The correlation between post-traumatic stress disorder and perceived stress in suspected COVID-19 patients quarantined in hospital_Chinese Journal of Respiratory and Critical Care Medicine

Authors：

ZHANG Yaozhi ,  LIU Xiangmin , XUE Miao , LUO Lan , HE Guoqing , FENG Peilu , JIANG Xue , XIE Li

Department of Respiratory and Critical Care Medicine, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

LIU Xiangmin, Email: 1046631714@qq.com

Keywords：

Suspected COVID-19 patients; Quarantine in hospital; Post-traumatic stress disorder; Perceived stress

DOI：

10.7507/1671-6205.202005021

Video：

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Objective To understand the relationship between post-traumatic stress disorder (PSTD) and perceived stress in suspected coronavirus disease 2019 (COVID-19) patients quarantined in hospital.Methods A cross-sectional study of 93 suspected COVID-19 patients in one of grade-A tertiary hospital in Southwest China was carried out to evaluate the incidence of perceived stress and post-traumatic stress symptoms among these patients using the standardized Perceived Stress Scale-10 (PSS-10) and PTSD Checklist-5 (PCL-5), respectively. Pearson correlation was used to analyze the correlation between PCL-5 and PSS-10 scores.Results Total PSS-10 and PCL-5 scores were 16.7±5.2 and 17.0±11.6 in 93 suspected COVID-19 patients, respectively. Positive correlations between PSS-10 and PCL-5 scores were detected (Pearson’s r=0.722, P=0.000).Conclusions The occurrence and development of PSTD of suspected COVID-19 patients have the relationship with the early perceived pressure. It suggests that medical staff should identify and intervene the perceived pressure level of patients who are under quarantine as suspected COVID-19 early and effectively, so as to reduce the occurrence of PTSD.

Citation： ZHANG Yaozhi, LIU Xiangmin, XUE Miao, LUO Lan, HE Guoqing, FENG Peilu, JIANG Xue, XIE Li. The correlation between post-traumatic stress disorder and perceived stress in suspected COVID-19 patients quarantined in hospital. Chinese Journal of Respiratory and Critical Care Medicine, 2020, 19(4): 325-329. doi: 10.7507/1671-6205.202005021 Copy

