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秘鲁医学生在新冠疫情隔离期后与创伤后应激障碍症状相关的因素。

Factors associated with post-traumatic stress disorder symptoms in the post-quarantine context of the COVID-19 pandemic in Peruvian medical students.

作者信息

Alejandro-Salinas Rodrigo, Rojas-Cueva Alexandra C, Visconti-Lopez Fabriccio J, Osorio-Martinez Miriam L, Toro-Huamanchumo Carlos J

机构信息

Universidad Peruana de Ciencias Aplicadas, Lima, Peru.

Sociedad Científica de Estudiantes de Medicina - UPC, Lima, Peru.

出版信息

Heliyon. 2022 May;8(5):e09446. doi: 10.1016/j.heliyon.2022.e09446. Epub 2022 May 16.

DOI:10.1016/j.heliyon.2022.e09446
PMID:35600435
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9109991/
Abstract

BACKGROUND

In March 2020, the Peruvian state introduced quarantine as a measure to control the spread of SARS-CoV-2. It has been suggested that being in quarantine is associated with the development of symptoms of Post-traumatic Stress Disorder (PTSD). The present study aims to explore the factors associated with the development of PTSD in a post-quarantine context due to COVID-19 in medical students.

OBJECTIVES

To evaluate the factors associated with the development of post-quarantine PTSD symptoms in medical students from a Peruvian university.

METHODS

Analytical cross-sectional study. The objective will be developed after the lifting of the quarantine in Peru. Medical students enrolled during the 2020-01 academic cycle of the Peruvian University of Applied Sciences will be included. To collect the outcome variable (PTSD), the Impact of Event Scale - Revised (IES-R) will be used. The associated factors will be collected through a form that will be validated by experts and piloted in the field. The crude and adjusted coefficients will be calculated, using bivariate and multivariate linear regression models, respectively. We will use the "manual forward selection" technique to obtain a final model with minimally sufficient fit. After each model comparison and decision, multicollinearity will be evaluated with the variance inflation factor and matrix of independent variables.

RESULTS

Not having health insurance, having relatives or close friends who contracted the disease and having a lower family income are factors associated with PTSD in the post-quarantine context of the COVID-19 pandemic in medical students at a Peruvian university.

CONCLUSIONS

Clinical evaluation is important for medical students with a high probability of having PTSD symptoms. We recommend conducting a longitudinal study to identify causality and other unstudied factors related to PTSD.

摘要

背景

2020年3月,秘鲁政府实施检疫措施以控制SARS-CoV-2的传播。有人认为,处于检疫状态与创伤后应激障碍(PTSD)症状的出现有关。本研究旨在探讨在医学生因COVID-19而处于检疫后的情况下,与PTSD发生相关的因素。

目的

评估秘鲁一所大学的医学生在检疫后出现PTSD症状的相关因素。

方法

分析性横断面研究。该目标将在秘鲁解除检疫后开展。将纳入秘鲁应用科学大学2020 - 01学年期间入学的医学生。为收集结果变量(PTSD),将使用事件影响量表修订版(IES-R)。相关因素将通过一份由专家验证并在实地进行预试验的表格收集。分别使用双变量和多变量线性回归模型计算粗系数和调整系数。我们将使用“手动向前选择”技术来获得一个拟合度足够低的最终模型。在每次模型比较和决策后,将使用方差膨胀因子和自变量矩阵评估多重共线性。

结果

在秘鲁一所大学的医学生中,在COVID-19大流行的检疫后背景下,没有医疗保险、有亲属或密友感染该疾病以及家庭收入较低是与PTSD相关的因素。

结论

对于很可能出现PTSD症状的医学生,临床评估很重要。我们建议进行一项纵向研究,以确定与PTSD相关的因果关系和其他未研究的因素。