Ajay Aparna, Tharakan Anas, Sreedevi Aswathy, C V Lalithambika
Community Medicine, Amrita Institute of Medical Sciences, Kochi, IND.
Physiology, Amrita Institute of Medical Sciences, Kochi, IND.
Cureus. 2024 Sep 2;16(9):e68425. doi: 10.7759/cureus.68425. eCollection 2024 Sep.
Coronavirus disease 2019 (COVID-19) is a contagious disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The COVID-19 outbreak raised several public and mental health concerns including tremendous psychological distress.
To assess post-traumatic stress disorder (PTSD) among COVID-19-positive patients and household contacts and to determine the socio-demographic factors associated with PTSD in the study population.
A cross-sectional study was conducted among COVID-19-positive patients and their family members in Ernakulam district. A daily list of COVID-19-positive patients was obtained from the district officials. Confirmed cases and their close contacts in households were contacted over telephone and were interviewed after obtaining consent. Post-traumatic stress was assessed by the PTSD Symptom Scale - Interview Version (PSS-I-5) questionnaire.
There were 279 study participants, of whom 93 were COVID-19 positive and the remaining 186 were their contacts. More than a third (34, 36.6%) of cases suffered from PTSD while about a fifth (40, 21.5%) of contacts suffered from PTSD. Among cases, persons belonging to the below poverty line (BPL) had 2.9l (1.19, 7.24) times higher risk compared to those above poverty line (APL). Women also had a 2.8 (1.14, 7.01) higher odds compared to males. Among contacts, graduates had a 9.54 (95% CI: 1.84, 49.36) increased odds whereas homemakers were found to be protected (0.195 (0.06, 0.66)) against PTSD compared to the employed group.
Psychological counselling and support are essential for addressing PTSD among women and those living with BPL, as these groups are disproportionately affected.
2019年冠状病毒病（COVID-19）是由严重急性呼吸综合征冠状病毒2（SARS-CoV-2）引起的一种传染病。COVID-19疫情引发了一些公共卫生和心理健康问题，包括巨大的心理困扰。
评估COVID-19阳性患者及其家庭接触者中的创伤后应激障碍（PTSD），并确定研究人群中与PTSD相关的社会人口学因素。
在埃纳库拉姆区对COVID-19阳性患者及其家庭成员进行了一项横断面研究。从地区官员那里获得了COVID-19阳性患者的每日名单。通过电话联系确诊病例及其家庭中的密切接触者，并在获得同意后进行访谈。采用创伤后应激症状量表-访谈版（PSS-I-5）问卷评估创伤后应激情况。
共有279名研究参与者，其中93人COVID-19呈阳性，其余186人为其接触者。超过三分之一（34人，36.6%）的病例患有PTSD，而约五分之一（40人，21.5%）的接触者患有PTSD。在病例中，与贫困线以上（APL）人群相比，贫困线以下（BPL）人群患PTSD的风险高2.91倍（1.19，7.24）。女性患PTSD的几率也比男性高2.8倍（1.14，7.01）。在接触者中，与就业组相比，毕业生患PTSD的几率增加了9.54倍（95%CI：1.84，49.36），而家庭主妇被发现对PTSD有保护作用（0.195（0.06，0.66））。
心理辅导和支持对于解决女性和生活在贫困线以下人群中的PTSD至关重要，因为这些群体受到的影响尤为严重。
