Prevalence and predictors of PTSS during COVID-19 outbreak in China hardest-hit areas: Gender differences matter
Identifieur interne : 000211 ( Pmc/Checkpoint ); précédent : 000210; suivant : 000212Prevalence and predictors of PTSS during COVID-19 outbreak in China hardest-hit areas: Gender differences matter
Auteurs : Nianqi Liu [République populaire de Chine] ; Fan Zhang [République populaire de Chine] ; Cun Wei [République populaire de Chine] ; Yanpu Jia [République populaire de Chine] ; Zhilei Shang [République populaire de Chine] ; Luna Sun [République populaire de Chine] ; Lili Wu [République populaire de Chine] ; Zhuoer Sun [République populaire de Chine] ; Yaoguang Zhou [République populaire de Chine] ; Yan Wang [République populaire de Chine] ; Weizhi Liu [République populaire de Chine]Source :
- Psychiatry Research [ 0165-1781 ] ; 2020.
Abstract
The prevalence of posttraumatic stress symptoms (PTSS) in China hardest-hit areas a month after the COVID-19 outbreak was 7%. Hierarchical regression analysis and non-parametric test suggested that women reported significant higher PTSS in the domains of re-experiencing, negative alterations in cognition or mood, and hyper-arousal. Participants with better sleep quality or less frequency of early awakenings reported lower PTSS.
Url:
DOI: 10.1016/j.psychres.2020.112921
PubMed: 32240896
PubMed Central: 7102622
Affiliations:
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200433</wicri:noRegion></affiliation></author><author><name sortKey="Jia, Yanpu" sort="Jia, Yanpu" uniqKey="Jia Y" first="Yanpu" last="Jia">Yanpu Jia</name><affiliation wicri:level="1"><nlm:aff id="aff0001">Lab for Post-traumatic Stress Disorder, Faculty of Psychology and Mental Health, Naval Medical University, Shanghai 200433, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Lab for Post-traumatic Stress Disorder, Faculty of Psychology and Mental Health, Naval Medical University, Shanghai 200433</wicri:regionArea><wicri:noRegion>Shanghai 200433</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="aff0002">The Emotion & Cognition Lab, Faculty of Psychology and Mental Health, Naval Medical University, Shanghai 200433, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>The Emotion & Cognition Lab, Faculty of Psychology and Mental Health, Naval Medical University, Shanghai 200433</wicri:regionArea><wicri:noRegion>Shanghai 200433</wicri:noRegion></affiliation></author><author><name sortKey="Shang, Zhilei" sort="Shang, Zhilei" uniqKey="Shang Z" first="Zhilei" last="Shang">Zhilei Shang</name><affiliation wicri:level="1"><nlm:aff id="aff0001">Lab for Post-traumatic Stress Disorder, Faculty of Psychology and Mental Health, Naval Medical University, Shanghai 200433, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Lab for Post-traumatic Stress Disorder, Faculty of Psychology and Mental Health, Naval Medical University, Shanghai 200433</wicri:regionArea><wicri:noRegion>Shanghai 200433</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="aff0002">The Emotion & Cognition Lab, Faculty of Psychology and Mental Health, Naval Medical University, Shanghai 200433, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>The Emotion & Cognition Lab, Faculty of Psychology and Mental Health, Naval Medical University, Shanghai 200433</wicri:regionArea><wicri:noRegion>Shanghai 200433</wicri:noRegion></affiliation></author><author><name sortKey="Sun, Luna" sort="Sun, Luna" uniqKey="Sun L" first="Luna" last="Sun">Luna Sun</name><affiliation wicri:level="1"><nlm:aff id="aff0001">Lab for Post-traumatic Stress Disorder, Faculty of Psychology and Mental Health, Naval Medical University, Shanghai 200433, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Lab for Post-traumatic Stress Disorder, Faculty of Psychology and Mental Health, Naval Medical University, Shanghai 200433</wicri:regionArea><wicri:noRegion>Shanghai 200433</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="aff0002">The