严重 COVID-19 患者家属的长期精神障碍。

IF 1.5 Q2 MEDICINE, GENERAL & INTERNAL Acute Medicine & Surgery Pub Date : 2024-01-26 DOI:10.1002/ams2.926
Kasumi Shirasaki, Toru Hifumi, Moe Sekiguchi, Shutaro Isokawa, Yusuke Nakao, Shinobu Tanaka, Shinsuke Hashiuchi, Ryosuke Imai, Norio Otani
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引用次数: 0

摘要

目的:本研究旨在详细描述 COVID-19 患者家庭中精神病长期不良后果的变化并评估其风险因素:方法:采用问卷调查的方式进行单中心回顾性研究。重症监护病房(ICU)收治的重症 COVID-19 患者的家属参加了此次研究。精神障碍是指患者家属所经历的焦虑、抑郁和创伤后应激障碍(PTSD)等心理困扰:46名家庭成员完成了调查并进行了分析。焦虑症、抑郁症和创伤后应激障碍分别出现在 24%、33% 和 2% 的家庭成员中,而精神障碍则出现在 39% 的家庭成员中。经多变量分析,与患者住在同一屋檐下与 COVID-19 患者家属患精神障碍的风险较低独立相关(OR,0.180;95% CI,0.036-0.908;P = 0.038)。此外,在一年的随访期间,有四名家庭成员克服了精神障碍,有六名家庭成员新近患上了精神障碍:结论:约 40% 的家庭成员长期患有精神障碍,其中一些人在一年的随访中克服了精神障碍,还有一些人新出现了精神障碍。与病人住在同一屋檐下可能与长期精神障碍症状的减少有明显关系,但必须谨慎解释这一结果。还需要进一步开展大型研究,探讨与家庭成员长期精神状况相关的因素。
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Long-term psychiatric disorders in families of severe COVID-19 patients

Aim

The present study aimed to describe in detail the changes to and assess the risk factors for poor long-term outcomes of psychiatric disorders in families of COVID-19 patients.

Methods

A single-center, retrospective study using questionnaires. Family members of patients admitted to the intensive care unit (ICU) with severe COVID-19 participated. Psychiatric disorders refer to the psychological distress such as anxiety, depression, and posttraumatic stress disorder (PTSD) experienced by the patient's family.

Results

Forty-six family members completed the survey and were analyzed. Anxiety, depression, and PTSD occurred in 24%, 33%, and 2% of family members, respectively, and psychiatric disorders occurred in 39%. On multivariable analysis, living in the same house with the patient was independently associated with a lower risk of psychiatric disorders in families of COVID-19 patients (OR, 0.180; 95% CI, 0.036–0.908; p = 0.038). Furthermore, four family members overcame psychiatric disorders, and six family members newly developed psychiatric disorders during the one-year follow-up period.

Conclusion

Approximately 40% of family members had long-term psychiatric disorders, and some of them overcame the psychiatric disorders, and some newly developed psychiatric disorders over the one-year follow-up. Living in the same house with the patient was possibly significantly associated with the reduction of long-term symptoms of psychiatric disorders, but this result must be interpreted with care. Further large studies are needed to examine the factors associated with the long-term mental status of family members.

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来源期刊
Acute Medicine & Surgery
Acute Medicine & Surgery MEDICINE, GENERAL & INTERNAL-
自引率
12.50%
发文量
87
审稿时长
53 weeks
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