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Published in: BMC Public Health 1/2024

Open Access 01-12-2024 | Mood Disorders | Research

The impact of isolation on comorbidity of PTSD symptoms and depression: evidence from PTRP-5-6 in China

Authors: Wenjie Yan, Zhilei Shang, Lili Wu, Hongli Lv, Yanpu Jia, Jingye Zhan, Jing Wang, Hui Ouyang, Weizhi Liu, Wenfang Chen

Published in: BMC Public Health | Issue 1/2024

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Abstract

Background

The Omicron pandemic struck Shanghai, China, resulting in impairments of both physical and psychological health on those patients who were confirmed and transferred to the Fangcang shelters. The way of isolation led to high risk of posttraumatic stress symptoms (PTSS) and depressive symptoms among the patients in Fangcang shelters. We aim to estimate the prevalence and comorbidity of PTSS and depressive symptoms in patients from China’s Fangcang shelters during the epidemic.

Methods

Demographic information questionnaire, the posttraumatic stress disorder checklist for DSM-5 (PCL-5), and Patient Health Questionnaire (PHQ-9) were used in the study. The data were collected online via mobile phones during 10th April to 20th April, 2022, as part of our Psychological Trauma Recover Project-5-6 (PTRP-5-6), a longitudinal study focusing on individuals who have experienced trauma.

Results

A total of 336 subjects were included in the analysis. The results revealed (1) the prevalence of depressive symptoms, and PTSS were 30.1% (cut-off = 10) and 6% (cut-off = 33); (2) Multiple logistic regression showed that female (OR = 3.04, p < 0.05), suffering from dyspnea (OR = 5.83, p < 0.05) or gastrointestinal symptoms (OR = 6.38, p < 0.05) were risk factors for PTSS; higher education level (OR = 3.27, p < 0.05) and suffering from dizziness or headache (OR = 2.46, p < 0.05) were risk factors for depressive symptoms; (3)Respectively, 85% of the patients who reported PTSS also experienced depressive symptoms, 16.8% of the patients who reported depressive symptoms presented PTSS.

Conclusion

In the context of COVID-19, the comorbidity rate of PTSS and depressive symptoms among patients in Fangcang shelters increased with the severity of depressive symptoms.
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Metadata
Title
The impact of isolation on comorbidity of PTSD symptoms and depression: evidence from PTRP-5-6 in China
Authors
Wenjie Yan
Zhilei Shang
Lili Wu
Hongli Lv
Yanpu Jia
Jingye Zhan
Jing Wang
Hui Ouyang
Weizhi Liu
Wenfang Chen
Publication date
01-12-2024
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2024
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-023-17450-5

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