调查.
研究的目的:
- 确定COVID-19后持续认知投诉的患者精神症状的频率和严重程度.
主要方法:
- 一项横截面研究评估了101名患有COVID-19后认知症状的患者.
- 使用心理测量查尺度 (例如DASS-21,IES-R,ISI),随后对转诊患者进行精神病学面试 (M.I.N.I.,HAM-A,HAM-D) 和人格评估 (PID-5-BF).
主要成果:
- 在接受精神病学评估的38名患者中,18名 (47.4%) 接受了精神病学诊断,包括适应障碍,焦虑障碍,严重抑郁障碍和PTSD.
- 以前的药物治疗与更高的HAM-A和HAM-D得分相关.
- 在COVID-19后,更长的未经治疗的精神疾病持续时间与更糟糕的焦虑和抑郁症得分有关.
结论:
- 长期患有COVID认知症状的人中有很大一部分患有精神疾病.
- 在COVID-19后的护理中实施精神病学查有助于早期诊断和治疗.
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