中国新冠肺炎住院患者创伤后应激障碍、抑郁和焦虑的患病率及其预测因素。

Prevalence and predictors of posttraumatic stress disorder, depression and anxiety among hospitalized patients with coronavirus disease 2019 in China.

机构信息

CAS Key Laboratory of Mental Health, Institute of Psychology, Chinese Academy of Sciences, 16 Lincui Road, Chaoyang District, Beijing, 100101, China.

Department of Psychology, University of Chinese Academy of Sciences, Beijing, China.

出版信息

BMC Psychiatry. 2021 Feb 8;21(1):80. doi: 10.1186/s12888-021-03076-7.

DOI:10.1186/s12888-021-03076-7

PMID:33557776

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7868672/

Abstract

BACKGROUND

Coronavirus disease 2019 (COVID-19) has affected more than 5 million people around the world and killed more than 300,000 people; thus, it has become a global public health emergency. Our objective was to investigate the mental health of hospitalized patients diagnosed with COVID-19.

METHODS

The PTSD checklist for DSM-5 (PCL-5), Patient Health Questionnaire (PHQ-9), Generalized Anxiety Disorder Scale (GAD-7), Trauma Exposure Scale, abbreviated version of the Connor-Davidson Resilience Scale (CD-RISC-10), Perceived Social Support Scale (PSSS) and Demographic Questionnaire were used to examine posttraumatic stress disorder (PTSD), depression, anxiety, trauma exposure, resilience and perceived social support among 898 patients who were hospitalized after being diagnosed with COVID-19 in China. The data were analyzed with t tests, one-way ANOVA and multivariable logistic regression analysis.

RESULTS

The results showed that the prevalence of PTSD, depression and anxiety was 13.2, 21.0 and 16.4%, respectively. Hospitalized patients who were more impacted by negative news reports, had greater exposure to traumatic experiences, and had lower levels of perceived social support reported higher PTSD, depression and anxiety.

CONCLUSIONS

Effective professional mental health services should be designed to support the psychological wellbeing of hospitalized patients, especially those who have severe disease, are strongly affected by negative news and have high levels of exposure to trauma.

摘要

背景

2019 年冠状病毒病（COVID-19）已影响全球超过 500 万人，并导致超过 30 万人死亡；因此，它已成为全球公共卫生紧急事件。我们的目的是调查确诊 COVID-19 的住院患者的心理健康状况。

方法

使用创伤后应激障碍检查表 DSM-5（PCL-5）、患者健康问卷（PHQ-9）、广泛性焦虑症量表（GAD-7）、创伤暴露量表、Connor-Davidson 弹性量表（CD-RISC-10）的简短版、感知社会支持量表（PSSS）和人口统计问卷，对在中国被诊断为 COVID-19 后住院的 898 名患者进行创伤后应激障碍（PTSD）、抑郁、焦虑、创伤暴露、弹性和感知社会支持的检查。使用 t 检验、单因素方差分析和多变量逻辑回归分析对数据进行分析。