2年内COVID-19的精神和神经心理后果:一项跨国队列研究
Yi Chai1,2,3, Ivan C H Lam2, Kenneth K C Man2,4,5
1School of Public Health, Shenzhen University Medical School, Shenzhen University, Shenzhen, Guangdong, China.
BMC medicine
|March 7, 2025
概括
COVID-19幸存者面临更高的精神和神经精神疾病的风险,特别是在感染后的六个月内. 长期风险仅限于某些国家的特定情况,这表明短期影响.
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.
- 流行病学 流行病学
背景情况:
- 目前尚不完全了解COVID-19的长期精神和神经心理影响.
- 在不同的人群中调查这些后续效应至关重要.
研究的目的:
- 评估COVID-19后精神和神经精神疾病的短期,中期和长期风险.
- 在跨国队列中分析这些风险.
主要方法:
- 基于人口的跨国网络研究,使用来自五个国家的电子健康记录和索赔数据.
- 倾向性得分匹配用于创建目标 (COVID-19) 和比较群体.
- 考克斯的比例危险回归模型分析了各种精神和神经精神疾病的风险,直到感染后两年.
主要成果:
- 包括超过30万个COVID-19病例和2200万个比较器.
- 在6个月内,COVID-19患者对研究疾病的风险显著增加 (HRs 1.14-1.89).
- 抑郁,焦虑和睡眠障碍的风险增加是常见的短期;长期风险仅限于某些国家的特定情况.
结论:
- 精神病和神经精神病结局的风险增加主要在COVID-19后的前六个月内观察到.
- 超过六个月的持续增加风险在所有数据库和条件中都没有一致观察到.
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