关键词: Long COVID anxiety cognitive decline depression fibromyalgia personality traits quality of life sleep disturbances type D personality

来  源:   DOI:10.3390/jcm13102886   PDF(Pubmed)

Abstract:
Background: The COVID-19 (Coronavirus disease 2019) pandemic has prompted extensive research into lingering effects, especially in \'Long COVID\' patients. Despite exploration, contributing factors remain elusive; Objective: This study explores the potential link between distinctive personality profiles, particularly type D personality, and an increased risk of Long COVID; Methods: A retrospective cross-sectional study at Tel-Aviv Sourasky Medical Center\'s Post-COVID clinic analyzed data from 373 Long COVID patients through comprehensive questionnaires covering Long COVID syndrome, Fibromyalgia criteria, personality assessments, social support, and subjective evaluations of cognitive decline, health and life quality. In total, 116 out of 373 patients completed the questionnaire, yielding a 31% participation rate; Results: Cluster analysis revealed two groups, with Cluster 1 (N = 58) exhibiting Type D personality traits while Cluster 2 (N = 56) not meeting criteria for Type D personality. In comparison to Cluster 2, Cluster 1 patients reported heightened anxiety, depression, reduced social support, increased pain symptoms, manifestations of fibromyalgia, cognitive decline, and poor sleep quality, contributing to a diminished quality-of-life perception; Conclusions: findings highlight diverse personality profiles among Long COVID patients, emphasizing the need for tailored care. This approach shows potential for improving Long COVID patient care, aligning with the evolving personalized medicine paradigm.
摘要:
背景:COVID-19(2019年冠状病毒病)大流行促使人们对挥之不去的影响进行了广泛的研究,特别是在“长型COVID”患者中。尽管进行了探索,促成因素仍然难以捉摸;目的:本研究探讨了独特人格特征之间的潜在联系,尤其是D型人格,和长COVID的风险增加;方法:特拉维夫Sourasky医学中心的COVID后诊所的回顾性横断面研究通过涵盖长COVID综合征的综合问卷分析了373名长COVID患者的数据,纤维肌痛标准,人格评估,社会支持,和认知能力下降的主观评价,健康和生活质量。总的来说,373名患者中有116名完成了问卷,产生31%的参与率;结果:聚类分析显示两组,第1组(N=58)表现出D型人格特征,而第2组(N=56)不符合D型人格标准。与第2组相比,第1组患者报告焦虑加剧,抑郁症,减少社会支持,疼痛症状加重,纤维肌痛的表现,认知能力下降,睡眠质量差,导致生活质量感知下降;结论:研究结果突出了长型COVID患者的不同人格特征,强调需要量身定制的护理。这种方法显示出改善长期COVID患者护理的潜力,与不断发展的个性化医疗范式保持一致。
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