Yin Qianlan, Chen Aibin, Song Xiangrui, Deng Guanghui, Dong Wei
Department of Naval Aviation and Operational Psychology, Navy Medical University, Shanghai, China.
Front Psychiatry. 2021 Feb 15;12:607612. doi: 10.3389/fpsyt.2021.607612. eCollection 2021.
Medical staff were battling against coronavirus disease 2019 (COVID-19) at the expense of their physical and mental health, particularly at risk for posttraumatic stress disorder (PTSD). In this case, intervening PTSD of medical staff and preparing them for future outbreaks are important. Previous studies showed that perceived stress was related to the development of PTSD. Hence, in this study, the association between risk perception of medical staff and PTSD symptoms in COVID-19 and the potential links were explored. Three hundred four medical staff's exposure to COVID-19 patients, risk perception for working during COVID-19, PTSD symptoms, anxiety, and sleep quality were measured. Mediation analysis tested the indirect effects of anxiety and sleep quality on the relationship between risk perceptions and PTSD symptoms; 27.6% of participants were deemed as having probable PTSD diagnosis. Mediation analysis showed a significant chain-mediating effect of anxiety and sleep quality on the relationships between risk perceptions and PTSD symptoms; higher risk perceptions were related to increased anxiety, worsened sleep quality, and severe PTSD symptoms. Conclusively, medical staff have a high prevalence of PTSD symptoms after 3 months of COVID-19. Their PTSD symptoms were associated with the perceived risk level through the potential links with anxiety and sleep quality. Therefore, risk perception could be critical for our medical staff's responses to public health emergencies. It could be plausible to intervene in the perceived stress to alleviate aroused anxiety and improve sleep quality and thereby deter the development of PTSD.
医护人员正在不顾自身身心健康与2019冠状病毒病（COVID-19）作斗争，尤其有患创伤后应激障碍（PTSD）的风险。在这种情况下，干预医护人员的创伤后应激障碍并让他们为未来的疫情爆发做好准备很重要。先前的研究表明，感知到的压力与创伤后应激障碍的发展有关。因此，在本研究中，探讨了医护人员对COVID-19的风险认知与PTSD症状之间的关联以及潜在联系。测量了304名医护人员接触COVID-19患者的情况、在COVID-19期间工作的风险认知、PTSD症状、焦虑和睡眠质量。中介分析测试了焦虑和睡眠质量对风险认知与PTSD症状之间关系的间接影响；27.6%的参与者被认为可能患有创伤后应激障碍。中介分析表明，焦虑和睡眠质量对风险认知与PTSD症状之间的关系具有显著的链式中介作用；较高的风险认知与焦虑增加、睡眠质量恶化和严重的PTSD症状有关。总之，COVID-19三个月后医护人员创伤后应激障碍症状的患病率很高。他们的创伤后应激障碍症状通过与焦虑和睡眠质量的潜在联系与感知到的风险水平相关。因此，风险认知可能对我们医护人员应对突发公共卫生事件至关重要。干预感知到的压力以减轻引发的焦虑、改善睡眠质量，从而阻止创伤后应激障碍的发展可能是合理的。
