新冠肺炎后神经性和影响性患者症状的比较特征

O. Venger, A. M. Koval, M. Shved, T. Ivanitska
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摘要

背景。COVID-19大流行对人们的心理健康产生了负面影响,并为那些已经患有精神疾病的人制造了新的障碍。目标。该研究的目的是比较从COVID-19中康复的神经症和情感性患者的精神障碍症状。方法。分析了35例神经症患者和31例情感性患者在大流行期间的精神障碍特征。采用Hamilton焦虑抑郁量表(HAM-A、HAM-D)、失眠严重程度指数(ISI)、Schulte量表、Jacobson短期记忆研究。神经症患者易发生中度和重度焦虑(分别为34.29%和37.14%),情感性患者易发生轻度和中度焦虑(分别为38.71%和32.26%)。神经症患者的抑郁程度(中度31.42%,重度48.57%)高于情感性患者(轻度32.26%,重度35.48%)。情感性患者的记忆丧失程度(51.62% -低,35.48% -极低)高于神经性患者(41.94% -低,20.00% -极低)。大多数患者注意力下降。神经性障碍患者的失眠严重程度(25.72% -阈下,45.71% -中度)高于情感性患者(38.71% -阈下,22.58% -中度)。研究发现,与2020年感染COVID-19的患者相比,2021年感染COVID-19的患者焦虑和抑郁的严重程度更高,而失眠和记忆障碍的严重程度也更高,反之亦然。焦虑、抑郁、失眠、记忆力和注意力丧失被检测出来。神经症患者的焦虑和抑郁更严重,而情感性患者的记忆丧失程度更高。
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COMPARATIVE CHARACTERISTICS OF SYMPTOMS IN NEUROTIC AND AFFECTIVE PATIENTS AFTER COVID-19
Background. COVID-19 pandemic has negatively affected people’s mental health and created new barriers for those who have already suffered from mental illnesses. Objective. The aim of the study was to compare the symptoms of mental disorders in neurotic and affective patients, who recovered from COVID-19. Methods. The features of disorders during the pandemic in 35 neurotic and 31 affective patients were analysed. The Hamilton anxiety and depression scales (HAM-A, HAM-D), Insomnia Severity Index (ISI), Schulte tables, Jacobson short-term memory study were used. Results. Moderate and severe anxiety was more likely to develop in neurotic patients (34.29% and 37.14%, respectively), mild and moderate – in affective ones (38.71% and 32.26%). Neurotic patients had a higher level of depression (moderate – by 31.42%, severe – by 48.57%) than affective patients (mild – by 32.26%, severe – by 35.48%). The degree of memory loss was higher in affective patients (51.62% – low, 35.48% – very low) than in neurotic ones (41.94% – low, 20.00% – very low). Most of patients had reduced attention. Insomnia severity was higher in patients with neurotic disorders (25.72% – subthreshold, 45.71% – moderate) than in affective patients (38.71% – subthreshold, 22.58% – moderate). A higher level of anxiety and depression severity was observed in patients who had COVID-19 in 2021 than in those who had it in 2020, while the severity of insomnia and memory impairment – vice versa. Conclusion. Anxiety, depression, insomnia, memory and attention loss were detected. Anxiety and depression were more severe in neurotic patients but the degree of memory loss was higher in affective patients.
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