PTSD, depression and anxiety in Ebola virus disease survivors in Beni town, Democratic Republic of the Congo.

PTSD, depression and anxiety in Ebola virus disease survivors in Beni town, Democratic Republic of the Congo.
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DOI:
10.1186/s12888-021-03343-7
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发表时间:
2021-07-08
期刊:
影响因子:
4.4
通讯作者:
Ahuka-Mundeke S
Ahuka-Mundeke S
中科院分区:
医学2区
文献类型:
--
作者:
Kaputu-Kalala-Malu C;Musalu EM;Walker T;Ntumba-Tshitenge O;Ahuka-Mundeke S

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埃博拉病毒病(EVD)是一种致命且令人恐惧的传染病,可导致幸存者出现虚弱的身体和心理后遗症,包括抑郁症和焦虑症。不幸的是,关于刚果民主共和国幸存者后遗症的数据很少。因此,本研究评估了贝尼镇总医院社会心理护理团队随访项目中EVD幸存者的创伤后应激障碍,抑郁和焦虑症状。横断面研究采用连续抽样方法,招募了144名埃博拉病毒病幸存者,他们于10月23日至11月13日来接受随访;2019. 评估了基本的社会人口统计数据、头痛的存在和短期记忆功能。采用创伤后检查表和医院焦虑抑郁量表评估参与者的心理负担。描述性统计用于汇总数据,Pearson’s或似然卡方用于检验精神障碍与相关因素之间的相关性。PTSD患病率为24.3%,抑郁患病率为24.3%,焦虑患病率为33.3%。男性(OR = 0.42, 95% CI: 0.16, 0.95, p = 0.049),患有持续性头痛(OR = 2.62, 95% CI: 1.12, 6.14, p = 0.014),因埃博拉病毒病失去亲人(OR: 2.60, 95% CI: 1.11, 6.15, p = 0)。015)和年轻- 18-24岁- (OR: 0。261, 95% ci: 0。0.08, 0.82, p = 0.026)与PTSD诊断有统计学相关性。有短期记忆障碍和持续性头痛与抑郁和焦虑诊断有统计学关联(OR = 2.44, 95% CI: 1.03, 5.82, p = 0.026);(OR = 2.24, 95% CI: 1.04, 4.85, p = 0.025);(OR = 2.62, 95% CI: 1.12, 6.14, p = 0.014);(OR = 2.31, 95% CI: 1.06, 5.01, p = 0.020)。埃博拉病毒病幸存者中PTSD、抑郁和焦虑的患病率很高。在刚果民主共和国抗击埃博拉病毒病的团队应考虑在刚果民主共和国东部的文化背景下发展专门的精神病学服务,以维持幸存者的精神和心理健康。
Ebola Virus Disease (EVD) is a deadly and feared infectious disease, which can be responsible of debilitating physical and psychological sequelae in survivors including depression and anxiety disorders. Unfortunately, there are scarce data on survivor sequelae in Democratic Republic of the Congo. So this study assessed PTSD, depression and anxiety symptoms among EVD survivors enrolled in the follow-up program of the psychosocial care team of Beni town’s general hospital. A cross-sectional study used consecutive sampling to recruit 144 Ebola virus disease survivors who came for follow up from October 23 to November 13; 2019. Basic socio-demographic data, presence of headache and short-term memory function were assessed. The Post-traumatic Checklist Scale and Hospital Anxiety and Depression Scale were used to assess psychological burden among participants. Descriptive statistics were used to summarized data and Pearson’s or likelihood chi-square were used to test association between psychiatric disorders and associated factors. The prevalence of PTSD, depression and anxiety was 24.3, 24.3 and 33.3% respectively. Being male (OR = 0.42, 95% CI: 0.16, 0.95, p = 0.049), suffering from persistent headache (OR = 2.62, 95% CI: 1.12, 6.14, p = 0.014), losing a loved one because of EVD (OR: 2.60, 95% CI: 1.11, 6.15, p = 0. 015) and being young − 18-24 years - (OR: 0. 261, 95% CI: 0. 08, 0.82, p = 0,026) were statistically associated with PTSD diagnosis. Having short-term memory impairment and suffering from persistent headache were statistically associated with depression and anxiety diagnoses (OR = 2.44, 95% CI: 1.03, 5.82, p = 0.026); (OR = 2.24, 95% CI: 1.04, 4.85, p = 0.025); (OR = 2.62, 95% CI: 1.12, 6.14, p = 0.014); (OR = 2.31, 95% CI: 1.06, 5.01, p = 0.020). The prevalence of PTSD, depression and anxiety is high among EVD survivors. Development of specialized psychiatric services to sustain psychiatric and psychological health amongst survivors in the cultural context of the Eastern part of the DRC should be considered by the teams fighting against EVD in the DRC.
DOI: 10.1136/bmjgh-2017-000471
发表时间: 2018
期刊: BMJ global health
影响因子: 8.1
作者:
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发表时间: 2016-04
期刊: Neurosciences (Riyadh, Saudi Arabia)
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