Post-traumatic stress symptoms in hemodialysis patients with MERS-CoV exposure
Identifieur interne : 000343 ( Pmc/Curation ); précédent : 000342; suivant : 000344Post-traumatic stress symptoms in hemodialysis patients with MERS-CoV exposure
Auteurs : A Jin Cho [Corée du Sud] ; Hong-Seock Lee [Corée du Sud] ; Young-Ki Lee [Corée du Sud] ; Hee Jung Jeon [Corée du Sud] ; Hayne Cho Park [Corée du Sud] ; Da-Wun Jeong [Corée du Sud] ; Yang-Gyun Kim [Corée du Sud] ; Sang-Ho Lee [Corée du Sud] ; Chang-Hee Lee [Corée du Sud] ; Kyung Don Yoo [Corée du Sud] ; Ae Kyeong Wong [Corée du Sud]Source :
- Biopsychosocial Medicine [ 1751-0759 ] ; 2020.
Abstract
Post-traumatic stress symptoms can occur in patients with medical illness. During the Middle East Respiratory Syndrome (MERS) outbreak in South Korea in 2015, some dialysis patients in three centers who were incidentally exposed to patients or medical staff with confirmed MERS-CoV infection were isolated to interrupt the spread of the infection. We aimed to investigate post-traumatic stress symptoms and risk factors among these patients.
In total, 116 hemodialysis (HD) patients in contact with MERS-CoV-confirmed subjects were isolated using three strategies, namely, single room isolation, cohort isolation, and self-quarantine. We used the Impact of Event Scale-Revised-Korean (IES-R-K) to examine post-traumatic stress symptoms at 12 months after the isolation period.
Of the 116 HD patients, 27 were lost to follow-up. Of the 89 patients, 67 (75.3%) completed the questionnaires. Single room isolation was used on 40 (58.8%) of the patients, cohort isolation on 20 (29.4%), and self-imposed quarantine on 8 (11.8%). In total, 17.9% of participants (
MERS was a traumatic experience for quarantined HD patients. IES-R-K scores were not significantly different by isolation methods. However, short isolation was associated with post-traumatic stress symptoms.
Url:
DOI: 10.1186/s13030-020-00181-z
PubMed: NONE
PubMed Central: 7156895
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wicri:level="1"><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="GRID">grid.256753.0</institution-id><institution-id institution-id-type="ISNI">0000 0004 0470 5964</institution-id><institution>Department of Internal Medicine, Kangnam Sacred Heart Hospital,</institution><institution>Hallym University College of Medicine,</institution></institution-wrap>1, Singil-ro, Yeongdeungpo-gu, Seoul, 07441 South Korea</nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>1, Singil-ro, Yeongdeungpo-gu, Seoul</wicri:regionArea></affiliation></author><author><name sortKey="Lee, Hong Seock" sort="Lee, Hong Seock" uniqKey="Lee H" first="Hong-Seock" last="Lee">Hong-Seock Lee</name><affiliation wicri:level="1"><nlm:aff id="Aff2"><institution-wrap><institution-id institution-id-type="GRID">grid.256753.0</institution-id><institution-id institution-id-type="ISNI">0000 0004 0470 5964</institution-id><institution>Hallym University College of Medicine, 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Jung" last="Jeon">Hee Jung Jeon</name><affiliation wicri:level="1"><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="GRID">grid.256753.0</institution-id><institution-id institution-id-type="ISNI">0000 0004 0470 5964</institution-id><institution>Department of Internal Medicine, Kangnam Sacred Heart Hospital,</institution><institution>Hallym University College of Medicine,</institution></institution-wrap>1, Singil-ro, Yeongdeungpo-gu, Seoul, 07441 South Korea</nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>1, Singil-ro, Yeongdeungpo-gu, Seoul</wicri:regionArea></affiliation></author><author><name sortKey="Park, Hayne Cho" sort="Park, Hayne Cho" uniqKey="Park H" first="Hayne Cho" last="Park">Hayne Cho Park</name><affiliation wicri:level="1"><nlm:aff id="Aff3"><institution-wrap><institution-id institution-id-type="GRID">grid.413897.0</institution-id><institution-id institution-id-type="ISNI">0000 0004 0624 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first="Yang-Gyun" last="Kim">Yang-Gyun