PDF(Pubmed)
Abstract：
Background and Objectives: Amidst the COVID-19 pandemic, concerns about the psychological impact of disease-related anxiety on public health have risen. This study aims to compare general and death anxiety levels between acute coronary artery syndrome and COVID-19 pneumonia patients. Materials and Methods: A cross-sectional study of 132 individuals, including acute myocardial infarction (MI), COVID-19 pneumonia patients, and healthy volunteers from Trakya University Hospital (Turkey), was analyzed. Validated scales like the Beck Anxiety Inventory (BAI), Coronavirus Anxiety Scale Short Form, and Thorson-Powell Death Anxiety Scale (TPDAS) were employed. Demographic data such as age, gender, income levels, employment status, presence of a close relative with COVID-19, and whether participants followed COVID-19-related news were collected and compared across groups with significance level of 0.05 set for all analyses. Results: Among 41 COVID-19, 41 MI, and 50 healthy subjects, the pneumonia group showed highest COVID-19 anxiety (p = 0.01) and BAI scores (p = 0.008). Both COVID-19 and MI patients had significantly higher BAI and TPDAS scores compared to healthy controls (p < 0.001). Factors like female gender (p = 0.004), low education (p = 0.003), current employment (p = 0.008), and low income (p = 0.002) correlated with higher BAI scores. Low income (p = 0.001) and COVID-19 news exposure (p = 0.002) correlated with higher TPDAS scores. Males and married patients had lower anxiety scores (p = 0.008). High income, education, and employment reduced anxiety levels (p = 0.008). TPDAS scores decreased with higher income (p = 0.001), but increased in the MI group (p = 0.002) with COVID-19 news exposure. The multivariate linear regression analysis found that MI and COVID-19 pneumonia were associated with TPDAS; female gender, university education, and COVID-19 pneumonia with the Beck scale; and COVID-19 pneumonia with anxiety scores on the COVID-19 Anxiety scale. Conclusions: This research showcases differing anxiety patterns between illnesses such as MI and COVID-19 pneumonia amidst the pandemic, emphasizing the amplifying influence of media coverage on death-related anxieties. It underscores the imperative of targeted interventions and socioeconomic considerations in managing psychological consequences and formulating responsive public health strategies.
摘要：
背景和目标：在COVID-19大流行期间，对疾病相关焦虑对公共健康的心理影响的担忧已经上升。这项研究旨在比较急性冠状动脉综合征和COVID-19肺炎患者的一般焦虑和死亡焦虑水平。材料与方法：对132名个体进行横断面研究，包括急性心肌梗死（MI），COVID-19肺炎患者，和来自土耳其特拉基亚大学医院的健康志愿者，被分析。经过验证的量表，如贝克焦虑量表(BAI)，冠状病毒焦虑量表简表，采用Thorson-Powell死亡焦虑量表（TPDAS）。人口统计数据，如年龄，性别,收入水平,就业状况,对是否存在COVID-19的近亲以及参与者是否遵循COVID-19相关新闻进行了收集和组间比较,所有分析的显著性水平均为0.05.结果：41例COVID-19，41例MI，和50个健康的受试者，肺炎组出现最高的COVID-19焦虑(p=0.01)和BAI评分(p=0.008).与健康对照组相比，COVID-19和MI患者的BAI和TPDAS评分均显着较高（p<0.001）。女性性别等因素（p=0.004），低教育(p=0.003)，当前就业(p=0.008)，低收入（p=0.002）与较高的BAI评分相关。低收入（p=0.001）和COVID-19新闻暴露（p=0.002）与较高的TPDAS得分相关。男性和已婚患者的焦虑评分较低（p=0.008）。高收入,教育,就业降低了焦虑水平(p=0.008)。TPDAS得分随着收入的增加而下降(p=0.001)，但MI组（p=0.002）因COVID-19新闻暴露而增加。多元线性回归分析发现MI和COVID-19肺炎与TPDAS相关;女性,大学教育,和COVID-19肺炎的贝克量表；和COVID-19肺炎的焦虑评分在COVID-19焦虑量表。结论：这项研究显示，在大流行期间，MI和COVID-19肺炎等疾病之间的焦虑模式不同，强调媒体报道对死亡相关焦虑的放大影响。它强调了在管理心理后果和制定响应性公共卫生战略方面必须采取有针对性的干预措施和社会经济考虑。
