Rajkumari Bishwalata, Akham Ngamba, Konjengbam Ojit Khaba, Pangambam Amrita Devi, Ningthoujam Suchitra Devi
Department of Community Medicine, Jawaharlal Nehru Institute of Medical Sciences, Imphal, Manipur, India.
Specialist M.O, Manipur Health Services, India.
J Family Med Prim Care. 2022 May;11(5):2139-2145. doi: 10.4103/jfmpc.jfmpc_1474_21. Epub 2022 May 14.
Post-traumatic stress disorder (PTSD) is a condition which can develop among those experiencing psychological trauma and can cause substantial distress and disruption in one's life during a pandemic. This study aims to assess the prevalence of PTSD among the COVID-19 survivors in Manipur and its predictors.
This cross-sectional study was conducted among the COVID-19 survivors aged 18 years and above from July to September 2020 in Manipur using a validated instrument-the Post-Traumatic Stress Disorder Checklist-5 (PCL-5) based on the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) for screening PTSD which was administered through phone-based Google Form questionnaire. Descriptive statistics like mean and percentages were used and bivariate and multivariate logistic regression were used for predicting PTSD, taking < 0.2 and < 0.05, respectively.
Out of the 228 participants screened, 67.5% were identified for PTSD symptoms. Increasing age of the participants (Adjusted Odds Ratio (AOR): 1.1; 95% CI: 1.19-1.13), being employed in the private sector (AOR: 14.55; 95% CI: 1.50-13.73), urban residence (AOR: 2.07; 95% CI: 1.01-4.25), and those referred by a doctor for testing Coronavirus Disease (COVID 19) (AOR: 7.90; 95% CI: 2.82-22.1) were found significantly more likely to have the PTSD symptoms.
Nearly three-fourths of the COVID-19 survivors were found to have PTSD symptoms. The active involvement of mental health professionals for psychosocial support and timely counseling along with support from the family and community is needed to avert the deleterious effect of the pandemic on mental health.
创伤后应激障碍(PTSD)是一种可能在经历心理创伤的人群中出现的病症,在疫情期间会给人的生活带来极大困扰和混乱。本研究旨在评估曼尼普尔邦新冠病毒病(COVID-19)幸存者中创伤后应激障碍的患病率及其预测因素。
本横断面研究于2020年7月至9月在曼尼普尔邦对18岁及以上的COVID-19幸存者进行,使用经过验证的工具——基于《精神疾病诊断与统计手册》(DSM-5)的创伤后应激障碍检查表-5(PCL-5)来筛查创伤后应激障碍,该检查表通过基于电话的谷歌表单问卷进行发放。使用了均值和百分比等描述性统计方法,并分别采用双变量和多变量逻辑回归来预测创伤后应激障碍,显著性水平分别取<0.2和<0.05。
在筛查的228名参与者中,67.5%被确定有创伤后应激障碍症状。参与者年龄增加(调整优势比(AOR):1.1;95%置信区间:1.19 - 1.13)、受雇于私营部门(AOR:14.55;95%置信区间:1.50 - 13.73)、居住在城市(AOR:2.07;95%置信区间:1.01 - 4.25)以及被医生转诊进行冠状病毒病(COVID - 19)检测的人(AOR:7.90;95%置信区间:2.82 - 22.1)被发现更有可能出现创伤后应激障碍症状。
近四分之三的COVID-19幸存者被发现有创伤后应激障碍症状。需要心理健康专业人员积极参与提供心理社会支持和及时咨询,同时需要家庭和社区的支持,以避免疫情对心理健康产生有害影响。