Kim</name><affiliation wicri:level="1"><nlm:aff id="Aff4"><institution-wrap><institution-id institution-id-type="GRID">grid.289247.2</institution-id><institution-id institution-id-type="ISNI">0000 0001 2171 7818</institution-id><institution>Internal Medicine,</institution><institution>Kyung Hee University at Kangdong,</institution></institution-wrap>Seoul, Republic of Korea</nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Seoul</wicri:regionArea></affiliation></author><author><name sortKey="Lee, Sang Ho" sort="Lee, Sang Ho" uniqKey="Lee S" first="Sang-Ho" last="Lee">Sang-Ho Lee</name><affiliation wicri:level="1"><nlm:aff id="Aff4"><institution-wrap><institution-id institution-id-type="GRID">grid.289247.2</institution-id><institution-id institution-id-type="ISNI">0000 0001 2171 7818</institution-id><institution>Internal Medicine,</institution><institution>Kyung Hee University at 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University Hospital,</institution></institution-wrap>Ulsan, Republic of Korea</nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Ulsan</wicri:regionArea></affiliation></author><author><name sortKey="Wong, Ae Kyeong" sort="Wong, Ae Kyeong" uniqKey="Wong A" first="Ae Kyeong" last="Wong">Ae Kyeong Wong</name><affiliation wicri:level="1"><nlm:aff id="Aff2"><institution-wrap><institution-id institution-id-type="GRID">grid.256753.0</institution-id><institution-id institution-id-type="ISNI">0000 0004 0470 5964</institution-id><institution>Hallym University College of Medicine, Psychiatry,</institution></institution-wrap>Seoul, Republic of Korea</nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Seoul</wicri:regionArea></affiliation></author></analytic><series><title level="j">Biopsychosocial Medicine</title><idno type="eISSN">1751-0759</idno><imprint><date when="2020">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p id="Par1">Post-traumatic stress symptoms can occur in patients with medical illness. During the Middle East Respiratory Syndrome (MERS) outbreak in South Korea in 2015, some dialysis patients in three centers who were incidentally exposed to patients or medical staff with confirmed MERS-CoV infection were isolated to interrupt the spread of the infection. We aimed to investigate post-traumatic stress symptoms and risk factors among these patients.</p></sec><sec><title>Materials and methods</title><p id="Par2">In total, 116 hemodialysis (HD) patients in contact with MERS-CoV-confirmed subjects were isolated using three strategies, namely, single room isolation, cohort isolation, and self-quarantine. We used the Impact of Event Scale-Revised-Korean (IES-R-K) to examine post-traumatic stress symptoms at 12 months after the isolation period.</p></sec><sec><title>Results</title><p id="Par3">Of the 116 HD patients, 27 were lost to follow-up. Of the 89 patients, 67 (75.3%) completed the questionnaires. Single room isolation was used on 40 (58.8%) of the patients, cohort isolation on 20 (29.4%), and self-imposed quarantine on 8 (11.8%). In total, 17.9% of participants (<italic>n</italic> = 12) reported post-traumatic stress symptoms exceeding the IES-R-K’s cutoff point (≧18). Prevalence rates of IES-R-K ≧18 did not differ significantly according to isolation method. However, isolation duration was linearly associated with the IES-R-K score (standardized β coefficient − 0.272, <italic>P</italic> = 0.026). Scores in <italic>Avoidance, Emotional numbing and Dissociation</italic> subscale were higher in patients with longer isolation period.</p></sec><sec><title>Conclusion</title><p id="Par4">MERS was a traumatic experience for quarantined HD patients. IES-R-K scores were not significantly different by isolation methods. 