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. 2021 Mar 15:283:123-129.
doi: 10.1016/j.jad.2021.01.050. Epub 2021 Jan 28.

Prevalence and risk factors for acute posttraumatic stress disorder during the COVID-19 outbreak

Luna Sun  1 , Zhuoer Sun  1 , Lili Wu  1 , Zhenwen Zhu  2 , Fan Zhang  1 , Zhilei Shang  1 , Yanpu Jia  1 , Jingwen Gu  3 , Yaoguang Zhou  1 , Yan Wang  1 , Nianqi Liu  1 , Weizhi Liu  4
Affiliations

Prevalence and risk factors for acute posttraumatic stress disorder during the COVID-19 outbreak

Luna Sun et al. J Affect Disord. .

Abstract

Background: To examine the prevalence of and risk factors for acute posttraumatic stress disorder (PTSD) shortly after the massive outbreak of COVID-19 in China.

Methods: An online anonymous survey was conducted between 30 January and 3 February, 2020. The survey included two self-administered questionnaires: one collected personal information (gender, age, education background), current location, recent epidemic area contact history, the classification of population, and subjective sleep quality; the other was the PTSD Checklist for DSM-5 (PCL-5).

Results: A total of 2091 Chinese participated in the current study. The prevalence of PTSD among the Chinese public one month after the COVID-19 outbreak was 4.6%. Multiple linear regression analysis revealed that gender (p < 0.001), epidemic area contact history (p = 0.047), classification of population (p < 0.001), and subjective sleep quality (p < 0.001) could be regarded as predictors for PTSD.

Limitations: First, the majority of participants in this study were the general public, with confirmed or suspected patients being a small part. Second, the measurement of PTSD in this study might be vulnerable to selection bias because of an online self-report study, such as participants' recruitment. Third, the prevalence of PTSD in this study was estimated by an online questionnaire rather than a clinical interview.

Conclusions: The results suggested that some Chinese showed acute PTSD during the COVID-19 outbreak. Therefore, comprehensive psychological intervention needs further implementation. Furthermore, females, people who had recent epidemic area contact history, those at high risk of infection or with poor sleep quality deserve special attention.

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Conflict of interest statement

All authors certify that they have NO affiliations with or involvement in any organization or entity with any financial interest (such as honoraria; educational grants; participation in speakers’ bureaus; membership, employment, consultancies, stock ownership, or other equity interest; and expert testimony or patent-licensing arrangements), or non-financial interest (such as personal or professional relationships, affiliations, knowledge or beliefs) in the subject matter or materials discussed in this manuscript.

Figures

Fig. 1
Fig. 1
Flow chart of the enrollment of study participants.
Fig. 2
Fig. 2
Group differences of PCL-5 scores in epidemic area contact history and classification of population Note: ⁎⁎, p-value < 0.01; ⁎⁎⁎, p-value < 0.001.
See this image and copyright information in PMC

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References

    1. Alexander D.A., Klein S. Ambulance personnel and critical incidents - Impact of accident and emergency work on mental health and emotional well-being. Br J Psychiatry. 2001;178:76–81. - PubMed
    1. Alexander E.G., Susan C.B., Ralph S.B., Raoul J.d.G., Christian D., Anastasia A.G., Bart L.H., Chris L., Andrey M.L., Benjamin W.N., Dmitry P., Stanley P., Leo L.M.P., Dmitry S., Igor A.S., Isabel S., John Z. bioRxiv; 2020. Severe acute respiratory syndrome-related coronavirus – The species and its viruses, a statement of the Coronavirus Study Group.
    1. Batterham J. Recruitment of mental health survey participants using Internet advertising: content, characteristics and cost effectiveness. International Journal of Methods in Psychiatric Research. 2014;23:184–191. - PMC - PubMed
    1. Bovin M.J., Marx B.P., Weathers F.W., Gallagher M.W., Rodriguez P., Schnurr P.P., Keane T.M. Psychometric properties of the PTSD Checklist for Diagnostic and Statistical Manual of Mental Disorders-Fifth Edition (PCL-5) in veterans. Psychol Assess. 2016;28:1379–1391. - PubMed
    1. Cappelleri J.C., Bushmakin A.G., McDermott A.M., Sadosky A.B., Petrie C.D., Martin S. Psychometric properties of a single-item scale to assess sleep quality among individuals with fibromyalgia. Health Qual Life Outcomes. 2009;7:54. - PMC - PubMed