School of Public Health, Hainan Medical University, Haikou, Hainan, China.
School of Nursing, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China.
BMC Psychol. 2024 Sep 4;12(1):470. doi: 10.1186/s40359-024-01964-7.
The incidence of comorbid depression and post-traumatic stress disorder (PTSD) symptoms is higher in snakebite victims. However, the present state and contributing factors of depression and PTSD among Chinese snakebite victims remain unclear.
A representative sample of 6837 snakebite victims were assessed with the Post-traumatic Stress Disorder Checklist (Civilian Version) and The Center for Epidemiologic Studies Depression Scale. Multivariate analyses, including network analysis, evaluated the contributing factors of PTSD and depression symptoms caused by snake bites, as well as the bridge symptoms of comorbidity networks.
Among 6,837 snakebite victims, 79.5% reported PTSD symptoms and 81.4% reported depression symptoms. Comorbidity of PTSD and depression symptoms was found in 75.1%. Key factors included the presence sequelae after snakebite (OR = 2.31, OR = 1.89), time to medical facilities (6-8 h: OR = 3.17, OR = 2.46), and marital status (divorced/widowed: OR = 1.78, OR = 1.76). Symptoms I1 ("Repeated disturbing memories") and D1 ("Bothered by things that don't usually bother me") bridged PTSD and depression networks.
The primary psychological challenges for snakebite victims in China are PTSD and depression symptoms, which is concerning. Standardized diagnosis and treatments, timely medical care, and stable marital relationships can reduce risks. Additional psychological support and management of negative memories, especially for those with severe bridge symptoms, can be beneficial. Further research should concentrate on understanding victims' psychological states and developing effective interventions.
蛇伤患者并发抑郁和创伤后应激障碍（PTSD）症状的发病率较高。然而，目前中国蛇伤患者的抑郁和 PTSD 现状及其影响因素尚不清楚。
采用创伤后应激障碍检查表（平民版）和流行病学研究中心抑郁量表对 6837 例蛇伤患者进行评估。采用网络分析等多变量分析方法，评估了蛇咬伤引起的 PTSD 和抑郁症状的影响因素，以及共病网络的桥梁症状。
在 6837 例蛇伤患者中，79.5%报告有 PTSD 症状，81.4%报告有抑郁症状。PTSD 和抑郁症状共病率为 75.1%。关键因素包括蛇伤后是否有后遗症（OR=2.31，OR=1.89）、就医时间（6-8 h：OR=3.17，OR=2.46）和婚姻状况（离异/丧偶：OR=1.78，OR=1.76）。症状 I1（“反复出现令人不安的记忆”）和 D1（“被通常不会困扰我的事情困扰”）连接了 PTSD 和抑郁网络。
中国蛇伤患者面临的主要心理挑战是 PTSD 和抑郁症状，这令人担忧。标准化诊断和治疗、及时就医和稳定的婚姻关系可以降低风险。对负面记忆进行额外的心理支持和管理，特别是对那些有严重桥梁症状的患者，可能会有所帮助。进一步的研究应集中在了解受害者的心理状态和开发有效的干预措施上。
