Shen Xin, Yan Shijiao, Jiang Heng, Cao Hui, Dowling Rowan, Feng Crystal Jing, Lei Zihui, Li Jingru, Han Xiaotong, Lv Chuanzhu, Gan Yong
Department of Social Medicine and Health Management, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
School of Public Health, Hainan Medical University, Haikou, China.
Front Psychiatry. 2021 Nov 3;12:766127. doi: 10.3389/fpsyt.2021.766127. eCollection 2021.
By investigating the incidence of post-traumatic stress disorder (PTSD) among residents during a period of low transmission, this study reflects the long-term impact of coronavirus disease 2019 (COVID-19) and identify which categories of residents are more likely to develop PTSD due to an acute infectious disease crisis, facilitating the development of targeted strategies to protect mental health after outbreaks of similar acute infectious diseases in the future. A cross-sectional survey was conducted in China from 4 to 26 February 2021. A convenience sampling strategy was adopted to recruit participants. Participants were asked to complete the PTSD Checklist for DSM-5 (PCL-5). A multivariable linear stepwise regression analysis model was used to identify which factors were associated with PTSD in residents of China. A total of 2,361 Chinese residents completed the questionnaire. The mean PCL-5 score for the respondents was 13.65 (SD = 8.66), with 219 (9.28%) patients having probable PTSD symptoms. Respondents who were female (β = 0.038), had a relative or friend who had contracted COVID-19 (β = 0.041), and had poor health (β = 0.184) had higher PCL-5 scores, while the population aged over 60 years (β = -0.063), who agreed that COVID-19 information was released in a timely manner (β = -0.347), who had experienced a relatively limited impact of COVID-19 on their life (β = -0.069), and who agreed that the local prevention initiatives were sophisticated (β = -0.165) had lower PTSD scores. Outbreaks of acute infectious diseases can have long-term psychological health effects in the general population. In addition, health policy makers need to be concerned about and implement measures to support the mental health of vulnerable groups.
通过调查低传播期居民创伤后应激障碍（PTSD）的发病率，本研究反映了2019冠状病毒病（COVID-19）的长期影响，并确定哪些类别的居民因急性传染病危机更易患创伤后应激障碍，为未来类似急性传染病爆发后制定针对性的心理健康保护策略提供便利。2021年2月4日至26日在中国进行了一项横断面调查。采用便利抽样策略招募参与者。参与者被要求完成《精神疾病诊断与统计手册》第5版创伤后应激障碍检查表（PCL-5）。使用多变量线性逐步回归分析模型来确定哪些因素与中国居民的创伤后应激障碍相关。共有2361名中国居民完成了问卷。受访者的PCL-5平均得分为13.65（标准差=8.66），219名（9.28%）患者有创伤后应激障碍症状。女性受访者（β=0.038）、有感染COVID-19的亲属或朋友的受访者（β=0.041）以及健康状况较差的受访者（β=0.184）的PCL-5得分较高，而60岁以上人群（β=-0.063）、同意COVID-19信息及时发布的人群（β=-0.347）、经历COVID-19对其生活影响相对有限的人群（β=-0.069）以及同意当地预防措施完善的人群（β=-0.165）的创伤后应激障碍得分较低。急性传染病爆发会对普通人群产生长期的心理健康影响。此外，卫生政策制定者需要关注并采取措施支持弱势群体的心理健康。
