新型冠状病毒肺炎(轻型)患者心身症状及转阴时程的性别差异

Investigation and analysis of psychosomatic symptomsand negative conversion time course in patients with mild Corona Virus Disease of different sexes.

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2023, 50(6)
作者
作者单位

上海市嘉定区精神卫生中心 ;
同济大学附属同济医院 ;
解放军第988医院全军精神疾病防治研究所 ;

摘要
探索轻型新型冠状病毒肺炎(COVID-19)患者心身症状及转阴时程特点,为今后开展此类疾病临床诊疗工作提供参考依据。方法 以2022年4月10日至5月20日在国家会展中心(上海)方舱医院接受隔离治疗的307例轻型COVID-19患者为研究对象,并按性别分为男性组和女性组;通过在线问卷、电子医疗系统查阅等方式,收集人口学资料、心理症状、躯体症状、疫苗接种频次及转阴时程等资料;应用IBM SPSS Statistics 22软件进行统计分析。结果 COVID-19患者心理症状检出率:抑郁27.7%,焦虑22.8%,痛苦体验20.5%;躯体症状检出率:咳嗽70.7%、咳痰59.6%、鼻塞43.6%、流涕41.0%、咽痛31.6%。男女两组年龄、教育年限、疫苗接种次数及转阴时程差异均无统计学意义(P>0.05)。与男性组相比较,女性组PHQ-9、GDA-7、PSS-10、GHQ-12评分偏高,咳嗽、咳痰、萎靡、发烧等症状检出率偏高,差异有统计学意义(P<0.05或0.01)。结论 轻型COVID-19患者存在明显的心理症状,躯体症状与普通感冒有所不同。女性患者表现出的更为严重的心理症状与躯体症状,其原因可能与男女患者社会角色、应激应对方式、免疫应答方式及呼吸道症状敏感性不同有关。
Abstract
Objective:To explore the characteristics of psychosomatic symptoms and negative transition time course in patients with mild Corona virus disease 2019(COVID-19), and provide reference for diagnosis and treatment of such diseases in the future.Method:307 patients with mild COVID-19 who received isolation treatment in the shelter hospital of the National Convention and Exhibition Center (Shanghai) from April 10 to May 20, 2022 were selected as the study subjects, and were divided into male group and female group according to gender; Collect demographic data, stress symptoms, somatic symptoms, vaccination frequency and time course of negative conversion through online questionnaire and electronic medical system; IBM SPSS Statistics 22 software was used for statistical analysis.Result:The detection rate of stress symptoms in COVID-19 patients: 27.7% of depression, 22.8% of anxiety, and 20.5% of pain experience; The detection rate of somatic symptoms: cough 70.7%, expectoration 59.6%, nasal congestion 43.6%, runny nose 41.0%, sore throat 31.6%. There was no significant difference in age, education years, vaccination times and time course of negative conversion between the two groups (P>0.05). Compared with the male group, the scores of PHQ-9, GDA-7, PSS-10 and GHQ-12 were higher in the female group, and the detection rate of cough, expectoration, malaise and fever was higher in the female group, with a statistically significant difference (P<0.05 or 0.01).Conclusion:The mild COVID-19 patients have obvious stress symptoms, and the physical symptoms are also different from the common cold. Female patients showed more severe stress symptoms and somatic symptoms, which may be related to the different social roles, stress coping styles, immune response styles and symptom sensitivity of male and female patients.
关键词
新型冠状病毒肺;心理症状;躯体症状;核酸转阴时程
KeyWord
Corona virus disease 2019;Psychological symptoms; Somatic symptoms; Time course of nucleic acid turning negative
基金项目
页码 1367-1370
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高存友*,孔素丽,傅燚,白晶,段惠峰. 新型冠状病毒肺炎(轻型)患者心身症状及转阴时程的性别差异 [J]. 国际精神病学杂志. 2023; 50; (6). 1367 - 1370.

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