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调查新冠康复患者中的创伤后应激障碍:一项横断面研究。

Investigating posttraumatic stress disorder among COVID-19 recovered patients: A cross-sectional study.

作者信息

Sujan Md Safaet Hossain, Tasnim Rafia, Haghighathoseini Atefehsadat, Hasan Mohammad Mohiuddin, Islam Md Saiful

机构信息

Department of Public Health and Informatics, Jahangirnagar University, Savar, Dhaka, 1342, Bangladesh.

Centre for Advanced Research Excellence in Public Health, Dhaka, Bangladesh.

出版信息

Heliyon. 2023 Mar;9(3):e14499. doi: 10.1016/j.heliyon.2023.e14499. Epub 2023 Mar 15.

Abstract

BACKGROUND

During the 21st century, pandemics have emerged frequently and become more challenging. Coronavirus disease (COVID-19) is among the most prominent examples. A considerable public health issue following the pandemic is posttraumatic stress disorder (PTSD). COVID-19-recovered patients are highly susceptible to developing PTSD. Earlier epidemic studies showed a high prevalence of trauma-exposed people as a result of infectious diseases. This research aimed to quantify the estimated prevalence of PTSD and its contributing variables among COVID-19-recovered patients in Bangladesh.

METHODS

This was a cross-sectional research carried out through an e-survey comprising 326 individuals (69.0% male; mean age = 37.97 ± 13.02 years; age range = 18-76 years) and conducted between September 2020 to January 2021. The online survey included a section for gathering participant's informed permission as well as sections on key demographics and way of life, and social supports during the suffering period from acute COVID-19, as well as a PTSD Checklist for DSM-5 (PCL-5) to examine PSTD. Descriptive statistics and multiple regression analyses were performed. The prevalence estimates of PTSD ranged between 36 and 41% based on three predefined cut-offs. As per multiple linear regression analysis, PTSD was much more common among those who took part and reported being middle-aged/older adults (≥40 years), having lower S.E.S., and who slept more (>9 h/day). In addition, PTSD was negatively associated ( <0.05) with the social support of family members/friends/relatives, and colleagues in working settings; while positively correlated with health care providers. The current investigation revealed a considerably higher level of PTSD among COVID-19-recovered patients. The findings suggest extending the mental health services, other covariates, and immediate intervention among national and international COVID-19 recovered patients.

摘要

背景

在21世纪,大流行病频繁出现且变得更具挑战性。冠状病毒病(COVID-19)就是最突出的例子之一。大流行之后一个相当严重的公共卫生问题是创伤后应激障碍(PTSD)。COVID-19康复患者极易患上创伤后应激障碍。早期的流行病学研究表明,因传染病而暴露于创伤的人群患病率很高。本研究旨在量化孟加拉国COVID-19康复患者中创伤后应激障碍的估计患病率及其相关变量。

方法

这是一项横断面研究,通过电子调查进行,共有326人参与(69.0%为男性;平均年龄 = 37.97 ± 13.02岁;年龄范围 = 18 - 76岁),调查在2020年9月至2021年1月期间进行。在线调查包括收集参与者知情同意的部分,以及关于关键人口统计学、生活方式、急性COVID-19患病期间的社会支持的部分,还有一份用于检查创伤后应激障碍的《精神疾病诊断与统计手册》第5版创伤后应激障碍检查表(PCL-5)。进行了描述性统计和多元回归分析。根据三个预先定义的临界值,创伤后应激障碍的患病率估计在36%至41%之间。根据多元线性回归分析,创伤后应激障碍在参与并报告为中年/老年成年人(≥40岁)、社会经济地位较低且睡眠较多(>9小时/天)的人群中更为常见。此外,创伤后应激障碍与家庭成员/朋友/亲戚以及工作场所同事的社会支持呈负相关(<0.05);而与医疗保健提供者呈正相关。当前调查显示,COVID-19康复患者中创伤后应激障碍的水平相当高。研究结果表明,应在国内和国际的COVID-19康复患者中扩大心理健康服务、考虑其他协变量并立即进行干预。

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