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<front><journal-meta><journal-id journal-id-type="nlm-ta">Biopsychosoc Med</journal-id><journal-id journal-id-type="iso-abbrev">Biopsychosoc Med</journal-id><journal-title-group><journal-title>Biopsychosocial Medicine</journal-title></journal-title-group><issn pub-type="epub">1751-0759</issn><publisher><publisher-name>BioMed Central</publisher-name><publisher-loc>London</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmc">7156895</article-id><article-id pub-id-type="publisher-id">181</article-id><article-id pub-id-type="doi">10.1186/s13030-020-00181-z</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research</subject></subj-group></article-categories><title-group><article-title>Post-traumatic stress symptoms in hemodialysis patients with MERS-CoV exposure</article-title></title-group><contrib-group><contrib contrib-type="author" equal-contrib="yes"><name><surname>Cho</surname><given-names>A Jin</given-names></name><xref ref-type="aff" rid="Aff1">1</xref></contrib><contrib contrib-type="author" equal-contrib="yes"><name><surname>Lee</surname><given-names>Hong-Seock</given-names></name><xref ref-type="aff" rid="Aff2">2</xref></contrib><contrib contrib-type="author" corresp="yes"><name><surname>Lee</surname><given-names>Young-Ki</given-names></name><address><email>km2071@naver.com</email></address><xref ref-type="aff" rid="Aff1">1</xref></contrib><contrib contrib-type="author"><name><surname>Jeon</surname><given-names>Hee Jung</given-names></name><xref ref-type="aff" rid="Aff1">1</xref></contrib><contrib contrib-type="author"><name><surname>Park</surname><given-names>Hayne Cho</given-names></name><xref ref-type="aff" rid="Aff3">3</xref></contrib><contrib contrib-type="author"><name><surname>Jeong</surname><given-names>Da-Wun</given-names></name><xref ref-type="aff" rid="Aff4">4</xref></contrib><contrib contrib-type="author"><name><surname>Kim</surname><given-names>Yang-Gyun</given-names></name><xref ref-type="aff" rid="Aff4">4</xref></contrib><contrib contrib-type="author"><name><surname>Lee</surname><given-names>Sang-Ho</given-names></name><xref ref-type="aff" rid="Aff4">4</xref></contrib><contrib contrib-type="author"><name><surname>Lee</surname><given-names>Chang-Hee</given-names></name><xref ref-type="aff" rid="Aff5">5</xref></contrib><contrib contrib-type="author"><name><surname>Yoo</surname><given-names>Kyung Don</given-names></name><xref ref-type="aff" rid="Aff6">6</xref></contrib><contrib contrib-type="author"><name><surname>Wong</surname><given-names>Ae Kyeong</given-names></name><xref ref-type="aff" rid="Aff2">2</xref></contrib><aff id="Aff1"><label>1</label><institution-wrap><institution-id institution-id-type="GRID">grid.256753.0</institution-id><institution-id institution-id-type="ISNI">0000 0004 0470 5964</institution-id><institution>Department of Internal Medicine, Kangnam Sacred Heart Hospital,</institution><institution>Hallym University College of Medicine,</institution></institution-wrap>1, Singil-ro, Yeongdeungpo-gu, Seoul, 07441 South Korea</aff><aff id="Aff2"><label>2</label><institution-wrap><institution-id institution-id-type="GRID">grid.256753.0</institution-id><institution-id institution-id-type="ISNI">0000 0004 0470 5964</institution-id><institution>Hallym University College of Medicine, Psychiatry,</institution></institution-wrap>Seoul, Republic of Korea</aff><aff id="Aff3"><label>3</label><institution-wrap><institution-id institution-id-type="GRID">grid.413897.0</institution-id><institution-id institution-id-type="ISNI">0000 0004 0624 2238</institution-id><institution>Department of Internal Medicine,</institution><institution>Armed Forces Capital Hospital,</institution></institution-wrap>Seongnam, South Korea</aff><aff id="Aff4"><label>4</label><institution-wrap><institution-id institution-id-type="GRID">grid.289247.2</institution-id><institution-id institution-id-type="ISNI">0000 0001 2171 7818</institution-id><institution>Internal Medicine,</institution><institution>Kyung Hee University at Kangdong,</institution></institution-wrap>Seoul, Republic of Korea</aff><aff id="Aff5"><label>5</label>Gangeung Medical Center, Anesthesiology, Gangeung, Republic of Korea</aff><aff id="Aff6"><label>6</label><institution-wrap><institution-id institution-id-type="GRID">grid.412830.c</institution-id><institution-id institution-id-type="ISNI">0000 