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

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.	人民日报. 数据统计[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. 知觉压力量表的应用现状. 承德医学院学报, 2018, 35(3): 242-244.
8.	刘永闯. 老年人睡眠质量、知觉压力与抑郁情况的关系研究[D]. 锦州医科大学, 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.	刘祥敏. 中医调护 PTSD 大鼠“胎损”子代行为及相关神经递质研究[D]. 成都中医药大学, 2016.
16.	路晓琳, 刘丽丽, 于洋, 等. 冠心病冠脉支架植入术后病人知觉压力现状与焦虑、抑郁相关性分析. 锦州医科大学学报, 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, 王薛瑶, 张晶, 等. 普通民众在新冠肺炎期间的心理调查. 国际感染病学(电子版), 2020, 9(2): 308-310.
22.	宋丹, 张素娟, 郭建兵, 等. 不同性别、年级理工科大学生之间睡眠状况、知觉压力及应付方式的分析比较. 中国健康心理学杂志, 2019, 27(10): 1589-1592.
23.	程刚, 肖友琴. 社交焦虑障碍的性别差异及其生物学解释. 中国健康心理学杂志, 2015, 23(2): 307-312.
24.	马锦莲, 黄婉婉, 李秀青, 等. 亲密关系与妇科癌症患者压力知觉的相关性. 中国妇幼健康研究, 2019, 30(8): 1032-1036.
25.	伍娇娇, 冯望德, 伍振. 信阳市某医院产后抑郁症调查现况及相关因素分析. 中华疾病控制杂志, 2016, 20(1): 96-98.
26.	冯英凯. 新型冠状病毒肺炎诊疗: 从方案更新到临床实践[J/OL]. 检验医学与临床: 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. 知觉压力对老年人抑郁的影响: 有调节的中介模型. 中国临床心理学杂志, 2020, 28(1): 168-172+177.
29.	朱越, 沈伊默, 周霞, 等. 新型冠状病毒肺炎疫情下负性情绪影响心理健康的条件过程模型: 人际疏离感的调节作用[J/OL]. 西南大学学报(自然科学版): 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. 人民日报. 数据统计[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. 知觉压力量表的应用现状. 承德医学院学报, 2018, 35(3): 242-244.
8. 刘永闯. 老年人睡眠质量、知觉压力与抑郁情况的关系研究[D]. 锦州医科大学, 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. 刘祥敏. 中医调护 PTSD 大鼠“胎损”子代行为及相关神经递质研究[D]. 成都中医药大学, 2016.
16. 路晓琳, 刘丽丽, 于洋, 等. 冠心病冠脉支架植入术后病人知觉压力现状与焦虑、抑郁相关性分析. 锦州医科大学学报, 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, 王薛瑶, 张晶, 等. 普通民众在新冠肺炎期间的心理调查. 国际感染病学(电子版), 2020, 9(2): 308-310.
22. 宋丹, 张素娟, 郭建兵, 等. 不同性别、年级理工科大学生之间睡眠状况、知觉压力及应付方式的分析比较. 中国健康心理学杂志, 2019, 27(10): 1589-1592.
23. 程刚, 肖友琴. 社交焦虑障碍的性别差异及其生物学解释. 中国健康心理学杂志, 2015, 23(2): 307-312.
24. 马锦莲, 黄婉婉, 李秀青, 等. 亲密关系与妇科癌症患者压力知觉的相关性. 中国妇幼健康研究, 2019, 30(8): 1032-1036.
25. 伍娇娇, 冯望德, 伍振. 信阳市某医院产后抑郁症调查现况及相关因素分析. 中华疾病控制杂志, 2016, 20(1): 96-98.
26. 冯英凯. 新型冠状病毒肺炎诊疗: 从方案更新到临床实践[J/OL]. 检验医学与临床: 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. 知觉压力对老年人抑郁的影响: 有调节的中介模型. 中国临床心理学杂志, 2020, 28(1): 168-172+177.
29. 朱越, 沈伊默, 周霞, 等. 新型冠状病毒肺炎疫情下负性情绪影响心理健康的条件过程模型: 人际疏离感的调节作用[J/OL]. 西南大学学报(自然科学版): 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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The correlation between post-traumatic stress disorder and perceived stress in suspected COVID-19 patients quarantined in hospital

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