Emotion & Cognition Lab, Faculty of Psychology and Mental Health, Naval Medical University, Shanghai 200433, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>The Emotion & Cognition Lab, Faculty of Psychology and Mental Health, Naval Medical University, Shanghai 200433</wicri:regionArea><wicri:noRegion>Shanghai 200433</wicri:noRegion></affiliation></author><author><name sortKey="Wu, Lili" sort="Wu, Lili" uniqKey="Wu L" first="Lili" last="Wu">Lili Wu</name><affiliation wicri:level="1"><nlm:aff id="aff0001">Lab for Post-traumatic Stress Disorder, Faculty of Psychology and Mental Health, Naval Medical University, Shanghai 200433, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Lab for Post-traumatic Stress Disorder, Faculty of Psychology and Mental Health, Naval Medical University, Shanghai 200433</wicri:regionArea><wicri:noRegion>Shanghai 200433</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="aff0002">The Emotion & Cognition Lab, Faculty of Psychology and Mental Health, Naval Medical University, Shanghai 200433, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>The Emotion & Cognition Lab, Faculty of Psychology and Mental Health, Naval Medical University, Shanghai 200433</wicri:regionArea><wicri:noRegion>Shanghai 200433</wicri:noRegion></affiliation></author><author><name sortKey="Sun, Zhuoer" sort="Sun, Zhuoer" uniqKey="Sun Z" first="Zhuoer" last="Sun">Zhuoer Sun</name><affiliation wicri:level="1"><nlm:aff id="aff0001">Lab for Post-traumatic Stress Disorder, Faculty of Psychology and Mental Health, Naval Medical University, Shanghai 200433, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Lab for Post-traumatic Stress Disorder, Faculty of Psychology and Mental Health, Naval Medical University, Shanghai 200433</wicri:regionArea><wicri:noRegion>Shanghai 200433</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="aff0002">The Emotion & Cognition Lab, Faculty of Psychology and Mental Health, Naval Medical University, Shanghai 200433, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>The Emotion & Cognition Lab, Faculty of Psychology and Mental Health, Naval Medical University, Shanghai 200433</wicri:regionArea><wicri:noRegion>Shanghai 200433</wicri:noRegion></affiliation></author><author><name sortKey="Zhou, Yaoguang" sort="Zhou, Yaoguang" uniqKey="Zhou Y" first="Yaoguang" last="Zhou">Yaoguang Zhou</name><affiliation wicri:level="1"><nlm:aff id="aff0001">Lab for Post-traumatic Stress Disorder, Faculty of Psychology and Mental Health, Naval Medical University, Shanghai 200433, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Lab for Post-traumatic Stress Disorder, Faculty of Psychology and Mental Health, Naval Medical University, Shanghai 200433</wicri:regionArea><wicri:noRegion>Shanghai 200433</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="aff0002">The Emotion & Cognition Lab, Faculty of Psychology and Mental Health, Naval Medical University, Shanghai 200433, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>The Emotion & Cognition Lab, Faculty of Psychology and Mental Health, Naval Medical University, Shanghai 200433</wicri:regionArea><wicri:noRegion>Shanghai 200433</wicri:noRegion></affiliation></author><author><name sortKey="Wang, Yan" sort="Wang, Yan" uniqKey="Wang Y" first="Yan" last="Wang">Yan Wang</name><affiliation wicri:level="1"><nlm:aff id="aff0001">Lab for Post-traumatic Stress Disorder, Faculty of Psychology and Mental Health, Naval Medical University, Shanghai 200433, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Lab for Post-traumatic Stress Disorder, Faculty of Psychology and Mental Health, Naval Medical University, Shanghai 200433</wicri:regionArea><wicri:noRegion>Shanghai 200433</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="aff0002">The Emotion & Cognition Lab, Faculty of Psychology and Mental Health, Naval Medical University, Shanghai 200433, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>The