新冠病毒感染者康复期焦虑抑郁失眠状况及影响因素的回顾性分析

Retrospective analysis of the anxiety,depression and insomnia status during the recovery period of corona virus disease 2019 patients and their influencing factors

目的:调查新冠病毒感染者康复期焦虑抑郁失眠状况,探讨焦虑、抑郁严重程度影响因素。方法:回顾性分析2022年12月20日至2023年2月20日南京脑科医院医学心理科7 492例门诊及201例住院初步诊断为失眠、焦虑状态、抑郁状态及焦虑抑郁状态患者,对病历记录于新冠感染康复期出现焦虑抑郁失眠患者进行分析。运用二分类Logistic回归模型分析康复期焦虑、抑郁严重程度影响因素。结果:门诊新冠感染康复期焦虑抑郁失眠患者共检出744例,检出率9.93%,其中失眠9.53%,焦虑状态11.27%,抑郁状态7.95%,焦虑抑郁状态11.06%。住院共检出121例。二分类Logistic回归分析结果显示,中重度抑郁更易出现中重度焦虑。女性、年龄>56岁、精神疾病史、中重度焦虑更易出现中重度抑郁。结论:新冠感染康复期焦虑状态检出率较高。中重度抑郁是中重度焦虑的危险因素。女性、年龄>56岁、精神疾病史、中重度焦虑是中重度抑郁的危险因素。

Objective:To investigate the anxiety,depression and insomnia status during the recovery period of corona virus disease 2019(COVID-19)patients and explore the influencing factors of the severity of anxiety and depression.Method:A retrospective analysis was conducted on 7492 outpatient and 201 inpatient diagnosed with insomnia,anxiety,depression,and anxiety with depression from December 20,2022 to February 20,2023 in Medical Psychology Department,the Affiliated Brain Hospital of Nanjing Medical University during the recovery period of COVID-19.Patients with anxiety,depression and insomnia during the recovery period of COVID-19 infection were analyzed.Binary Logistic regression model was used to analyze the influencing factors of the severity of anxiety and depression during the recovery period.Results:A total of 744 patients with anxiety,depression and insomnia were detected during the recovery period of COVID-19,and the detection rate was 9.93%.The patients had 9.53%insomnia,11.27%anxiety,7.95%depression,and 11.06%anxiety and depression.A total of 121 hospitalized cases were detected.Binary Logistic regression analysis showed that moderate to severe depression were risk factors for moderate to severe anxiety.Female,age over 56 years,a history of mental illness,and moderate to severe anxiety were risk factors for moderate to severe depression.Conclusion:The detection rate of anxiety during the recovery period of COVID-19 patients is relatively high in the department of medical psychology.Moderate to severe depression are risk factors for moderate to severe anxiety,while female,age over 56 years,a history of mental illness,and moderate to severe anxiety are risk factors for moderate to severe depression.