Anxiety and depression in people with post-COVID condition: a Belgian population-based cohort study three months after SARS-CoV-2 infection

被引:3
作者
D'Hondt, Stephanie [1 ]
Gisle, Lydia [2 ]
De Pauw, Robby [2 ,3 ]
Van Cauteren, Dieter [2 ]
Demarest, Stefaan [2 ]
Drieskens, Sabine [2 ]
Cornelissen, Laura [2 ]
De Ridder, Karin [2 ]
Charafeddine, Rana [2 ]
Smith, Pierre [2 ,4 ]
机构
[1] Catholic Univ Louvain, Fac Publ Hlth, Rue Juliette Wytsmanstraat 14, B-1050 Brussels, Belgium
[2] Sciensano, Dept Epidemiol & Publ Hlth, Brussels, Belgium
[3] Univ Ghent, Dept Rehabil Sci, Ghent, Belgium
[4] Catholic Univ Louvain, Inst Hlth & Soc IRSS, Brussels, Belgium
关键词
COVID-19; Post COVID-19 condition; Anxiety; Depression; GLOBAL BURDEN; DISORDERS; PHQ-9; GAD-7;
D O I
10.1007/s00127-024-02655-9
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Purpose Since the onset of the COVID-19 pandemic, most research has focused on the management of the acute symptoms of the disease. Yet some people tend to experience symptoms beyond the acute phase, defined as Post-COVID-19 Condition (PCC). This study aims to assess the impact of COVID-19 and PCC on anxiety and depression. Methods This is a prospective longitudinal cohort study among the Belgian adult population with recent SARS-CoV-2 infection for which contact tracing was initiated. A total of 3127 people were followed-up just after their infection and three months later (from April 2021 to January 2022). Anxiety and depression were assessed at the two stages using the GAD-7 (Generalized Anxiety Disorder) and the PHQ-9 (Patient Health Questionnaire). Results Three months after infection, participants with PCC (50%) had an increased probability of having both anxiety and depressive symptoms (p < 0.001). The proportion with anxiety and depressive symptoms at three months were significantly higher in people with PCC (11% and 19%) compared to people without persistent COVID symptoms (3.8% and 4.2%) and to a matched sub-sample not infected with SARS-CoV-2 (6.5% and 4.3%). Having at least one acute COVID-19 symptom (p < 0.001), experiencing financial loss following the infection (p < 0.001), and different PCC symptoms were associated with anxiety and depressive symptoms worsening over time. Conclusions This study showed that three months after a SARS-CoV-2 infection, one in two people suffer from PCC with significant consequences for their mental health. Follow-up on mental health must therefore have an important place in people suffering from PCC.
引用
收藏
页码:2083 / 2092
页数:10
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