印度中部一家三级医院COVID-19后精神疾病的研究

V. Mudgal, P. Rastogi, P. Jain, Partik Kaur
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摘要

背景和目的:COVID-19是最致命的流行病之一,对身心健康都造成了损害。值得注意的是,在COVID-19康复病例中,精神合并症有所上升。据报道,COVID-19幸存者出现了创伤后应激障碍、焦虑、抑郁和睡眠障碍等各种疾病。目前的研究旨在估计有COVID-19病史的患者精神疾病的患病率及其相关关系。材料和方法:研究人群包括从covid -19后门诊转介到精神病学门诊(OPD)超过3个月的患者。使用半结构化的形式表、社会人口统计资料、治疗设施(机构或家庭隔离)、在治疗设施的停留时间对患者进行评估,并使用描述性统计记录和分析医疗和精神诊断。结果:纳入评估的160例患者中,男性占66.25%,女性占33.75%。平均年龄38.8岁。转诊率为15.9%。最常见的精神障碍是睡眠障碍(25%),其次是严重应激反应和适应障碍(16.25%)、抑郁症(11.25%)和焦虑症(10%)。结论:应加强对该类患者的警惕和持续监测,及早诊断,减少精神卫生系统的额外负担。为了实现这一目标,应该增加对这类患者的筛查。
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A study of post COVID-19 psychiatric disorders in a tertiary care hospital of central India
Background and Aim: COVID-19, one of the deadliest pandemics, has taken a toll on physical and mental health alike. It has been noticed that there is a rise in psychiatric comorbidities in COVID-19 recovered cases. Various disorders such as posttraumatic stress disorder, anxiety, depression, and sleep disorders have been reported in COVID-19 survivors. The current study aims to estimate the prevalence of psychiatric disorders and their associated correlation in patients with a history of COVID-19. Materials and Methods: The study population comprised the patients referred to the psychiatry outpatient department (OPD) from the post-COVID-19 OPD over 3 months. Patients were assessed using a semi-structured pro forma, sociodemographic profile, treatment facility (institutional or home quarantined), duration of stay at the treatment facility, and medical and psychiatric diagnoses were recorded and analyzed using descriptive statistics. Results: One hundred and sixty patients were included and assessed of which 66.25% were male and 33.75% were female. The mean age was 38.8 years. The referral rate was found to be 15.9%. The most common psychiatric disorder was sleep disorder (25%), followed by Reaction to severe stress and adjustment disorder (16.25%), depression (11.25%), and anxiety disorder (10%). Conclusion: We would like to emphasize on vigilant approach and constant supervision of these patients so that an early diagnosis could be made and an add-on the burden to the mental health care system could be reduced. For this to be achieved screening of such patients should be increased.
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