Prevalence and predictors of PTSS during COVID-19 outbreak in China hardest-hit areas: Gender differences matter
Prevalence and predictors of PTSS during COVID-19 outbreak in China hardest-hit areas: Gender differences matter
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DOI：
10.1016/j.psychres.2020.112921
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发表时间：
2020-05-01
影响因子：
11.3
通讯作者：
Liu, Weizhi
中科院分区：
文献类型：
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作者：
Liu, Nianqi;Zhang, Fan;Liu, Weizhi
2019年12月在中国爆发的COVID-19已被确定为全球关注的大流行和卫生紧急事件。本研究旨在探讨2019冠状病毒病（COVID-19）疫情期间中国重灾区创伤后应激症状（PTSS）的患病率及其预测因素，特别是探讨PTSS存在的性别差异。在2019年12月中国武汉爆发COVID-19疫情后一个月，我们使用DSM-5（PCL-5）的PTSD清单和匹兹堡睡眠质量指数（PSQI）的4个项目，对武汉及周边城市的285名居民进行了PTSS和睡眠质量调查。采用分层回归分析和非参数检验对数据进行分析。结果表明，COVID-19爆发一个月后，中国重灾区的PTSS患病率为7%。女性在再体验、认知或情绪的负面改变和过度觉醒方面的PTSS显著更高。睡眠质量较好或早醒频率较低的参与者报告PTSS较低。应设计专业和有效的精神卫生服务，以帮助受影响地区人口的心理健康，特别是生活在重灾区的人口，女性和睡眠质量差的人。
The outbreak of COVID-19 in China in December 2019 has been identified as a pandemic and a health emergency of global concern. Our objective was to investigate the prevalence and predictors of posttraumatic stress symptoms (PTSS) in China hardest-hit areas during COVID-19 outbreak, especially exploring the gender difference existing in PTSS. One month after the December 2019 COVID-19 outbreak in Wuhan China, we surveyed PTSS and sleep qualifies among 285 residents in Wuhan and surrounding cities using the PTSD Checklist for DSM-5 (PCL-5) and 4 items from the Pittsburgh Sleep Quality Index (PSQI). Hierarchical regression analysis and non-parametric test were used to analyze the data. Results indicated that the prevalence of PTSS in China hardest-hit areas a month after the COVID-19 outbreak was 7%. Women reported significant higher PTSS in the domains of re-experiencing, negative alterations in cognition or mood, and hyper-arousal. Participants with better sleep quality or less frequency of early awakenings reported lower PTSS. Professional and effective mental health services should be designed in order to aid the psychological wellbeing of the population in affected areas, especially those living in hardest-hit areas, females and people with poor sleep quality.