Factors shaping the mental health and well-being of people experiencing persistent COVID-19 symptoms or 'long COVID': qualitative study.
Factors shaping the mental health and well-being of people experiencing persistent COVID-19 symptoms or 'long COVID': qualitative study.
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DOI：
10.1192/bjo.2022.38
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发表时间：
2022-03-21
期刊：
影响因子：
5.4
通讯作者：
Philip KEJ
中科院分区：
文献类型：
--
作者：
Burton A;Aughterson H;Fancourt D;Philip KEJ
大约十分之一的COVID-19感染者报告持续症状或“长时间COVID”。通常报告精神健康和福祉受损，包括焦虑、抑郁和生活质量下降。然而，关于为什么长期经历COVID的人的心理健康和福祉会受到影响的深入研究有限。从长冠人群的角度探讨影响心理健康和幸福感的因素。对半结构化定性访谈进行录音和转录。数据分析采用反身性主题分析。21名长COVID患者参加了这项研究。如果参与者自我报告拭子测试/抗体测试呈阳性，或在发病时报告一种或多种常见的COVID-19症状，则符合条件。发病后≥3周出现一种或多种长期COVID症状。在参与者的叙述中，确定了影响心理健康和福祉的因素的五个主题，包括严重扰乱日常生活的症状、缺乏服务和治疗选择、疾病轨迹的不确定性、护理经历和他人的理解以及身份的变化。长期感染COVID的人会经历一系列对其心理健康和福祉产生负面影响的因素。重要的是提供以病人为中心的保健服务，并结合这一领域迅速发展的研究，同样重要的还有同伴支持小组和自我管理支助办法。
Around one in ten people who contract COVID-19 report persistent symptoms or ‘long COVID’. Impaired mental health and well-being is commonly reported, including anxiety, depression and reduced quality of life. However, there is limited in-depth research exploring why mental health and well-being are affected in people experiencing long COVID. To explore factors affecting mental health and well-being from the perspective of people with long COVID. Semi-structured qualitative interviews were audio-recorded and transcribed. Data were analysed using reflexive thematic analysis. Twenty-one people with long COVID participated in the study. Participants were eligible if they self-reported a positive swab test/antibody test or one or more commonly reported COVID-19 symptoms at illness onset. and experiences of one or more long COVID symptoms ≥3 weeks following illness onset. Five themes were identified across participant accounts regarding factors affecting mental health and well-being, including symptoms causing severe disruption to daily life, lack of service and treatment options, uncertainty of illness trajectories, experiences of care and understanding from others and changes to identity. People with long COVID experience a range of factors that negatively affect their mental health and well-being. Providing patient-centred health services that integrate rapidly evolving research in this area is important, as are peer support groups and supported approaches to self-management.
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DOI：
10.1016/j.euroneuro.2021.04.019
发表时间：
2021-08
期刊：
European neuropsychopharmacology : the journal of the European College of Neuropsychopharmacology
影响因子：
--
作者：
Llach CD;Vieta E
通讯作者：
Vieta E
影响因子：
4.1
作者：
Buttery S;Philip KEJ;Williams P;Fallas A;West B;Cumella A;Cheung C;Walker S;Quint JK;Polkey MI;Hopkinson NS
通讯作者：
Hopkinson NS
影响因子：
19
作者：
Braun, Virginia;Clarke, Victoria;Hayfield, Nikki
通讯作者：
Hayfield, Nikki
影响因子：
2.8
作者：
Ladds E;Rushforth A;Wieringa S;Taylor S;Rayner C;Husain L;Greenhalgh T
通讯作者：
Greenhalgh T
影响因子：
--
作者：
Meagher, Timothy
通讯作者：
Meagher, Timothy