Emotion & Cognition Lab, Faculty of Psychology and Mental Health, Naval Medical University, Shanghai 200433</wicri:regionArea><wicri:noRegion>Shanghai 200433</wicri:noRegion></affiliation></author><author><name sortKey="Liu, Weizhi" sort="Liu, Weizhi" uniqKey="Liu W" first="Weizhi" last="Liu">Weizhi Liu</name><affiliation wicri:level="1"><nlm:aff id="aff0001">Lab for Post-traumatic Stress Disorder, Faculty of Psychology and Mental Health, Naval Medical University, Shanghai 200433, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Lab for Post-traumatic Stress Disorder, Faculty of Psychology and Mental Health, Naval Medical University, Shanghai 200433</wicri:regionArea><wicri:noRegion>Shanghai 200433</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="aff0002">The Emotion & Cognition Lab, Faculty of Psychology and Mental Health, Naval Medical University, Shanghai 200433, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>The Emotion & Cognition Lab, Faculty of Psychology and Mental Health, Naval Medical University, Shanghai 200433</wicri:regionArea><wicri:noRegion>Shanghai 200433</wicri:noRegion></affiliation></author></analytic><series><title level="j">Psychiatry Research</title><idno type="ISSN">0165-1781</idno><idno type="eISSN">1872-7123</idno><imprint><date when="2020">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><title>Highlights</title><p><list list-type="simple" id="celist0001"><list-item id="celistitem0001"><label>•</label><p id="para0002">The prevalence of posttraumatic stress symptoms (PTSS) in China hardest-hit areas a month after the COVID-19 outbreak was 7%.</p></list-item><list-item id="celistitem0002"><label>•</label><p id="para0003">Hierarchical regression analysis and non-parametric test suggested that women reported significant higher PTSS in the domains of re-experiencing, negative alterations in cognition or mood, and hyper-arousal.</p></list-item><list-item id="celistitem0003"><label>•</label><p id="para0004">Participants with better sleep quality or less frequency of early awakenings reported lower PTSS.</p></list-item></list></p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Blevins, C A" uniqKey="Blevins C">C.A. 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<front><journal-meta><journal-id journal-id-type="nlm-ta">Psychiatry Res</journal-id><journal-id journal-id-type="iso-abbrev">Psychiatry Res</journal-id><journal-title-group><journal-title>Psychiatry Research</journal-title></journal-title-group><issn pub-type="ppub">0165-1781</issn><issn pub-type="epub">1872-7123</issn><publisher><publisher-name>Elsevier B.V.</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">32240896</article-id><article-id pub-id-type="pmc">7102622</article-id><article-id pub-id-type="publisher-id">S0165-1781(20)30545-X</article-id><article-id pub-id-type="doi">10.1016/j.psychres.2020.112921</article-id><article-id pub-id-type="publisher-id">112921</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>Prevalence and predictors of PTSS during COVID-19 outbreak in China hardest-hit areas: Gender differences matter</article-title></title-group><contrib-group><contrib contrib-type="author" id="au0001"><name><surname>Liu</surname><given-names>Nianqi</given-names></name><xref rid="aff0001" ref-type="aff">a</xref><xref rid="aff0002" ref-type="aff">b</xref><xref rid="fn1" ref-type="fn">+</xref></contrib><contrib contrib-type="author" id="au0002"><name><surname>Zhang</surname><given-names>Fan</given-names></name><xref rid="aff0001" ref-type="aff">a</xref><xref rid="aff0002" ref-type="aff">b</xref><xref rid="fn1" ref-type="fn">+</xref></contrib><contrib contrib-type="author" id="au0003"><name><surname>Wei</surname><given-names>Cun</given-names></name><xref rid="aff0001" ref-type="aff">a</xref><xref rid="fn1" ref-type="fn">+</xref></contrib><contrib contrib-type="author" id="au0004"><name><surname>Jia</surname><given-names>Yanpu</given-names></name><xref