0004 0647 7248</institution-id><institution>Internal Medicine,</institution><institution>Ulsan University Hospital,</institution></institution-wrap>Ulsan, Republic of Korea</aff></contrib-group><pub-date pub-type="epub"><day>15</day><month>4</month><year>2020</year></pub-date><pub-date pub-type="pmc-release"><day>15</day><month>4</month><year>2020</year></pub-date><pub-date pub-type="collection"><year>2020</year></pub-date><volume>14</volume><elocation-id>9</elocation-id><history><date date-type="received"><day>13</day><month>10</month><year>2019</year></date><date date-type="accepted"><day>23</day><month>3</month><year>2020</year></date></history><permissions><copyright-statement>© The Author(s) 2020</copyright-statement><license license-type="OpenAccess"><license-p><bold>Open Access</bold>This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit <ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/4.0/">http://creativecommons.org/licenses/by/4.0/</ext-link>. The Creative Commons Public Domain Dedication waiver (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/publicdomain/zero/1.0/">http://creativecommons.org/publicdomain/zero/1.0/</ext-link>) applies to the data made available in this article, unless otherwise stated in a credit line to the data.</license-p></license></permissions><abstract id="Abs1"><sec><title>Background</title><p id="Par1">Post-traumatic stress symptoms can occur in patients with medical illness. During the Middle East Respiratory Syndrome (MERS) outbreak in South Korea in 2015, some dialysis patients in three centers who were incidentally exposed to patients or medical staff with confirmed MERS-CoV infection were isolated to interrupt the spread of the infection. We aimed to investigate post-traumatic stress symptoms and risk factors among these patients.</p></sec><sec><title>Materials and methods</title><p id="Par2">In total, 116 hemodialysis (HD) patients in contact with MERS-CoV-confirmed subjects were isolated using three strategies, namely, single room isolation, cohort isolation, and self-quarantine. We used the Impact of Event Scale-Revised-Korean (IES-R-K) to examine post-traumatic stress symptoms at 12 months after the isolation period.</p></sec><sec><title>Results</title><p id="Par3">Of the 116 HD patients, 27 were lost to follow-up. Of the 89 patients, 67 (75.3%) completed the questionnaires. Single room isolation was used on 40 (58.8%) of the patients, cohort isolation on 20 (29.4%), and self-imposed quarantine on 8 (11.8%). In total, 17.9% of participants (<italic>n</italic> = 12) reported post-traumatic stress symptoms exceeding the IES-R-K’s cutoff point (≧18). Prevalence rates of IES-R-K ≧18 did not differ significantly according to isolation method. However, isolation duration was linearly associated with the IES-R-K score (standardized β coefficient − 0.272, <italic>P</italic> = 0.026). Scores in <italic>Avoidance, Emotional numbing and Dissociation</italic> subscale were higher in patients with longer isolation period.</p></sec><sec><title>Conclusion</title><p id="Par4">MERS was a traumatic experience for quarantined HD patients. IES-R-K scores were not significantly different by isolation methods. However, short isolation was associated with post-traumatic stress symptoms.</p></sec></abstract><kwd-group xml:lang="en"><title>Keywords</title><kwd>Post-traumatic stress symptom</kwd><kwd>Hemodialysis</kwd><kwd>Middle East respiratory syndrome</kwd></kwd-group><funding-group><award-group><funding-source><institution>The Ministry of Health & Welfare, Republic of Korea </institution></funding-source><award-id>HI15C3227</award-id><principal-award-recipient><name><surname>Lee</surname><given-names>Young-Ki</given-names></name></principal-award-recipient></award-group></funding-group><custom-meta-group><custom-meta><meta-name>issue-copyright-statement</meta-name><meta-value>© The Author(s) 2020</meta-value></custom-meta></custom-meta-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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