韩国 COVID-19 确诊病例在大流行期间精神健康受损情况的比较分析

IF 3.8 4区 医学 Q1 PSYCHIATRY Asian journal of psychiatry Pub Date : 2024-09-05 DOI:10.1016/j.ajp.2024.104233
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引用次数: 0

摘要

目标韩国对 2019 年冠状病毒病(COVID-19)进行全面计数监测。在确认感染后三天内,向所有 COVID-19 确诊患者分发了在线心理健康调查链接。本研究评估了 2020 年 1 月至 2022 年 7 月整个大流行期间 COVID-19 确诊病例的抑郁症状、焦虑症状、创伤后应激症状、躯体症状和自杀意念的变化趋势。采用经过验证的问卷评估抑郁症状(患者健康问卷-9)、焦虑症状(广泛性焦虑症-7)、创伤后应激症状(初级保健创伤后应激障碍筛查)、躯体症状(患者健康问卷-15)和自杀意念(P4 自杀倾向筛查)。采用对数二项式回归法估算每年 11 个季度(Q)(2020Q1 至 2022Q3)的流行率。结果与 2022Q1(1 月至 3 月)相比,所有症状在 2020Q1 至 2020Q3(1 月至 9 月)期间的流行率都最高。结论不良心理健康症状在大流行初期最为普遍,男性和女性之间的流行率差异不显著。应更加关注在大流行早期感染 COVID-19 的人群。
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Comparative analysis of mental health impairment among COVID-19 confirmed cases across the pandemic period in South Korea

Objectives

South Korea operates a complete enumeration surveillance of coronavirus disease 2019 (COVID-19). Online mental health survey links were distributed to all COVID-19 confirmed patients within three days of confirmation of infection. This study evaluates the trend of depressive symptoms, anxiety symptoms, post-traumatic stress symptoms, somatic symptoms, and suicidal ideation of COVID-19 confirmed cases across the pandemic from January 2020 to July 2022.

Methods

A total of 99,055 responses were analyzed. Validated questionnaires were used to assess depressive symptoms (Patient Health Questionnaire-9), anxiety symptoms (Generalized Anxiety Disorder-7), post-traumatic stress symptoms (Primary Care Post Traumatic Stress Disorder screen), somatic symptoms (Patient Health Questionnaire-15), and suicidal ideation (P4 suicidality screener). Log-binomial regression was used to estimate prevalence ratio across 11 quarters (Q) of the year (2020Q1 to 2022Q3). Stratified analysis was conducted by sex to compare risk between males and females when adjusted prevalence was high.

Results

Compared to 2022Q1 (January-March), all symptoms had their highest prevalence ratio during 2020Q1 to 2020Q3 (January-September). The difference in adjusted symptom prevalence between males and females was nonsignificant during high-risk periods.

Conclusions

Adverse mental health symptoms were most prevalent during the early pandemic, with a nonsignificant difference in prevalence observed between males and females. Greater attention should be given to individuals who experienced COVID-19 infection during the early stages of the pandemic.

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来源期刊
Asian journal of psychiatry
Asian journal of psychiatry Medicine-Psychiatry and Mental Health
CiteScore
12.70
自引率
5.30%
发文量
297
审稿时长
35 days
期刊介绍: The Asian Journal of Psychiatry serves as a comprehensive resource for psychiatrists, mental health clinicians, neurologists, physicians, mental health students, and policymakers. Its goal is to facilitate the exchange of research findings and clinical practices between Asia and the global community. The journal focuses on psychiatric research relevant to Asia, covering preclinical, clinical, service system, and policy development topics. It also highlights the socio-cultural diversity of the region in relation to mental health.
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