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Prevalence and network structure of post-traumatic stress symptoms and their association with suicidality among Chinese mental health professionals immediately following the end of China’s Dynamic Zero-COVID Policy: a national survey
Chen, Pan1,2; Zhang, Ling3; Feng, Yuan3; An, Feng Rong3; Su, Zhaohui4; Cheung, Teris5; Lok, Ka In6; Ungvari, Gabor S.7,8; Jackson, Todd9; Xiang, Yu Tao1,2; Zhang, Qinge3
2023-12-15
Source PublicationTranslational Psychiatry
ISSN2158-3188
Volume13Pages:395
Abstract

Studies on post-traumatic stress symptoms (PTSS) among mental health professionals (MHPs) are limited, particularly since restrictions due to coronavirus disease (COVID-19) have been lifted such as the recent termination of China’s Dynamic Zero-COVID Policy. The current study filled this gap by exploring the prevalence, correlates, and network structure of PTSS as well as its association with suicidality from a network analysis perspective. A cross-sectional, national survey was conducted using a convenience sampling method on MHPs between January 22 and February 10, 2023. PTSS were assessed using the Post-Traumatic Stress Disorder Checklist-Civilian version, while suicidality was assessed using standardized questions related to ideation, plans, and attempts. Univariate and multivariate analyses examined correlates of PTSS. Network analysis explored the structure of PTSS and suicidality. The centrality index of “Expected influence” was used to identify the most central symptoms in the network, reflecting the relative importance of each node in the network. The “flow” function was adopted to identify specific symptoms that were directly associated with suicidality. A total of 10,647 MHPs were included. The overall rates of PTSS and suicidality were 6.7% (n = 715; 95% CI = 6.2–7.2%) and 7.7% (n = 821; 95% CI = 7.2–8.2%), respectively. Being married (OR = 1.523; P < 0.001), quarantine experience (OR = 1.288; P < 0.001), suicidality (OR = 3.750; P < 0.001) and more severe depressive symptoms (OR = 1.229; P < 0.001) were correlates of more PTSS. Additionally, higher economic status (e.g., good vs. poor: OR = 0.324; P = 0.001) and health status (e.g., good vs. poor: OR = 0.456; P < 0.001) were correlates of reduced PTSS. PCL6 (“Avoiding thoughts”; EI = 1.189), PCL7 (“Avoiding reminders”; EI = 1.157), and PCL11 (“Feeling emotionally numb”; EI = 1.074) had the highest centrality, while PCL12 (“Negative belief”), PCL 16 (“Hypervigilance”) and PCL 14 (“Irritability”) had the strongest direct, positive associations with suicidality. A high prevalence of lingering PTSS was found among MHPs immediately after China’s “Dynamic Zero-COVID Policy” was terminated. Avoidance and hyper-arousal symptoms should be monitored among at-risk MHPs after the COVID-19 pandemic and serve as potential targets for the prevention and treatment of PTSS in this population.

DOI10.1038/s41398-023-02680-3
URLView the original
Indexed BySCIE
Language英語English
WOS Research AreaPsychiatry
WOS SubjectPsychiatry
WOS IDWOS:001125477600002
PublisherSPRINGERNATURE, CAMPUS, 4 CRINAN ST, LONDON N1 9XW, ENGLAND
Scopus ID2-s2.0-85179901163
Fulltext Access
Citation statistics
Document TypeJournal article
CollectionInstitute of Translational Medicine
Faculty of Health Sciences
DEPARTMENT OF PSYCHOLOGY
INSTITUTE OF COLLABORATIVE INNOVATION
DEPARTMENT OF PUBLIC HEALTH AND MEDICINAL ADMINISTRATION
Co-First AuthorChen, Pan; Zhang, Ling
Corresponding AuthorXiang, Yu Tao; Zhang, Qinge
Affiliation1.Unit of Psychiatry, Department of Public Health and Medicinal Administration, & Institute of Translational Medicine, Faculty of Health Sciences, University of Macau, Macao, Macao
2.Centre for Cognitive and Brain Sciences, University of Macau, Macao, Macao
3.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
4.School of Public Health, Southeast University, Nanjing, China
5.School of Nursing, Hong Kong Polytechnic University, Hong Kong
6.Faculty of Health Sciences and Sports, Macao Polytechnic University, Macao, Macao
7.University of Notre Dame Australia, Fremantle, Australia
8.Division of Psychiatry, School of Medicine, University of Western Australia/Graylands Hospital, Perth, Australia
9.Department of Psychology, University of Macau, SAR, Macao
First Author AffilicationFaculty of Health Sciences;  University of Macau
Corresponding Author AffilicationFaculty of Health Sciences;  University of Macau
Recommended Citation
GB/T 7714
Chen, Pan,Zhang, Ling,Feng, Yuan,et al. Prevalence and network structure of post-traumatic stress symptoms and their association with suicidality among Chinese mental health professionals immediately following the end of China’s Dynamic Zero-COVID Policy: a national survey[J]. Translational Psychiatry, 2023, 13, 395.
APA Chen, Pan., Zhang, Ling., Feng, Yuan., An, Feng Rong., Su, Zhaohui., Cheung, Teris., Lok, Ka In., Ungvari, Gabor S.., Jackson, Todd., Xiang, Yu Tao., & Zhang, Qinge (2023). Prevalence and network structure of post-traumatic stress symptoms and their association with suicidality among Chinese mental health professionals immediately following the end of China’s Dynamic Zero-COVID Policy: a national survey. Translational Psychiatry, 13, 395.
MLA Chen, Pan,et al."Prevalence and network structure of post-traumatic stress symptoms and their association with suicidality among Chinese mental health professionals immediately following the end of China’s Dynamic Zero-COVID Policy: a national survey".Translational Psychiatry 13(2023):395.
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