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2.	Cucinotta D, Vanelli M. WHO declares COVID-19 a pandemic. Acta Biomed, 2020, 91(1): 157-160.
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6.	Mak IW, Chu CM, Pan PC, et al. Long-term psychiatric morbidities among SARS survivors. Gen Hosp Psychiatry, 2009, 31(4): 318-326.
7.	王萱, 段莉, 王耐, 等. 知覺壓力量表的應用現狀. 承德醫學院學報, 2018, 35(3): 242-244.
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9.	Blevins CA, Weathers FW, Davis MT, et al. The posttraumatic stress disorder checklist for DSM-5 (PCL-5): development and initial psychometric evaluation. J Trauma Stress, 2015, 28(6): 489-498.
10.	Liu N, Zhang F, Wei C, et al. Prevalence and predictors of PTSS during COVID-19 outbreak in China hardest-hit areas: Gender differences matter. Psychiatry Res, 2020, 287: 112921.
11.	Verhey R, Chibanda D, Gibson L, et al. Validation of the posttraumatic stress disorder checklist - 5 (PCL-5) in a primary care population with high HIV prevalence in Zimbabwe. BMC Psychiatry, 2018, 18(1): 109.
12.	Klein EM, Brahler E, Dreier M, et al. The German version of the Perceived Stress Scale - psychometric characteristics in a representative German community sample. BMC Psychiatry, 2016, 16: 159.
13.	Sun Y, Gao L, Kan Y, et al. The Perceived Stress Scale-10 (PSS-10) is reliable and has construct validity in Chinese patients with systemic lupus erythematosus. Lupus, 2019, 28(2): 149-155.
14.	Yu Y, Yang JP, Shiu CS, et al. Psychometric testing of the Chinese version of the Medical Outcomes Study Social Support Survey among people living with HIV/AIDS in China. Appl Nurs Res, 2015, 28(4): 328-333.
15.	劉祥敏. 中醫調護 PTSD 大鼠“胎損”子代行為及相關神經遞質研究[D]. 成都中醫藥大學, 2016.
16.	路曉琳, 劉麗麗, 于洋, 等. 冠心病冠脈支架植入術后病人知覺壓力現狀與焦慮、抑郁相關性分析. 錦州醫科大學學報, 2018, 39(5): 63-67.
17.	Wu KK, Chan SK, Ma TM. Posttraumatic stress, anxiety, and depression in survivors of severe acute respiratory syndrome (SARS). J Trauma Stress, 2005, 18(1): 39-42.
18.	Lee AM, Wong JG, McAlonan GM, et al. Stress and psychological distress among SARS survivors 1 year after the outbreak. Can J Psychiatry, 2007, 52(4): 233-240.
19.	Hong X, Currier GW, Zhao X, et al. Posttraumatic stress disorder in convalescent severe acute respiratory syndrome patients: a 4-year follow-up study. Gen Hosp Psychiatry, 2009, 31(6): 546-554.
20.	Lee SM, Kang WS, Cho AR, et al. Psychological impact of the 2015 MERS outbreak on hospital workers and quarantined hemodialysis patients. Compr Psychiatry, 2018, 87: 123-127.
21.	李焱芳, 王薛瑤, 張晶, 等. 普通民眾在新冠肺炎期間的心理調查. 國際感染病學(電子版), 2020, 9(2): 308-310.
22.	宋丹, 張素娟, 郭建兵, 等. 不同性別、年級理工科大學生之間睡眠狀況、知覺壓力及應付方式的分析比較. 中國健康心理學雜志, 2019, 27(10): 1589-1592.
23.	程剛, 肖友琴. 社交焦慮障礙的性別差異及其生物學解釋. 中國健康心理學雜志, 2015, 23(2): 307-312.
24.	馬錦蓮, 黃婉婉, 李秀青, 等. 親密關系與婦科癌癥患者壓力知覺的相關性. 中國婦幼健康研究, 2019, 30(8): 1032-1036.
25.	伍嬌嬌, 馮望德, 伍振. 信陽市某醫院產后抑郁癥調查現況及相關因素分析. 中華疾病控制雜志, 2016, 20(1): 96-98.
26.	馮英凱. 新型冠狀病毒肺炎診療: 從方案更新到臨床實踐[J/OL]. 檢驗醫學與臨床: 1-5[2020-04-21].http://kns.cnki.net/kcms/detail/50.1167.R.20200227.1453.002.html.
27.	Wang C, Pan R, Wan X, et al. Immediate psychological responses and associated factors during the initial stage of the 2019 Coronavirus Disease (COVID-19) Epidemic among the general population in China. Int J Environ Res Public Health, 2020, 17(5): E1729.
28.	范志光, 袁群明. 知覺壓力對老年人抑郁的影響: 有調節的中介模型. 中國臨床心理學雜志, 2020, 28(1): 168-172+177.
29.	朱越, 沈伊默, 周霞, 等. 新型冠狀病毒肺炎疫情下負性情緒影響心理健康的條件過程模型: 人際疏離感的調節作用[J/OL]. 西南大學學報(自然科學版): 1-10[2020-04-21].http://kns.cnki.net/kcms/detail/50.1189.N.20200330.2039.006.html.
30.	Chang CM, Connor KM, Lai TJ, et al. Predictors of posttraumatic outcomes following the 1999 Taiwan earthquake. J Nerv Ment Dis, 2005, 193(1): 40-46.

