Posttraumatic stress symptoms of health care workers during the corona virus disease 2019

Yin, Qianlan; Sun, Zhuoer; Liu, Tuanjie; Ni, Xiong; Deng, Xuanfeng; Jia, Yanpu; Shang, Zhilei; Zhou, Yaoguang; Liu, Weizhi

doi:10.1002/cpp.2477

Cited by 238COVID-19 and Mental HealthPosttraumatic Stress Disorder ResearchLong-Term Effects of COVID-19

Posttraumatic stress symptoms of health care workers during the corona virus disease 2019

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Yin, Qianlan, Sun, Zhuoer, Liu, Tuanjie, Ni, Xiong, Deng, Xuanfeng, Jia, Yanpu, Shang, Zhilei, Zhou, Yaoguang +1 more·2020·Clinical Psychology & Psychotherapy

DOI 10.1002/cpp.2477PMC PMC7276761

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Abstract

Corona virus disease 2019 (COVID-19) outbreak has attracted worldwide attention. The COVID-19 outbreak is unique in its rapid transmission and results in heavy stress for the front-line health care workers (HCWs). The current study aimed to exam posttraumatic stress symptoms (PTSSs) of HCWs fighting for the COVID-19 and to evaluate their sleep quality after 1-month stressful suffering. Three hundred seventy-seven HCWs working in different provinces of China participated in the survey between February 1 and 5. The demographic information was collected first. Posttraumatic Stress Disorder Checklist for DSM-5 (PCL-5) and the Pittsburgh Sleep Quality Index (PSQI) were selected to measure PTSSs and sleep quality. Results showed that 1 month after the outbreak, the prevalence of PTSSs was 3.8% in HCWs. Female HCWs were more vulnerable to PTSSs with hazard ratio of 2.136 (95% CI = 1.388-3.286). HCWs with higher exposure level also significantly rated more hyperarousal symptoms (hazard ratio = 4.026, 95% CI = 1.233-13.140). There was a significant difference of sleep quality between participants with and without PTSSs (z value = 6.014, p < .001) and among different groups with various contact frequencies (chi-square = 7.307, p = .026). Path analysis showed that there was a significant indirect effect from exposure level to PTSSs through sleep quality (coefficient = 1.750, 95% CI of Boostroop test = 0.543-2.998). In summary, targeted interventions on sleep contribute to the mental recovery during the outbreak of COVID-19. Understanding the mental health response after a public health emergency might help HCWs and communities prepare for a population's response to disaster.

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The prevalence of PTSS in the current sample seemed higher than that recently reported in two other studies and was similar to another recent study conducted among HCWs.
“The prevalence of PTSS in the current sample seemed higher than that recently reported in two other studies [6,35] and was similar to another recent study conducted among HCWs [36].”
From Associations between COVID-19 Work-Related Stressors and Posttraumatic Stress Symptoms among Chinese Doctors and Nurses: Application of Stress-Coping Theory (2022) · cites this paper as [35]

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Authors: Yin, Q., Sun, Z., Liu, T., Ni, X., Deng, X., Jia, Y., Shang, Z., Zhou, Y., & Liu, W.
Affiliations: Second Military Medical University (CN)
Shanghai First People's Hospital (CN)
Department of psychology Xianyang Psychiatric Hospital Xianyang China
Corresponding author: Liu, Weizhi
ORCID: Yin, Qianlan
Sun, Zhuoer
Ni, Xiong
Shang, Zhilei
Zhou, Yaoguang
Liu, Weizhi
Venue: Clinical Psychology & Psychotherapy
Publisher: Wiley
Published: 2020-05
Volume: 27
Issue: 3
Pages: 384-395
ISSN: 1063-3995 (ISSN-L)
1099-0879
DOI: 10.1002/cpp.2477
PMC: PMC7276761
OpenAlex: W3024219933
Cited by: 237
References: 45
Citations by year: 2026: 3 · 2025: 8 · 2024: 26 · 2023: 27 · 2022: 67 · 2021: 80 · 2020: 26
FWCI: 20.02
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor, 30 d)
Locations: Clinical Psychology & Psychotherapy (publishedVersion)
PubMed Central (publishedVersion)
PubMed (publishedVersion)
Topics: Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
Health Sciences › Medicine › Neurology › Long-Term Effects of COVID-19
Keywords: posttraumatic stress symptoms, healthcare workers, COVID-19 pandemic, sleep quality, hyperarousal, occupational exposure, gender differences, public health emergencies, disaster mental health, frontline workers
MeSH terms: Betacoronavirus, COVID-19, SARS-CoV-2, Adolescent, Adult, China, Cross-Sectional Studies, Female, Health Personnel, Humans, Male, Middle Aged, Pneumonia, Viral, Stress Disorders, Post-Traumatic, Coronavirus Infections, Young Adult, Pandemics

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Posttraumatic stress symptoms of health care workers during the corona virus disease 2019

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