与长期COVID相关的心理因素:系统审查和元分析
Petra Engelmann1, Max Reinke1, Clara Stein1
1Department of Psychosomatic Medicine and Psychotherapy, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany.
EClinicalMedicine
|January 7, 2025
概括
抑郁和焦虑与长期COVID有显著的关联,作为该疾病的预测因素. 进一步的研究应该探索其他心理因素,如长期COVID患者的情绪调节.
科学领域:
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 长期COVID的病因不明,影响公共卫生.
- 抑郁症等心理因素可能导致症状持续.
- 长期COVID中心理与病理生理机制的相对重要性尚不清楚.
研究的目的:
- 系统地审查和综合与长期COVID相关的心理因素的证据.
- 调查心理变量与长期COVID结果之间的联系,包括生活质量.
主要方法:
- 2019年至2024年1月期间发表的研究的系统审查和元分析.
- 在MEDLINE,PsycINFO和Cochrane数据库中搜索相关的同行评审文献.
- 采用概率比率和标准化平均差异对截面和纵向研究的数据进行了聚合.
主要成果:
- 113项研究 (312,831名患者) 分析了长期COVID中的心理变量.
- 抑郁症 (OR 2.35) 和焦虑症 (OR 2.53) 与长期COVID显著相关.
- 与对照组相比,长期COVID患者的抑郁和焦虑水平更高.
结论:
- 抑郁症和焦虑症是长期COVID的重要共同现象和预测因素.
- 需要进行前性研究来调查研究不足的心理结构,例如长期COVID中的情绪调节.
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