Letica-Crepulja Marina, Stevanović Aleksandra, Palaić Diana, Vidović Iva, Frančišković Tanja
Department of Psychiatry and Psychological Medicine, Faculty of Medicine, University of Rijeka, 51000 Rijeka, Croatia.
Department of Psychiatry, Clinical Hospital Center Rijeka, Referral Center of the Ministry of Health of the Republic of Croatia, 51000 Rijeka, Croatia.
J Clin Med. 2022 May 11;11(10):2715. doi: 10.3390/jcm11102715.
The aim of this study was to examine post-traumatic stress disorder (PTSD) symptom levels and coping strategies during the COVID-19 pandemic among treatment-seeking veterans with pre-existing PTSD.
A cohort of 176 male treatment-seeking veterans with pre-existing PTSD during the first COVID-19 pandemic lockdown (T1) and 132 participants from the same cohort one year after the onset of the pandemic (T2) participated in a longitudinal study. All participants responded to a COVID-19-related questionnaire and the following measures: the Life Events Checklist for DSM-5 (LEC-5), PTSD Checklist for DSM-5 (PCL-5) and the Brief COPE.
The intensity of overall PTSD symptoms, avoidance symptoms and negative alterations in cognitions and mood was lower at T2. PTSD symptoms were not significantly correlated with SARS-CoV-2 potentially traumatic events (PTE) at T2. Veterans scored higher on emotion-focused and problem-focused coping than on dysfunctional coping.
Veterans with pre-existing PTSD who were receiving long-term treatment coped with COVID-19 stressors without the effects of retraumatization and a consequent worsening of PTSD symptoms.
本研究旨在调查在新型冠状病毒肺炎（COVID-19）大流行期间，患有创伤后应激障碍（PTSD）的寻求治疗的退伍军人的创伤后应激障碍症状水平及应对策略。
一组176名在COVID-19大流行首次封锁期间（T1）患有创伤后应激障碍且寻求治疗的男性退伍军人，以及在大流行开始一年后（T2）来自同一队列的132名参与者参与了一项纵向研究。所有参与者均对一份与COVID-19相关的问卷以及以下测量工具进行了回答：《精神疾病诊断与统计手册》第5版生活事件清单（LEC-5）、《精神疾病诊断与统计手册》第5版创伤后应激障碍清单（PCL-5）以及简易应对方式问卷（Brief COPE）。
在T2时，总体创伤后应激障碍症状、回避症状以及认知和情绪方面的消极改变的强度较低。在T2时，创伤后应激障碍症状与严重急性呼吸综合征冠状病毒2（SARS-CoV-2）潜在创伤性事件（PTE）无显著相关性。退伍军人在以情绪为中心和以问题为中心的应对方式上的得分高于功能失调性应对方式。
患有创伤后应激障碍且正在接受长期治疗的退伍军人应对了COVID-19应激源，未出现再次创伤化效应以及创伤后应激障碍症状随之恶化的情况。
