Shanghai Key Laboratory of Forensic Medicine, Key Laboratory of Forensic Science, Ministry of Justice China, Shanghai Forensic Service Platform, Academy of Forensic Science, Shanghai, China.
Unit of Psychiatry, Department of Public Health and Medicinal Administration, Institute of Translational Medicine, Faculty of Health Sciences, University of Macau, Macao; Centre for Cognitive and Brain Sciences, University of Macau, Macao; Institute of Advanced Studies in Humanities and Social Sciences, University of Macau, Macao.
J Affect Disord. 2022 Dec 1;318:80-87. doi: 10.1016/j.jad.2022.08.074. Epub 2022 Aug 27.
The Coronavirus Disease 2019 (COVID-19) outbreak may have a long-term impact on mental health in the general population. This study examined inter-relationships between post-traumatic stress disorder symptoms (PTSS) and quality of life (QOL) in Wuhan residents after the COVID-19 outbreak using network approach.
A cross-sectional survey was conducted between May 25 and June 18, 2020. PTSS and QOL were measured using Chinese versions of the Post -Traumatic Stress Disorder Checklist - Civilian Version and the World Health Organization Quality of Life Questionnaire - brief version, respectively.
A total of 2598 participants were included. A network analysis revealed "Avoiding reminders", "Feeling emotionally numb", "Avoiding thoughts", "Hypervigilance", and "Reliving experiences" as the most central (influential) nodes in PTSS network models both before and after controlling for covariates. The connection between "Avoiding thoughts" and "Avoiding reminders" had the strongest edge. Three symptom communities were detected and can be summarized as "re-experiencing and avoidance", "negative changes in thinking and mood", and "hyperarousal". The bridge symptoms connecting PTSS and QOL were "Sleep disturbances", "Irritability", and "Loss of interest".
Limitations included the cross-sectional study design, self-report measures in data collection, and lack of follow-ups beyond the initial phase of the pandemic.
PTSS were common among Wuhan residents even after the initial COVID-19 outbreak had passed. Attention should be paid to lingering symptoms of avoiding reminders, emotional numbness, avoiding thoughts, hypervigilance, and reliving experiences in treating PTSS related to the COVID-19 outbreak.
2019 年冠状病毒病（COVID-19）疫情爆发可能对普通人群的心理健康产生长期影响。本研究采用网络方法探讨 COVID-19 疫情后武汉居民创伤后应激障碍症状（PTSS）与生活质量（QOL）之间的相互关系。
2020 年 5 月 25 日至 6 月 18 日进行了横断面调查。使用中文版创伤后应激障碍检查表-平民版和世界卫生组织生活质量问卷-简短版分别测量 PTSD 症状和生活质量。
共纳入 2598 名参与者。网络分析显示，“避免提醒”、“感觉情绪麻木”、“避免思考”、“过度警惕”和“重新体验经历”是 PTSD 网络模型中最核心（有影响力）的节点，无论是在控制协变量之前还是之后。“避免思考”和“避免提醒”之间的连接具有最强的边缘。检测到三个症状群，可概括为“重新体验和回避”、“思维和情绪的负面变化”和“过度警觉”。连接 PTSD 和 QOL 的桥梁症状是“睡眠障碍”、“易怒”和“兴趣丧失”。
包括横断面研究设计、数据收集中的自我报告措施以及缺乏大流行初始阶段之后的随访。
即使 COVID-19 疫情最初爆发已经过去，武汉居民中仍普遍存在 PTSD。在治疗与 COVID-19 相关的 PTSD 时，应注意避免提醒、情绪麻木、避免思考、过度警惕和重新体验等挥之不去的症状。
