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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
Li, Wen1; Zhao, Yan Jie2,3,4; Zhang, Shu Fang5,6; Yang, Bingxiang7; Cheung, Teris8; Jackson, Todd9; Sha, Sha10; Xiang, Yu Tao2,3,4
2022-08-27
Source PublicationJournal of Affective Disorders
ISSN0165-0327
Volume318Pages:80-87
Abstract

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.

KeywordCovid-19 Wuhan Residents Post-traumatic Stress Disorder Symptoms Network Analysis
DOI10.1016/j.jad.2022.08.074
URLView the original
Indexed BySCIE ; SSCI
Language英語English
WOS Research AreaNeurosciences & Neurology ; Psychiatry
WOS SubjectClinical Neurology ; Psychiatry
WOS IDWOS:000863286400012
PublisherELSEVIER, RADARWEG 29, 1043 NX AMSTERDAM, NETHERLANDS
Scopus ID2-s2.0-85137304947
Fulltext Access
Citation statistics
Document TypeJournal article
CollectionDEPARTMENT OF PUBLIC HEALTH AND MEDICINAL ADMINISTRATION
Faculty of Health Sciences
Faculty of Social Sciences
DEPARTMENT OF PSYCHOLOGY
INSTITUTE OF COLLABORATIVE INNOVATION
INSTITUTE OF ADVANCED STUDIES IN HUMANITIES AND SOCIAL SCIENCES
Institute of Translational Medicine
Co-First AuthorLi, Wen; Zhao, Yan Jie
Corresponding AuthorSha, Sha; Xiang, Yu Tao
Affiliation1.Shanghai Key Laboratory of Forensic Medicine, Key Laboratory of Forensic Science, Ministry of Justice China, Shanghai Forensic Service Platform, Academy of Forensic Science, Shanghai, China
2.Unit of Psychiatry, Department of Public Health and Medicinal Administration, Institute of Translational Medicine, Faculty of Health Sciences, University of Macau, Macao
3.Centre for Cognitive and Brain Sciences, University of Macau, Macao
4.Institute of Advanced Studies in Humanities and Social Sciences, University of Macau, Macao
5.Research Center for Psychological and Health Sciences, China University of Geosciences, Wuhan, Hubei, China
6.Department of Psychiatry, Wuhan Mental Health Center, Wuhan, Hubei province, China
7.School of Nursing, Wuhan University, Wuhan, Hubei, China
8.School of Nursing, Hong Kong Polytechnic University, Hong Kong
9.Department of Psychology, University of Macau, Macao
10.The National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders, Beijing Anding Hospital & the Advanced Innovation Center for Human Brain Protection, Capital Medical University, Beijing, China
Corresponding Author AffilicationFaculty of Health Sciences;  University of Macau
Recommended Citation
GB/T 7714
Li, Wen,Zhao, Yan Jie,Zhang, Shu Fang,et al. Mapping post-traumatic stress disorder symptoms and quality of life among residents of Wuhan, China after the COVID-19 outbreak: A network perspective[J]. Journal of Affective Disorders, 2022, 318, 80-87.
APA Li, Wen., Zhao, Yan Jie., Zhang, Shu Fang., Yang, Bingxiang., Cheung, Teris., Jackson, Todd., Sha, Sha., & Xiang, Yu Tao (2022). Mapping post-traumatic stress disorder symptoms and quality of life among residents of Wuhan, China after the COVID-19 outbreak: A network perspective. Journal of Affective Disorders, 318, 80-87.
MLA Li, Wen,et al."Mapping post-traumatic stress disorder symptoms and quality of life among residents of Wuhan, China after the COVID-19 outbreak: A network perspective".Journal of Affective Disorders 318(2022):80-87.
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