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COVID-19 隔离人群的心理影响和创伤后应激障碍:全球调查。

Psychological Impacts and Post-Traumatic Stress Disorder among People under COVID-19 Quarantine and Isolation: A Global Survey.

出版信息

Int J Environ Res Public Health. 2021 May 26;18(11):5719. doi: 10.3390/ijerph18115719.

Abstract

Understanding the presence of post-traumatic stress disorder (PTSD) symptoms in quarantined/isolated individuals is essential for decreasing morbidity and mortality caused by the COVID-19 pandemic. However, there is a paucity of evidence quantifying PTSD status globally during confinement in quarantine/isolation facilities during COVID-19. Therefore, we aimed to assess the PTSD status and factors contributing to PTSD development in quarantined/isolated people during pandemic. Using the Impact of Event Scale-Revised (IES-R) scale, our multicentre, multinational, and cross-sectional online survey assessed the psychological impacts on the quarantine/isolation experience of participants suspected or confirmed to have COVID-19, their PTSD status, and various correlates with developing PTSD. We had 944 (35.33%) valid responses (51.1% from females), mostly from Asian countries (635, 71.4%), and 33.9% were healthcare workers. The number of quarantine days in the PTSD symptoms group (using the IES-R cutoff of 24 for symptomatic or full PTSD) was significantly shorter compared to the non-PTSD group (14 (range 14-40) vs. 14 (14-23.75), = 0.031). Lower rates of PTSD symptoms were observed in participants practicing Buddhist religion than in participants having no religion (OR: 0.30; 95% CI: 0.13-0.68; = 0.005); individuals with vocational training had a higher risk of developing PTSD symptoms (OR: 2.28 (1.04-5.15); = 0.043) compared to university graduates. Individuals forced to be quarantined/isolated had higher odds of developing PTSD symptoms than those voluntarily quarantined/isolated (OR: 2.92 (1.84-4.74); < 0.001). We identified several PTSD correlations among individuals quarantined/isolated during the COVID-19 pandemic, including religious practice, reason for quarantine/isolation, education level, and being a case of the infection. These findings can inform worldwide policies to minimize the adverse effects of such social control measures.

摘要

了解隔离/检疫个体中创伤后应激障碍(PTSD)症状的存在对于降低 COVID-19 大流行引起的发病率和死亡率至关重要。然而,目前全球在 COVID-19 隔离/检疫设施中定量评估隔离/检疫人群中 PTSD 状态的证据有限。因此,我们旨在评估大流行期间隔离/检疫人群中 PTSD 状态以及导致 PTSD 发展的因素。本研究使用修订后的事件影响量表(IES-R)评估了疑似或确诊 COVID-19 的参与者对隔离/检疫经历的心理影响,包括他们的 PTSD 状态以及与 PTSD 发展相关的各种因素。我们共收到 944 份(35.33%)有效回复(女性占 51.1%),参与者主要来自亚洲国家(635 人,71.4%),其中 33.9%为医护人员。在 PTSD 症状组(使用 IES-R 截断值 24 分作为有症状或完全 PTSD)中,隔离天数明显短于非 PTSD 组(14 天(范围 14-40)与 14 天(14-23.75), = 0.031)。与无宗教信仰者相比,信仰佛教的参与者 PTSD 症状发生率较低(OR:0.30;95%CI:0.13-0.68; = 0.005);与大学毕业生相比,接受职业培训的个体发生 PTSD 症状的风险更高(OR:2.28(1.04-5.15); = 0.043)。与自愿隔离/检疫者相比,被迫隔离/检疫者发生 PTSD 症状的可能性更高(OR:2.92(1.84-4.74); < 0.001)。我们确定了 COVID-19 大流行期间隔离/检疫人群中几种 PTSD 相关性,包括宗教信仰、隔离/检疫原因、教育水平和感染病例。这些发现可以为全球政策提供信息,以最大限度地减少此类社会控制措施的不良影响。

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