rid="aff0001" ref-type="aff">a</xref><xref rid="aff0002" ref-type="aff">b</xref><xref rid="fn1" ref-type="fn">+</xref></contrib><contrib contrib-type="author" id="au0005"><name><surname>Shang</surname><given-names>Zhilei</given-names></name><xref rid="aff0001" ref-type="aff">a</xref><xref rid="aff0002" ref-type="aff">b</xref></contrib><contrib contrib-type="author" id="au0006"><name><surname>Sun</surname><given-names>Luna</given-names></name><xref rid="aff0001" ref-type="aff">a</xref><xref rid="aff0002" ref-type="aff">b</xref></contrib><contrib contrib-type="author" id="au0007"><name><surname>Wu</surname><given-names>Lili</given-names></name><xref rid="aff0001" ref-type="aff">a</xref><xref rid="aff0002" ref-type="aff">b</xref></contrib><contrib contrib-type="author" id="au0008"><name><surname>Sun</surname><given-names>Zhuoer</given-names></name><xref rid="aff0001" ref-type="aff">a</xref><xref rid="aff0002" ref-type="aff">b</xref></contrib><contrib contrib-type="author" id="au0009"><name><surname>Zhou</surname><given-names>Yaoguang</given-names></name><xref rid="aff0001" ref-type="aff">a</xref><xref rid="aff0002" ref-type="aff">b</xref></contrib><contrib contrib-type="author" id="au0010"><name><surname>Wang</surname><given-names>Yan</given-names></name><xref rid="aff0001" ref-type="aff">a</xref><xref rid="aff0002" ref-type="aff">b</xref></contrib><contrib contrib-type="author" id="au0011"><name><surname>Liu</surname><given-names>Weizhi</given-names></name><email>13024141970@163.com</email><xref rid="aff0001" ref-type="aff">a</xref><xref rid="aff0002" ref-type="aff">b</xref><xref rid="cor0001" ref-type="corresp">⁎</xref></contrib></contrib-group><aff id="aff0001"><label>a</label>Lab for Post-traumatic Stress Disorder, Faculty of Psychology and Mental Health, Naval Medical University, Shanghai 200433, China</aff><aff id="aff0002"><label>b</label>The Emotion & Cognition Lab, Faculty of Psychology and Mental Health, Naval Medical University, Shanghai 200433, China</aff><author-notes><corresp id="cor0001"><label>⁎</label>Corresponding author: Weizhi Liu, PhD, MD, Lab for Post-traumatic Stress Disorder, Faculty of Psychology and Mental Health, Naval Medical University, #800 Xiangyin Road, Shanghai 200433, China. <email>13024141970@163.com</email></corresp><fn id="fn1"><label>+</label><p id="notep0001">These authors contributed equally to this work.</p></fn></author-notes><pub-date pub-type="pmc-release"><day>16</day><month>3</month><year>2020</year></pub-date><pmc-comment> PMC Release delay is 0 months and 0 days and was based on .</pmc-comment>
<pub-date pub-type="ppub"><month>5</month><year>2020</year></pub-date><pub-date pub-type="epub"><day>16</day><month>3</month><year>2020</year></pub-date><volume>287</volume><fpage>112921</fpage><lpage>112921</lpage><history><date date-type="received"><day>15</day><month>3</month><year>2020</year></date><date date-type="accepted"><day>15</day><month>3</month><year>2020</year></date></history><permissions><copyright-statement>© 2020 Elsevier B.V. All rights reserved.</copyright-statement><copyright-year>2020</copyright-year><copyright-holder>Elsevier B.V.</copyright-holder><license><license-p>Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.</license-p></license></permissions><abstract abstract-type="author-highlights" id="abs0001"><title>Highlights</title><p><list list-type="simple" id="celist0001"><list-item id="celistitem0001"><label>•</label><p id="para0002">The prevalence of posttraumatic stress symptoms (PTSS) in China hardest-hit areas a month after the COVID-19 outbreak was 7%.</p></list-item><list-item id="celistitem0002"><label>•</label><p id="para0003">Hierarchical regression analysis and non-parametric test suggested that women reported significant higher PTSS in the domains of re-experiencing, negative alterations in cognition or mood, and hyper-arousal.