Wang Jie-Yu, Li Qi, Liu Wei, Yang Yang, Wang Xiao-Guang, Liu Chun-Yan, Shu Xi-Ji, Xue Li, Shi Yan-Wei
Faculty of Forensic Medicine, Zhongshan School of Medicine, Guangdong Provincial Key Laboratory of Brain Function and Disease, Guangdong Province Translational Forensic Medicine Engineering Technology Research Center, Sun Yat-sen University, Guangzhou, China.
Department of Pathology and Pathophysiology, School of Medicine, Wuhan Institute of Biomedical Sciences, Jianghan University, Wuhan, China.
Front Neurosci. 2023 Mar 7;17:1075272. doi: 10.3389/fnins.2023.1075272. eCollection 2023.
This study examined the prevalence of posttraumatic stress disorder (PTSD) symptoms in college students 1 month after the lockdown of Wuhan to identify possible risk factors for PTSD symptoms in a cross-sectional study.
Out of 10,502 who responded, 9,274 students impacted by the COVID-19 pandemic were included in our study. PTSD symptoms was evaluated by the Impact of Event Scale-revised (IES-R). Anxiety/depression symptoms were evaluated by the Kessler Psychological Distress Scale (K10). Personality traits, coping style, and social support were assessed by the Eysenck Personality Questionnaire-Revised Short Scale for Chinese (EPQ-RSC), the Simplified Coping Style Questionnaire (SCSQ), and the Social Support Rating Scale (SSRS). Logistic regression analysis was utilized to further explore risk factors for PTSD symptoms.
More than 1 month after the COVID-19 outbreak, 13.1% of college students developed PTSD symptoms, indicating that COVID-19 associated stressful experiences were connected with PTSD symptoms. After the COVID-19 outbreak, subjects with symptomatologic PTSD symptoms were more likely to experience strained relationships with their family, to have close contact with COVID-19 patients and to drop out of college. The logistic regression model demonstrated the association factors of PTSD symptoms. Neuroticism, psychoticism and an avoidant coping style were associated with increased risk for PTSD symptoms, while an active coping style was protective against PTSD symptoms during this pandemic.
The results showed that PTSD symptoms was prevalent in Chinese college students 1 month after the COVID-19 outbreak. Effective psychological support work should be carried out accordingly.
本研究在武汉封城1个月后对大学生创伤后应激障碍（PTSD）症状的患病率进行了调查，以在一项横断面研究中确定PTSD症状可能的风险因素。
在10502名回复者中，9274名受新冠疫情影响的学生被纳入我们的研究。采用事件影响量表修订版（IES-R）评估PTSD症状。采用凯斯勒心理困扰量表（K10）评估焦虑/抑郁症状。通过艾森克人格问卷修订版中文简式量表（EPQ-RSC）、简易应对方式问卷（SCSQ）和社会支持评定量表（SSRS）评估人格特质、应对方式和社会支持。利用逻辑回归分析进一步探讨PTSD症状的风险因素。
新冠疫情爆发1个多月后，13.1%的大学生出现了PTSD症状，这表明与新冠疫情相关的压力经历与PTSD症状有关。新冠疫情爆发后，有PTSD症状的受试者更有可能与家人关系紧张，与新冠患者密切接触，并辍学。逻辑回归模型显示了PTSD症状的相关因素。神经质、精神质和回避型应对方式与PTSD症状风险增加相关，而积极的应对方式在本次疫情期间对PTSD症状具有保护作用。
结果表明，新冠疫情爆发1个月后，PTSD症状在中国大学生中普遍存在。应据此开展有效的心理支持工作。
