轻症与重症SARS患者心理健康状况的队列研究

目的观察重症严重急性呼吸综合征(severe acute respiratory syndrome,SARS)患者与轻症SARS患者不同时期抑郁心理的差异。方法将246例SARS患者按临床症状的主治医师评价分为轻症组(120例)和重症组(126例)。使用Zung抑郁自评量表(SDS)、中国科学院心理研究所时勘博士课题组《非典治疗医院心理健康访谈问卷》,在住院期间、门诊复诊与1年后调查时,对SARS患者进行调查和比较。结果重症组与轻症组患者的SDS评分在不同时期的比较差异均有统计学意义(P<0.05,P<0.01)。出院后不同时期SARS患者的抑郁状态较住院期间反而加重。结论SARS的严重程度直接影响患者的心理状态。SARS患者重新进入社会时,由于各种原因,心理疾患表现得更为突出,应当对其进行心理治疗,以降低患者的心理压力。

Cohort Study on Relationship between Psychological Health Status and Clinical Features in Patients with Severe Acute Respiratory Syndrome

Objective To study the manifestations of depression in convalescent patients with SARS.Methods Dividing 246 SARS patients into the severe condition group(126 cases) and common condition group(120 cases).Compare the results between the 2 groups.SDS assessment was performed in the two groups.Results SDS quantity in study groups was significantly different;the depress condition was getting worse in discharged SARS patients compared with different stages.Conclusion SARS patients have severe psychological disturbance when coming back to society after long period of isolation even with recovery of the disease.The clinical features of SARS influenced the SARS patient's mental status.SARS patient should have psychiatry therapy after discharged from hospital.