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Mapping post-traumatic stress disorder symptoms and quality of life among residents of Wuhan, China after the COVID-19 outbreak: A network perspective

OBJECTIVES: The Coronavirus Disease 2019 (COVID-19) outbreak may have a long-term impact on mental health in the general population. This study examined inter-relationships between post-traumatic stress disorder symptoms (PTSS) and quality of life (QOL) in Wuhan residents after the COVID-19 outbreak...

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Autores principales: Li, Wen, Zhao, Yan-Jie, Zhang, Shu-Fang, Yang, Bingxiang, Cheung, Teris, Jackson, Todd, Sha, Sha, Xiang, Yu-Tao
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Published by Elsevier B.V. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9420032/
https://www.ncbi.nlm.nih.gov/pubmed/36030998
http://dx.doi.org/10.1016/j.jad.2022.08.074
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author Li, Wen
Zhao, Yan-Jie
Zhang, Shu-Fang
Yang, Bingxiang
Cheung, Teris
Jackson, Todd
Sha, Sha
Xiang, Yu-Tao
author_facet Li, Wen
Zhao, Yan-Jie
Zhang, Shu-Fang
Yang, Bingxiang
Cheung, Teris
Jackson, Todd
Sha, Sha
Xiang, Yu-Tao
author_sort Li, Wen
collection PubMed
description OBJECTIVES: The Coronavirus Disease 2019 (COVID-19) outbreak may have a long-term impact on mental health in the general population. This study examined inter-relationships between post-traumatic stress disorder symptoms (PTSS) and quality of life (QOL) in Wuhan residents after the COVID-19 outbreak using network approach. METHODS: A cross-sectional survey was conducted between May 25 and June 18, 2020. PTSS and QOL were measured using Chinese versions of the Post -Traumatic Stress Disorder Checklist - Civilian Version and the World Health Organization Quality of Life Questionnaire - brief version, respectively. RESULTS: A total of 2598 participants were included. A network analysis revealed “Avoiding reminders”, “Feeling emotionally numb”, “Avoiding thoughts”, “Hypervigilance”, and “Reliving experiences” as the most central (influential) nodes in PTSS network models both before and after controlling for covariates. The connection between “Avoiding thoughts” and “Avoiding reminders” had the strongest edge. Three symptom communities were detected and can be summarized as “re-experiencing and avoidance”, “negative changes in thinking and mood”, and “hyperarousal”. The bridge symptoms connecting PTSS and QOL were “Sleep disturbances”, “Irritability”, and “Loss of interest”. LIMITATIONS: Limitations included the cross-sectional study design, self-report measures in data collection, and lack of follow-ups beyond the initial phase of the pandemic. CONCLUSIONS: PTSS were common among Wuhan residents even after the initial COVID-19 outbreak had passed. Attention should be paid to lingering symptoms of avoiding reminders, emotional numbness, avoiding thoughts, hypervigilance, and reliving experiences in treating PTSS related to the COVID-19 outbreak.
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spelling pubmed-94200322022-08-30 Mapping post-traumatic stress disorder symptoms and quality of life among residents of Wuhan, China after the COVID-19 outbreak: A network perspective Li, Wen Zhao, Yan-Jie Zhang, Shu-Fang Yang, Bingxiang Cheung, Teris Jackson, Todd Sha, Sha Xiang, Yu-Tao J Affect Disord Research Paper OBJECTIVES: The Coronavirus Disease 2019 (COVID-19) outbreak may have a long-term impact on mental health in the general population. This study examined inter-relationships between post-traumatic stress disorder symptoms (PTSS) and quality of life (QOL) in Wuhan residents after the COVID-19 outbreak using network approach. METHODS: A cross-sectional survey was conducted between May 25 and June 18, 2020. PTSS and QOL were measured using Chinese versions of the Post -Traumatic Stress Disorder Checklist - Civilian Version and the World Health Organization Quality of Life Questionnaire - brief version, respectively. RESULTS: A total of 2598 participants were included. A network analysis revealed “Avoiding reminders”, “Feeling emotionally numb”, “Avoiding thoughts”, “Hypervigilance”, and “Reliving experiences” as the most central (influential) nodes in PTSS network models both before and after controlling for covariates. The connection between “Avoiding thoughts” and “Avoiding reminders” had the strongest edge. Three symptom communities were detected and can be summarized as “re-experiencing and avoidance”, “negative changes in thinking and mood”, and “hyperarousal”. The bridge symptoms connecting PTSS and QOL were “Sleep disturbances”, “Irritability”, and “Loss of interest”. LIMITATIONS: Limitations included the cross-sectional study design, self-report measures in data collection, and lack of follow-ups beyond the initial phase of the pandemic. CONCLUSIONS: PTSS were common among Wuhan residents even after the initial COVID-19 outbreak had passed. Attention should be paid to lingering symptoms of avoiding reminders, emotional numbness, avoiding thoughts, hypervigilance, and reliving experiences in treating PTSS related to the COVID-19 outbreak. Published by Elsevier B.V. 2022-12-01 2022-08-27 /pmc/articles/PMC9420032/ /pubmed/36030998 http://dx.doi.org/10.1016/j.jad.2022.08.074 Text en © 2022 Published by Elsevier B.V. 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.
spellingShingle Research Paper
Li, Wen
Zhao, Yan-Jie
Zhang, Shu-Fang
Yang, Bingxiang
Cheung, Teris
Jackson, Todd
Sha, Sha
Xiang, Yu-Tao
Mapping post-traumatic stress disorder symptoms and quality of life among residents of Wuhan, China after the COVID-19 outbreak: A network perspective
title Mapping post-traumatic stress disorder symptoms and quality of life among residents of Wuhan, China after the COVID-19 outbreak: A network perspective
title_full Mapping post-traumatic stress disorder symptoms and quality of life among residents of Wuhan, China after the COVID-19 outbreak: A network perspective
title_fullStr Mapping post-traumatic stress disorder symptoms and quality of life among residents of Wuhan, China after the COVID-19 outbreak: A network perspective
title_full_unstemmed Mapping post-traumatic stress disorder symptoms and quality of life among residents of Wuhan, China after the COVID-19 outbreak: A network perspective
title_short Mapping post-traumatic stress disorder symptoms and quality of life among residents of Wuhan, China after the COVID-19 outbreak: A network perspective
title_sort mapping post-traumatic stress disorder symptoms and quality of life among residents of wuhan, china after the covid-19 outbreak: a network perspective
topic Research Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9420032/
https://www.ncbi.nlm.nih.gov/pubmed/36030998
http://dx.doi.org/10.1016/j.jad.2022.08.074
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