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COVID-19对事件抑郁和焦虑的影响:一个基于人口的观察性研究,使用全州索赔数据
Jaewhan Kim1, Khanh N C Duong2, Emeka Elvis Duru2
1Department of Physical Therapy, University of Utah, 520 Wakara Way, Salt Lake City, UT 84108, USA.
感染COVID-19显著增加患抑郁症和焦虑症的风险. 这项研究发现,以前感染该病毒的个体的新精神健康诊断的几率要高得多.
科学领域:
- 流行病学 流行病学
- 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:
- 越来越多的证据将COVID-19与增加的精神病风险联系在一起.
- 在COVID-19后,抑郁症和焦虑症的具体发病率需要进一步调查.
研究的目的:
- 为了确定COVID-19幸存者的抑郁和焦虑发病率与非感染个体相比.
- 量化COVID-19感染与新发精神健康障碍之间的关联.
主要方法:
- 使用了犹他州所有付款人索赔数据库 (2019-2021) 对具有连续保险的成年患者.
- 排除了先前存在抑郁症或焦虑症的个人.
- 使用LASSO进行共变量选择和平衡进行基线调整,然后进行加权后勤回归.
主要成果:
- 在356,985名成年人中,COVID-19幸存者显示抑郁症诊断的几率明显更高 (OR=1.48,p<0.01).
- 同样,371,491名患有COVID-19的成年人患有焦虑症诊断的几率增加 (OR=1.46,p<0.01).
- 根据人口和临床特征进行了调整.
结论:
- COVID-19 感染与患抑郁症和焦虑症的风险增加有关.
- 强调对受COVID-19影响的个人进行心理健康支持的极大需要.
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