Zhou Kai, Chi Hongbo, Wang Jing, Zheng Yufen, Pan Juan, Yu Die, Xu Jiaqin, Zhu Hongguo, Li Jun, Chen Shiyong, Zhao Xinzhuan, Wu Xiaomai, Shen Bo, Tung Tao-Hsin, Luo Chengwen
Department of Clinical Laboratory, Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University, Linhai, China.
Department of Clinical Laboratory, Taizhou Hospital of Zhejiang Province, Zhejiang University, Linhai, China.
Front Psychiatry. 2022 Sep 6;13:918679. doi: 10.3389/fpsyt.2022.918679. eCollection 2022.
The physical condition of individuals who contracted COVID-19 had a profound influence on mitigating the physical and psychological impact of the disease and the symptoms of posttraumatic stress disorder (PTSD). Little attention has been focused on the influence of physical condition on PTSD among recovered COVID-19 subjects. This study explored the relationship between physical and psychological status and PTSD and the potential mechanisms. Questionnaires were completed by 73 (50.7%, 73/144) COVID-19 recovered subjects who were diagnosed in Taizhou, Zhejiang, China. We conducted a face-to-face survey from January 17 to March 10, 2020. The mediation analysis approach was applied in this research. Our data show that recovered COVID-19 subjects who were in better physical condition exhibited fewer psychological problems [B (95%CI), (-1.65 -3.04, -0.26)] and lower PTSD [B (95%CI), -6.13 (-9.43, -2.83)]. In addition, the worse the psychological status of recovered COVID-19 subjects was, the stronger the PTSD (B [95%CI], 0.58 [0.02, 1.14]). Moreover, psychological status could significantly mediate the impact of physical condition on PTSD ( = -0.87). Together, COVID-19 recovered subjects who have better physical condition could decrease their PTSD, and the worse the physical condition of COVID-19 recovered subjects would increase their psychological problems. Our finding about psychological status could significantly mediate the impact of the physical condition on PTSD might be useful for medical institutions and the government seeking to help with the follow-up rehabilitation training of recovered COVID-19 subjects.
感染新型冠状病毒肺炎（COVID-19）的个体的身体状况对减轻该疾病的身心影响以及创伤后应激障碍（PTSD）症状具有深远影响。在康复的COVID-19患者中，很少有研究关注身体状况对PTSD的影响。本研究探讨了身体和心理状态与PTSD之间的关系以及潜在机制。在中国浙江台州确诊的73名（50.7%，73/144）COVID-19康复患者完成了问卷调查。我们于2020年1月17日至3月10日进行了面对面调查。本研究采用中介分析方法。我们的数据显示，身体状况较好的COVID-19康复患者出现的心理问题较少[B（95%CI），（-1.65 -3.04，-0.26）]，PTSD水平较低[B（95%CI），-6.13（-9.43，-2.83）]。此外，COVID-19康复患者的心理状态越差，PTSD越强（B[95%CI]，0.58[0.02，1.14]）。而且，心理状态可以显著中介身体状况对PTSD的影响（=-0.87）。总之，身体状况较好的COVID-19康复患者可以降低其PTSD水平，而COVID-19康复患者的身体状况越差，其心理问题就会越多。我们关于心理状态可显著中介身体状况对PTSD影响的发现，可能对寻求帮助COVID-19康复患者进行后续康复训练的医疗机构和政府有用。
