An evaluation of psychological distress and social support of survivors and contacts of Ebola virus disease infection and their relatives in Lagos, Nigeria: a cross sectional study--2014.
An evaluation of psychological distress and social support of survivors and contacts of Ebola virus disease infection and their relatives in Lagos, Nigeria: a cross sectional study--2014.
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DOI：
10.1186/s12889-015-2167-6
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发表时间：
2015-08-27
影响因子：
4.5
通讯作者：
Obiako RO
中科院分区：
文献类型：
--
作者：
Mohammed A;Sheikh TL;Gidado S;Poggensee G;Nguku P;Olayinka A;Ohuabunwo C;Waziri N;Shuaib F;Adeyemi J;Uzoma O;Ahmed A;Doherty F;Nyanti SB;Nzuki CK;Nasidi A;Oyemakinde A;Oguntimehin O;Abdus-Salam IA;Obiako RO
截至2014年9月，西非国家几内亚、利比里亚、塞拉利昂、塞内加尔和尼日利亚爆发埃博拉病毒病（EVD），分别记录了4500多例可能或确诊病例和2200例死亡。EVD是一种新出现的传染病，可在患者、接触者和亲属中造成恐惧和恐慌，这可能是心理困扰的风险因素。由于对患者管理和接触者追踪的潜在影响，该亚组中的心理困扰可能对EVD的控制具有公共卫生意义。我们确定了EVD幸存者和接触者及其亲属中心理困扰的患病率、模式和相关因素。在一项描述性横断面研究中，我们使用一般健康问卷评估心理困扰，奥斯陆社会支持量表评估尼日利亚拉各斯埃博拉应急行动中心117名埃博拉病毒病幸存者的社会支持。使用卡方/比值比和校正比值比确定与心理困扰相关的因素。参与者的平均年龄和标准差为34 +/ - 9.6岁。在117名参与者中，78人（66.7%）为女性，77人（65.8%）受过高等教育，45人（38.5%）为卫生工作者。最常见的心理困扰是无法集中注意力（37.6%）和担心而失眠（33.3%）。与EVD爆发失去联系（OR = 6.0，95%CI，1.2-32.9）与感到不快乐或抑郁显著相关，而作为卫生工作者具有保护性（OR = 0.4，95%CI，0.2-0.9）。校正比值比（AOR）显示，失去一个关系（AOR = 5.7，95%CI，1.2-28.0）是“感觉不快乐或抑郁”的预测因子，失去一个关系（AOR = 10.1，95%CI，1.7-60.7）是注意力不能集中的预测因子。EVD的幸存者和接触者及其亲属会产生心理困扰。家庭成员的丧失可以预测心理困扰的发生。建议精神科医生和其他心理健康专家成为病例管理团队的一部分。应对管理EVD患者的临床团队进行培训，以识别患者中常见的心理困扰。心理健康专家应审查正在监测EVD的接触者是否有心理困扰或障碍。
By September 2014, an outbreak of Ebola Viral Disease (EVD) in West African countries of Guinea, Liberia, Sierra Leone, Senegal and Nigeria, had recorded over 4500 and 2200 probable or confirmed cases and deaths respectively. EVD, an emerging infectious disease, can create fear and panic among patients, contacts and relatives, which could be a risk factor for psychological distress. Psychological distress among this subgroup could have public health implication for control of EVD, because of potential effects on patient management and contact tracing. We determined the Prevalence, pattern and factors associated with psychological distress among survivors and contacts of EVD and their relatives. In a descriptive cross sectional study, we used General Health Questionnaire to assess psychological distress and Oslo Social Support Scale to assess social support among 117 participants who survived EVD, listed as EVD contacts or their relatives at Ebola Emergency Operation Center in Lagos, Nigeria. Factors associated with psychological distress were determined using chi square/odds ratio and adjusted odds ratio. The mean age and standard deviation of participants was 34 +/ - 9.6 years. Of 117 participants, 78 (66.7 %) were females, 77 (65.8 %) had a tertiary education and 45 (38.5 %) were health workers. Most frequently occurring psychological distress were inability to concentrate (37.6 %) and loss of sleep over worry (33.3 %). Losing a relation to EVD outbreak (OR = 6.0, 95 % CI, 1.2–32.9) was significantly associated with feeling unhappy or depressed while being a health worker was protective (OR = 0.4, 95 % CI, 0.2–0.9). Adjusted Odds Ratio (AOR) showed losing a relation (AOR = 5.7, 95 % CI, 1.2–28.0) was a predictor of “feeling unhappy or depressed”, loss of a relation (AOR = 10.1, 95 % CI, 1.7–60.7) was a predictor of inability to concentrate. Survivors and contacts of EVD and their relations develop psychological distress. Development of psychological distress could be predicted by loss of family member. It is recommended that psychiatrists and other mental health specialists be part of case management teams. The clinical teams managing EVD patients should be trained on recognition of common psychological distress among patients. A mental health specialist should review contacts being monitored for EVD for psychological distress or disorders.