新型冠状病毒疫情期间在院病情稳定精神分裂症患者抑郁焦虑水平及相关因素分析

Mental health status and its influencing factors among patients in the hospital with stable schizophrenia during the outbreak of Coronavirus disease 2019Wang Dahai Li Yinan Wu hui Yang -dan Yang Xiaole

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DOI 320.57
刊名
Journal of International Psychiatry
年,卷(期) 2020, 47(4)
作者
作者单位

沈阳市精神卫生中心 ;

摘要
摘要:目的:比较新型冠状病毒疫情前和疫情期间病情稳定的住院精神分裂症患者抑郁及焦虑水平的差异,并对抑郁,焦虑水平与影响因素进行相关分析,为疫情期间精神科医生诊疗提供帮助。方法:选择疫情前和疫情期间沈阳市精神卫生中心住院病情稳定的精神分裂症患者110例(男51例,女59例),分别调阅疫情前HAMA,HAMD得分,并评定疫情期间HAMA,HAMD得分,采用自制量表调查患者住院期间接触疫情信息时长,医生宣讲疫情次数以及家属来电次数,对结果进行比较并做相关性分析。结果:与疫情前相比疫情期间患者HAMA得分显著升高(P<0.01);HAMD得分无显著差异(P>0.05); HAMA得分与患者接触疫情信息时长(r=0.70, P<0.01)呈正相关;与医生宣讲疫情信息次数(r=-4.76,P<0.01),家属来电次数(r=-0.69,P<0.01)呈负相关。结论:住院病情稳定的精神分裂症患者疫情期间焦虑症状明显升高,疫情期间应减少患者接触疫情信息时长,适当增加医生对患者疫情宣讲次数及家属给患者打电话次数。
Abstract
Abstract: Objective Compare the differences of depression and anxiety levels in the patients with stable schizophrenia between the daily and outbreak of COVID-19, and analyze the differences of depression and anxiety among patients caused by different factors. Methods A total of 110 schizophrenia patients with stable conditions were selected from Shenyang mental health center before and during the COVID-19 epidemic, to review the score of HAMA and HAMD before the outbreak and investigate HAMA, HAMD scores during the epidemic period, a self-designed scale was used to investigate the duration of exposure to epidemic information, the number of times doctors reported the epidemic, and the number of calls from family members, Compare the results and do correlation analysis. Results during the epidemic period HAMA score of patients was significantly higher than that before the epidemic (P<0.01),There was no significant difference between the HAMD score before and during the epidemic (P > 0.05),HAMA score was positively correlated with the duration of exposure to epidemic information,There was a negative correlation with the number of times doctors reported the epidemic (r=-4.76, P<0.01) and he number of calls from family members (r=-0.69, P<0.01). Conclusion the patients with stable schizophrenia were significantly increased anxiety during the epidemic period. During the epidemic period, the time of patients exposure to the epidemic information should be reduced, the number of times doctors reported the epidemic and the number of family members calls to patients should be appropriately increased
关键词
新型冠状肺炎;精神分裂症;焦虑;抑郁
KeyWord
COVID-19 ; schizophrenia; anxiety; depression
基金项目
页码 653-655
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王大海*,李奕男,吴辉,杨丹,杨晓乐. 新型冠状病毒疫情期间在院病情稳定精神分裂症患者抑郁焦虑水平及相关因素分析 [J]. 国际精神病学杂志. 2020; 47; (4). 653 - 655.

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