新冠阳性后10个月社区老年人焦虑抑郁症状随访

Assessment of anxiety and depression symptoms in elderly COVID-19 patients 10 months post-infection

目的 调查新型冠状病毒COVID-19感染阳性后(以下简称新冠阳性后)10个月社区老年人焦虑抑郁等负性情绪及相关影响因素。方法 对2022年12月1日~12月31日新冠阳性的60岁及以上上海市虹口区江湾镇街道居民进行一般情况、临床基本资料及9项患者健康问卷抑郁量表(patient health questionaire-9 items,PHQ-9)、广泛性焦虑障碍量表(generalized anxiety disorder-7,GAD-7)进行评估,统计分析焦虑或抑郁症状阳性组和非阳性组之间一般情况、临床基本资料差异及危险因素。结果 (1)完成有效筛查671例新冠阳性后社区老年人,新冠阳性后与随访的间隔时间为(310±84)天,其中合并抑郁症状319例(47.54%),合并焦虑症状109例(16.24%),同时合并焦虑和抑郁症状109例(16.24%);(2)焦虑或抑郁组与非焦虑或抑郁组之间在性别、独居、新冠症状史(发热史、咳嗽史、肺炎史、其他症状史)的差异有统计学意义(P<0.05);(3)多因素logistic回归分析发现性别(OR:1.46,95%CI:1.06~2.00)、独居(OR:3.40,95%CI:1.50~7.73)、发热史(OR:1.76,95%CI:1.05~2.96)、肺炎史(OR:2.25,95%CI:1.16~4.38)、其他症状史(OR:2.27,95%CI:1.19~4.35)是焦虑或抑郁症状的危险因素。结论 新冠阳性后10个月社区老年人中焦虑或抑郁症状检出率较高,和女性、独居及新冠症状等因素存在一定相关,需要对该类人群加强心理健康随访和提供心理服务干预。

Objective To investigate the negative emotions,as anxiety symptoms or depression symptoms,in the community elderly COVID-19 10 months post-infection(COVID-19 post-infection)and related influence factors.Methods During December 1st to December 31st in 2022,the COVID-19 post-infection community elderly of 60s and above who were living in Jiangwan substrict of Hongkou district,Shanghai were enrolled into this study.All the community elderly were asked to complete Patient Health Questionaire(PHQ-9),Generalized Anxiety Disorder(GAD-7),general demographic informations and the basic medical historys with COVID-19 infection.To statistic analysis the differences of the general demographic informations and the basic medical historys between the positive group and the negtive group of anxiety symptoms or depression symptoms.Results(1) Completed the effective assessments of 671 cases on the COVID-19 post-infection community elderly and the interval time between COVID-19 infection and follow-up was(310±84)days.Among those cases,there were 319 cases(47.54%)with depression symptoms,109 cases(16.24%)with anxiety symptoms and 109 cases(16.24%)comorbidity with depression and anxiety symptoms.(2) There were statistical differencs(P<0.05)on gender,living alone,related medical historys of COVID-19 infection(fever,cough,pneumonia and other symptom historys).(3) With regression analysis of influence factors,it was found that the risk factors of depression or anxiety symptoms included gender(OR:1.46,95%CI:1.06~2.00),living alone(OR:3.40,95%CI:1.50~7.73),fever history(OR:1.76,95%CI:1.05~2.96),pneumonia history(OR:2.25,95%CI:1.16~4.38)and other symptom historys(OR:2.27,95%CI:1.19-4.35).Conclusion There was higher detectable rate of depression or anxiety symptoms in the community elderly COVID-19 patients 10 months post-infection,which was partly related to female,living alone and the medical historys of COVID-19 infection.It needed provide them follow-up screenings on the psychological health and corresponding interventions of psychological services.