冠状病毒病后创伤后应激障碍的发病率

Incidence of Post-Traumatic Stress Disorder After Coronavirus Disease.

作者信息

Chang Min Cheol, Park Donghwi

机构信息

Department of Physical Medicine and Rehabilitation, College of Medicine, Yeungnam University, Daegu 38541, Korea.

Department of Physical Medicine and Rehabilitation, Ulsan University Hospital, College of Medicine, University of Ulsan, Ulsan 44033, Korea.

出版信息

Healthcare (Basel). 2020 Sep 30;8(4):373. doi: 10.3390/healthcare8040373.

Abstract

: The coronavirus disease (COVID-19) emerged from China and rapidly spread to many other countries. In this study, we investigated the prevalence of post-traumatic stress disorder (PTSD) among patients with COVID-19 who were treated and discharged from a university hospital in Daegu, Korea. : In total, 64 patients who were diagnosed with COVID-19 and then hospitalized, treated and discharged from the university hospital between February and April 2020 participated in our study. We conducted telephone interviews with the participants and evaluated the presence of PTSD using the Post-Traumatic Stress Disorder Checklist-5 (PCL-5) based on the Diagnostic and Statistical Manual of Mental Disorders (DSM-5; score range: 0-80). If a score of ≥33 was obtained, then a diagnosis of PTSD was made. We analyzed the association between PTSD and demographic and clinical characteristics using the Mann-Whitney U and chi-square tests. : In total, 13 patients had a PCL-5 score of ≥33, which indicated that 20.3% ( = 64) of the patients had PTSD. No significant differences were observed in demographic characteristics, including, sex, age, hospitalization time and duration after discharge, between patients with PTSD and those without PTSD. : The prevalence rate of PTSD was 20.3% in patients with COVID-19 who had been hospitalized, treated and discharged. Accordingly, clinicians should be aware of the high possibility of PTSD among COVID-19 patients. Mental health interventions supporting the mental health of patients should be provided to affected patients.

摘要

冠状病毒病(COVID-19)起源于中国,并迅速传播到许多其他国家。在本研究中,我们调查了在韩国大邱一家大学医院接受治疗并出院的COVID-19患者中创伤后应激障碍(PTSD)的患病率。

共有64名在2020年2月至4月期间被诊断为COVID-19并在该大学医院住院、治疗和出院的患者参与了我们的研究。我们对参与者进行了电话访谈,并根据《精神疾病诊断与统计手册》(DSM-5;评分范围:0-80)使用创伤后应激障碍检查表-5(PCL-5)评估PTSD的存在情况。如果获得的分数≥33,则诊断为PTSD。我们使用曼-惠特尼U检验和卡方检验分析了PTSD与人口统计学和临床特征之间的关联。

共有13名患者的PCL-5评分≥33,这表明20.3%(n = 64)的患者患有PTSD。在PTSD患者和非PTSD患者之间,在包括性别、年龄、住院时间和出院后持续时间等人口统计学特征方面未观察到显著差异。

在住院、治疗和出院的COVID-19患者中,PTSD的患病率为20.3%。因此,临床医生应意识到COVID-19患者中患PTSD的可能性很高。应为受影响的患者提供支持患者心理健康的心理干预措施。

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