</p></list-item><list-item id="celistitem0003"><label>•</label><p id="para0004">Participants with better sleep quality or less frequency of early awakenings reported lower PTSS.</p></list-item></list></p></abstract><abstract id="abs0002"><p>The outbreak of COVID-19 in China in December 2019 has been identified as a pandemic and a health emergency of global concern. Our objective was to investigate the prevalence and predictors of posttraumatic stress symptoms (PTSS) in China hardest-hit areas during COVID-19 outbreak, especially exploring the gender difference existing in PTSS. One month after the December 2019 COVID-19 outbreak in Wuhan China, we surveyed PTSS and sleep qualities among 285 residents in Wuhan and surrounding cities using the PTSD Checklist for DSM-5 (PCL-5) and 4 items from the Pittsburgh Sleep Quality Index (PSQI). Hierarchical regression analysis and non-parametric test were used to analyze the data. Results indicated that the prevalence of PTSS in China hardest-hit areas a month after the COVID-19 outbreak was 7%. Women reported significant higher PTSS in the domains of re-experiencing, negative alterations in cognition or mood, and hyper-arousal. Participants with better sleep quality or less frequency of early awakenings reported lower PTSS. Professional and effective mental health services should be designed in order to aid the psychological wellbeing of the population in affected areas, especially those living in hardest-hit areas, females and people with poor sleep quality.</p></abstract></article-meta></front></pmc><affiliations><list><country><li>République populaire de Chine</li></country></list><tree><country name="République populaire de Chine"><noRegion><name sortKey="Liu, Nianqi" sort="Liu, Nianqi" uniqKey="Liu N" first="Nianqi" last="Liu">Nianqi Liu</name></noRegion><name sortKey="Jia, Yanpu" sort="Jia, Yanpu" uniqKey="Jia Y" first="Yanpu" last="Jia">Yanpu Jia</name><name sortKey="Jia, Yanpu" sort="Jia, Yanpu" uniqKey="Jia Y" first="Yanpu" last="Jia">Yanpu Jia</name><name sortKey="Liu, Nianqi" sort="Liu, Nianqi" uniqKey="Liu N" first="Nianqi" last="Liu">Nianqi Liu</name><name sortKey="Liu, Weizhi" sort="Liu, Weizhi" uniqKey="Liu W" first="Weizhi" last="Liu">Weizhi Liu</name><name sortKey="Liu, Weizhi" sort="Liu, Weizhi" uniqKey="Liu W" first="Weizhi" last="Liu">Weizhi Liu</name><name sortKey="Shang, Zhilei" sort="Shang, Zhilei" uniqKey="Shang Z" first="Zhilei" last="Shang">Zhilei Shang</name><name sortKey="Shang, Zhilei" sort="Shang, Zhilei" uniqKey="Shang Z" first="Zhilei" last="Shang">Zhilei Shang</name><name sortKey="Sun, Luna" sort="Sun, Luna" uniqKey="Sun L" first="Luna" last="Sun">Luna Sun</name><name sortKey="Sun, Luna" sort="Sun, Luna" uniqKey="Sun L" first="Luna" last="Sun">Luna Sun</name><name sortKey="Sun, Zhuoer" sort="Sun, Zhuoer" uniqKey="Sun Z" first="Zhuoer" last="Sun">Zhuoer Sun</name><name sortKey="Sun, Zhuoer" sort="Sun, Zhuoer" uniqKey="Sun Z" first="Zhuoer" last="Sun">Zhuoer Sun</name><name sortKey="Wang, Yan" sort="Wang, Yan" uniqKey="Wang Y" first="Yan" last="Wang">Yan Wang</name><name sortKey="Wang, Yan" sort="Wang, Yan" uniqKey="Wang Y" first="Yan" last="Wang">Yan Wang</name><name sortKey="Wei, Cun" sort="Wei, Cun" uniqKey="Wei C" first="Cun" last="Wei">Cun Wei</name><name sortKey="Wu, Lili" sort="Wu, Lili" uniqKey="Wu L" first="Lili" last="Wu">Lili Wu</name><name sortKey="Wu, Lili" sort="Wu, Lili" uniqKey="Wu L" first="Lili" last="Wu">Lili Wu</name><name sortKey="Zhang, Fan" sort="Zhang, Fan" uniqKey="Zhang F" first="Fan" last="Zhang">Fan Zhang</name><name sortKey="Zhang, Fan" sort="Zhang, Fan" uniqKey="Zhang F" first="Fan" last="Zhang">Fan Zhang</name><name sortKey="Zhou, Yaoguang" sort="Zhou, Yaoguang" uniqKey="Zhou Y" first="Yaoguang" last="Zhou">Yaoguang Zhou</name><name sortKey="Zhou, Yaoguang" sort="Zhou, Yaoguang" uniqKey="Zhou Y" first="Yaoguang" last="Zhou">Yaoguang Zhou</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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