Lab for Post-traumatic Stress Disorder, Faculty of Psychology and Mental Health, Naval Medical University, Shanghai 200433, China; The Emotion & Cognition Lab, Faculty of Psychology and Mental Health, Naval Medical University, Shanghai 200433, China.
Lab for Post-traumatic Stress Disorder, Faculty of Psychology and Mental Health, Naval Medical University, Shanghai 200433, China.
Psychiatry Res. 2020 May;287:112921. doi: 10.1016/j.psychres.2020.112921. Epub 2020 Mar 16.
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 qualities 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.
2019 年 12 月在中国爆发的 COVID-19 被认定为具有全球影响的大流行和卫生紧急事件。我们的目的是调查 COVID-19 在中国受影响最严重地区爆发期间创伤后应激症状（PTSS）的流行情况和预测因素，特别是探讨 PTSS 中存在的性别差异。在 2019 年 12 月 COVID-19 在中国武汉爆发一个月后，我们使用 PTSD 检查表 DSM-5（PCL-5）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 PTSD 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，中国受影响最严重地区的 PTSD 患病率为 7%。女性在再体验、认知或情绪的负性改变以及过度警觉等领域报告了更高的 PTSD。睡眠质量较好或早醒频率较低的参与者 PTSD 评分较低。应设计专业有效的心理健康服务，以帮助受影响地区的民众，特别是受影响最严重地区、女性和睡眠质量差的民众的心理健康。