1. Guo YR, Cao QD, Hong ZS, et al. The origin, transmission and clinical therapies on coronavirus disease 2019 (COVID-19) outbreak - an update on the status. Mil Med Res, 2020, 7(1): 11.
2. Cucinotta D, Vanelli M. WHO declares COVID-19 a pandemic. Acta Biomed, 2020, 91(1): 157-160.
3. 人民日報. 數據統計[EB/OL].(2020-04-21).[2020-04-21]. http://society.people.com.cn/GB/369130/431577/index.html.
4. Lee SH, Shin HS, Park HY, et al. Depression as a mediator of chronic fatigue and post-traumatic stress symptoms in Middle East respiratory syndrome survivors. Psychiatry Investig, 2019, 16(1): 59-64.
5. Xiao H, Zhang Y, Kong D, et al. The effects of social support on sleep quality of medical staff treating patients with Coronavirus Disease 2019 (COVID-19) in January and February 2020 in China. Med Sci Monit, 2020, 26: e923549.
6. Mak IW, Chu CM, Pan PC, et al. Long-term psychiatric morbidities among SARS survivors. Gen Hosp Psychiatry, 2009, 31(4): 318-326.
7. 王萱, 段莉, 王耐, 等. 知覺壓力量表的應用現狀. 承德醫學院學報, 2018, 35(3): 242-244.
8. 劉永闖. 老年人睡眠質量、知覺壓力與抑郁情況的關系研究[D]. 錦州醫科大學, 2017.
9. Blevins CA, Weathers FW, Davis MT, et al. The posttraumatic stress disorder checklist for DSM-5 (PCL-5): development and initial psychometric evaluation. J Trauma Stress, 2015, 28(6): 489-498.
10. Liu N, Zhang F, Wei C, et al. Prevalence and predictors of PTSS during COVID-19 outbreak in China hardest-hit areas: Gender differences matter. Psychiatry Res, 2020, 287: 112921.
11. Verhey R, Chibanda D, Gibson L, et al. Validation of the posttraumatic stress disorder checklist - 5 (PCL-5) in a primary care population with high HIV prevalence in Zimbabwe. BMC Psychiatry, 2018, 18(1): 109.
12. Klein EM, Brahler E, Dreier M, et al. The German version of the Perceived Stress Scale - psychometric characteristics in a representative German community sample. BMC Psychiatry, 2016, 16: 159.
13. Sun Y, Gao L, Kan Y, et al. The Perceived Stress Scale-10 (PSS-10) is reliable and has construct validity in Chinese patients with systemic lupus erythematosus. Lupus, 2019, 28(2): 149-155.
14. Yu Y, Yang JP, Shiu CS, et al. Psychometric testing of the Chinese version of the Medical Outcomes Study Social Support Survey among people living with HIV/AIDS in China. Appl Nurs Res, 2015, 28(4): 328-333.
15. 劉祥敏. 中醫調護 PTSD 大鼠“胎損”子代行為及相關神經遞質研究[D]. 成都中醫藥大學, 2016.
16. 路曉琳, 劉麗麗, 于洋, 等. 冠心病冠脈支架植入術后病人知覺壓力現狀與焦慮、抑郁相關性分析. 錦州醫科大學學報, 2018, 39(5): 63-67.
17. Wu KK, Chan SK, Ma TM. Posttraumatic stress, anxiety, and depression in survivors of severe acute respiratory syndrome (SARS). J Trauma Stress, 2005, 18(1): 39-42.
18. Lee AM, Wong JG, McAlonan GM, et al. Stress and psychological distress among SARS survivors 1 year after the outbreak. Can J Psychiatry, 2007, 52(4): 233-240.
19. Hong X, Currier GW, Zhao X, et al. Posttraumatic stress disorder in convalescent severe acute respiratory syndrome patients: a 4-year follow-up study. Gen Hosp Psychiatry, 2009, 31(6): 546-554.
20. Lee SM, Kang WS, Cho AR, et al. Psychological impact of the 2015 MERS outbreak on hospital workers and quarantined hemodialysis patients. Compr Psychiatry, 2018, 87: 123-127.
21. 李焱芳, 王薛瑤, 張晶, 等. 普通民眾在新冠肺炎期間的心理調查. 國際感染病學(電子版), 2020, 9(2): 308-310.
22. 宋丹, 張素娟, 郭建兵, 等. 不同性別、年級理工科大學生之間睡眠狀況、知覺壓力及應付方式的分析比較. 中國健康心理學雜志, 2019, 27(10): 1589-1592.
23. 程剛, 肖友琴. 社交焦慮障礙的性別差異及其生物學解釋. 中國健康心理學雜志, 2015, 23(2): 307-312.
24. 馬錦蓮, 黃婉婉, 李秀青, 等. 親密關系與婦科癌癥患者壓力知覺的相關性. 中國婦幼健康研究, 2019, 30(8): 1032-1036.
25. 伍嬌嬌, 馮望德, 伍振. 信陽市某醫院產后抑郁癥調查現況及相關因素分析. 中華疾病控制雜志, 2016, 20(1): 96-98.
26. 馮英凱. 新型冠狀病毒肺炎診療: 從方案更新到臨床實踐[J/OL]. 檢驗醫學與臨床: 1-5[2020-04-21].http://kns.cnki.net/kcms/detail/50.1167.R.20200227.1453.002.html.
27. Wang C, Pan R, Wan X, et al. Immediate psychological responses and associated factors during the initial stage of the 2019 Coronavirus Disease (COVID-19) Epidemic among the general population in China. Int J Environ Res Public Health, 2020, 17(5): E1729.
28. 范志光, 袁群明. 知覺壓力對老年人抑郁的影響: 有調節的中介模型. 中國臨床心理學雜志, 2020, 28(1): 168-172+177.
29. 朱越, 沈伊默, 周霞, 等. 新型冠狀病毒肺炎疫情下負性情緒影響心理健康的條件過程模型: 人際疏離感的調節作用[J/OL]. 西南大學學報(自然科學版): 1-10[2020-04-21].http://kns.cnki.net/kcms/detail/50.1189.N.20200330.2039.006.html.
30. Chang CM, Connor KM, Lai TJ, et al. Predictors of posttraumatic outcomes following the 1999 Taiwan earthquake. J Nerv Ment Dis, 2005, 193(1): 40-46.

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