新冠阳性社区老年人焦虑抑郁中长期随访

The medium and long term follow-up of anxiety and depression in the elderly with COVID-19-infected

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2024, 51(5)
作者
作者单位

上海市虹口区江湾镇街道社区卫生服务中心 ;

摘要
探索新型冠状病毒COVID-19感染阳性(以下简称新冠阳性)半年后社区老年人焦虑抑郁等心理问题及相关影响因素。方法 对2022年12月1日-12月31日新冠阳性的60岁及以上上海市虹口区江湾镇街道居民进行一般情况、相关临床基本资料及9项患者健康问卷抑郁量表(Patient Health Questionaire,PHQ-9)、广泛性焦虑障碍量表(Generalized Anxiety Disorder,GAD-7)进行筛查,统计分析焦虑或抑郁症状阳性组和非阳性组之间一般情况、临床基本资料差异及危险因素。结果 1,完成有效筛查671例新冠阳性社区老年人,新冠阳性后与随访的间隔(310±84)天,其中合并抑郁症状319例(47.54%),合并焦虑症状109例(16.24%),同时合并焦虑和抑郁症状共109例(16.24%);2,焦虑或抑郁组与非焦虑或抑郁组之间性别、独居、新冠症状史(发热史、咳嗽史、肺炎史、其他症状史)差异有统计学意义(P<0.05);3,多因素logistic回归分析女性、独居、发热史、肺炎史、其他症状史是焦虑或抑郁的危险因素。结论 新冠阳性的社区老年人中焦虑抑郁症状检出率较高且会持续较长时间,和女性、独居及新冠症状等因素存在一定相关,需要对该类人群加强心理状况随访和提供心理服务干预。
Abstract
object To explore the psychological problems and correlative influence factors of anxiety or depression among the COVID-19-infected community elderly (COVID-19-infected) after half a year.Method During December 1st to December 31st in 2022, the COVID-19-infected community elderly of 60s and above dwelling in Jiangwan substrict of Hongkou district,Shanghai were enrolled into this study.All the community elderly were asked to complete Patient Health Questionaire(PHQ-9),Generalized Anxiety Disorder(GAD-7) ,general demographic informations and the basic clinical informations with COVID-19-infected. To statistic analysis the differences of the general demographic informations and basic clinical informations about COVID-19-infected between the positive group and negtive group of anxiety or depression. Result 1.Completed 671 COVID-19-infected community elderly and the interval between COVID-19 positive and follow-up was (310±84) days.Among those cases,there were 319 cases(47.54%) with depression syptoms,109 cases(16.24%) with anxiety syptoms and 109 cases(16.24%)comorbidity with depression and anxiety syptoms.2.There were statistic differencs(P<0.05) on gender,live alone,relevant history of COVID-19 symptoms(fever, cough, pneumonia and other syptoms).3.With regression analysis of influencing factors,it was found that the risk factors of depression or anxiety included female,live alone, the history of COVID-19 symptoms(fever,pneumonia and other syptoms). Conclusion There was higher detectable rate of depression or anxiety in the COVID-19-infected community elderly and last longer.It was partly related female,live alone and the history of COVID-19 symptoms.It needed provide the psychological problems follow-up screening and corresponding inteventions of psychological service for them.
关键词
老年;新冠阳性;焦虑;抑郁;影响因素
KeyWord
Elderly;COVID-19-infected; Anxiety;Depression; Influence factors
基金项目
页码 1457-1461
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薛志强*. 新冠阳性社区老年人焦虑抑郁中长期随访 [J]. 国际精神病学杂志. 2024; 51; (5). 1457 - 1461.

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