Risk factors associated with mental illness in hospital discharged patients infected with COVID-19 in Wuhan, China
Risk factors associated with mental illness in hospital discharged patients infected with COVID-19 in Wuhan, China
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DOI：
10.1016/j.psychres.2020.113297
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发表时间：
2020-10-01
影响因子：
11.3
通讯作者：
Zhang, Shi
中科院分区：
文献类型：
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作者：
Liu, Dong;Baumeister, Roy F.;Zhang, Shi
冠状病毒病2019年(新冠肺炎)大流行可能对幸存下来的患者的心理健康产生深刻影响。然而，关于新冠肺炎出院患者中心理健康障碍的患病率及其相关因素却知之甚少。2020年4月11日至22日在武汉市中国(疫情开始的地方)对出院患者进行了横断面调查。675名参与者完成了调查，其中包括90名(13.3%)医务人员(曾患病的医生和护士)。我们使用Fisher‘s精确检验和多变量Logistic回归方法来探索与心理健康问题(与新冠肺炎住院相关的焦虑、抑郁和创伤后应激障碍症状)相关的危险因素。新冠肺炎的不良心理健康影响在出院后很明显，睡眠困难是一个突出的中心问题。我们发现，感知到的歧视是精神疾病的一个核心预测因素，预防和解决与新冠肺炎相关的社会耻辱可能对于改善康复患者的心理健康至关重要。
The coronavirus disease 2019 (COVID-19) pandemic can have a profound impact on the mental health of patients who survived the illness. However, little is known about the prevalence rate of mental health disorders among hospital discharged COVID-19 patients and its associated factors. A cross-sectional survey of hospital discharged patients was conducted April 11-22, 2020 in Wuhan, China (where the pandemic began). 675 participants completed the survey, including 90 (13.3%) medical staff (physicians and nurses who had been ill). We used Fisher's exact test and multivariable logistic regression methods to explore the risk factors associated with mental health problems (anxiety, depression, and PTSD symptoms associated with COVID-19 hospitalization). Adverse mental health effects of COVID-19 are evident after discharge from the hospital, with sleep difficulties highlighted as a central issue. As we found that perceived discrimination was a central predictor of mental illness, preventing and addressing social stigma associated with COVID-19 may be crucial for improving mental health for recovered patients.