前创伤性压力史对COVID-19感染后的自主和多系统症状的影响
Rebecca C Hendrickson1,2, Christine S Cheah1,2, Marlene L Tai2,3
1VISN 20 Northwest Mental Illness Research, Education and Clinical Center (MIRECC), VA Puget Sound Health Care System, Seattle, WA, USA.
创伤性压力史在COVID-19感染后放大自主失调症状. 这种相互作用独立于PTSD,表明创伤改变了对COVID-19等压力因素的生理反应.
科学领域:
- 神经科学是一个神经科学.
- 免疫学 免疫学 免疫学
- 公共卫生 公共卫生
背景情况:
- 持续的自主调节障碍在COVID-19后是常见的.
- 创伤性压力可以改变自主功能和应激反应.
- 之前的创伤和COVID-19自主症状之间的联系尚未被探索.
研究的目的:
- 研究创伤性压力和COVID-19对自主症状负担的综合影响.
- 为了将这些影响与其他COVID-19 (PASC) 后急性后果进行比较.
主要方法:
- 观察性,自我报告在线评估.
- 404名美国成年人 (289人有COVID-19病史).
- 测量自主症状 (COMPASS 31),创伤史,PTSD,神经认知,失眠,疲劳和疼痛.
主要成果:
- 自主性症状负担与COVID-19病史和创伤病史正相关.
- 创伤性压力缓和了COVID-19和自主症状之间的关系.
- 经过对PTSD和先前存在的PASC类症状进行调整后,这些发现仍然存在.
结论:
- 之前的创伤性压力会在COVID-19后互动性地增加自主失调.
- 这表明创伤可能会改变对压力因素的生理反应.
- 这可能解释了为什么基线焦虑预测了更高的PASC可能性.
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