长期COVID患者失眠的患病率,严重程度,并发因素和自然轨迹
Jamie Hansel Robinson1, Halle Bakir2, Alicia Shanti James1
1Department of Psychiatry and Behavioral Neurobiology, The University of Alabama at Birmingham, Birmingham, AL 35233, USA.
Journal of clinical medicine
|September 13, 2025
概括
大多数长期COVID患者患有失眠症,这种失眠症随着时间的推移而持续,并与认知问题和情绪症状有关. 需要有效的干预措施来解决这种常见的长期COVID症状.
科学领域:
- 神经学 神经学
- 睡眠医学 睡眠医学
- 传染性疾病 传染性疾病
背景情况:
- 失眠是长期COVID的重要症状,但其表现和过程仍未得到充分研究.
- 了解失眠的影响对于管理长期COVID患者至关重要.
研究的目的:
- 在长期COVID患者中调查失眠症状的患病率,特征和轨迹.
- 在这个人群中确定与失眠相关的危险因素.
主要方法:
- 失眠严重程度指数 (ISI) 用于评估172名长期COVID患者在基线 (时间1) 和随访 (时间2),平均9个月后).
- 数据包括人口统计,急性COVID-19严重程度,以及自我报告的情绪,身体,认知和疲劳症状.
- 神经心理学评估评估了全球认知功能和认知灵活性.
主要成果:
- 78%的长期COVID患者在基线报告了失眠症状.
- 失眠的严重程度与非白人种族,焦虑,抑郁,感知压力,身体症状,认知失败,疲劳,全球认知功能下降和认知灵活性降低相关.
- 虽然ISI得分随着时间的推移略有下降,但它们仍然处于低于值的失眠范围.
结论:
- 大多数长期COVID患者经历了持续的失眠症状.
- 长期COVID的失眠与认知障碍和心理困扰有关,突出了针对性干预的需要.
- 进一步的研究和临床策略对于治疗长期COVID患者的失眠至关重要.
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