Skip to main content
Top
Published in: BMC Psychiatry 1/2022

Open Access 01-12-2022 | Post-Traumatic Stress Disorder | Research

Prevalence of post-traumatic stress disorder symptoms among patients with mental disorder during the COVID-19 pandemic

Authors: Lirong Tang, Yue Gao, Shuangyi Qi, Jie Cui, Li Zhou, Yi Feng

Published in: BMC Psychiatry | Issue 1/2022

Login to get access

Abstract

Background

The outbreak of the COVID-19 pandemic has caused extensive public health concerns, posing significant challenges to healthcare services. One particular area of concern is the mental health of patients with mental disorder, who are often a neglected group. The aim of this study was to investigate the prevalence of, and associated factors for symptoms of post-traumatic stress disorder (PTSD) among patients with mental disorder in China during the COVID-19 pandemic.

Methods

Self-reported questionnaires were distributed to patients in four psychiatric hospitals in Beijing, China, between April 28th and May 30th, 2020. Information regarding sociodemographic characteristics, COVID-19 related factors, support, psychosomatic factors, and PTSD symptoms were collected using a series of scales, such as the Impact of Event Scale-Revised, the 7-item Generalized Anxiety Disorder Scale, the 9-item Patient Health Questionnaire depression scale, and so on. Multivariate regression was used to identify factors related to PTSD symptoms.

Results

A total of 1,055 patients with mental disorder were included in the final sample. The prevalence of PTSD symptoms was 41.3%. Hierarchical linear regression demonstrated that fear of the pandemic and anxiety were shared associated factors for both symptoms of PTSD and their subscales. Additionally, age was an associated factor for the total PTSD (β = 0.12, p < 0.01), intrusion (β = 0.18, p < 0.001), and avoidance (β = 0.1, p < 0.05) symptoms; depression was an associated factor for the total PTSD (β = 0.13, p < 0.001), intrusion (β = 0.11, p < 0.01), and hyperarousal (β = 0.19, p < 0.001) symptoms.

Conclusions

The prevalence of PTSD symptoms was high among patients with mental disorder during the COVID-19 pandemic in China. This study found that age, fear of the pandemic, anxiety and depression are significant associated factors of PTSD symptoms in patients with mental disorder during the pandemic. We call for higher awareness and introduction of PTSD interventions to relieve the psychological stress in these patients.
Literature
1.
go back to reference Pieh C, Budimir S, Probst T. The effect of age, gender, income, work, and physical activity on mental health during coronavirus disease (COVID-19) lockdown in Austria. J Psychosom Res. 2020;136:110186.PubMedPubMedCentralCrossRef Pieh C, Budimir S, Probst T. The effect of age, gender, income, work, and physical activity on mental health during coronavirus disease (COVID-19) lockdown in Austria. J Psychosom Res. 2020;136:110186.PubMedPubMedCentralCrossRef
2.
go back to reference Poyraz BC, Poyraz CA, Olgun Y, Gurel O, Alkan S, Ozdemir YE, et al. Psychiatric morbidity and protracted symptoms after COVID-19. Psychiatry Res. 2021;295:113604.PubMedCrossRef Poyraz BC, Poyraz CA, Olgun Y, Gurel O, Alkan S, Ozdemir YE, et al. Psychiatric morbidity and protracted symptoms after COVID-19. Psychiatry Res. 2021;295:113604.PubMedCrossRef
3.
go back to reference Liu D, Baumeister RF, Veilleux JC, Chen C, Liu W, Yue Y, et al. Risk factors associated with mental illness in hospital discharged patients infected with COVID-19 in Wuhan, China. Psychiatry Res. 2020;292:113297.PubMedPubMedCentralCrossRef Liu D, Baumeister RF, Veilleux JC, Chen C, Liu W, Yue Y, et al. Risk factors associated with mental illness in hospital discharged patients infected with COVID-19 in Wuhan, China. Psychiatry Res. 2020;292:113297.PubMedPubMedCentralCrossRef
4.
5.
go back to reference McGowan ML, Norris AH, Bessett D. Care Churn - Why Keeping Clinic Doors Open Isn’t Enough to Ensure Access to Abortion. N Engl J Med. 2020;383(6):508–10.PubMedCrossRef McGowan ML, Norris AH, Bessett D. Care Churn - Why Keeping Clinic Doors Open Isn’t Enough to Ensure Access to Abortion. N Engl J Med. 2020;383(6):508–10.PubMedCrossRef
6.
go back to reference Pinkham AE, Ackerman RA, Depp CA, Harvey PD, Moore RC. A Longitudinal Investigation of the Effects of the COVID-19 Pandemic on the Mental Health of Individuals with Pre-existing Severe Mental Illnesses. Psychiatry Res. 2020;294:113493.PubMedPubMedCentralCrossRef Pinkham AE, Ackerman RA, Depp CA, Harvey PD, Moore RC. A Longitudinal Investigation of the Effects of the COVID-19 Pandemic on the Mental Health of Individuals with Pre-existing Severe Mental Illnesses. Psychiatry Res. 2020;294:113493.PubMedPubMedCentralCrossRef
7.
go back to reference Fernández-Aranda F, Casas M, Claes L, Bryan DC, Favaro A, Granero R, et al. COVID-19 and implications for eating disorders. European eating disorders review: the journal of the Eating Disorders Association. 2020;28(3):239–45.CrossRef Fernández-Aranda F, Casas M, Claes L, Bryan DC, Favaro A, Granero R, et al. COVID-19 and implications for eating disorders. European eating disorders review: the journal of the Eating Disorders Association. 2020;28(3):239–45.CrossRef
8.
go back to reference Zhou J, Liu L, Xue P, Yang X, Tang X. Mental Health Response to the COVID-19 Outbreak in China. The American journal of psychiatry. 2020;177(7):574–5.PubMedCrossRef Zhou J, Liu L, Xue P, Yang X, Tang X. Mental Health Response to the COVID-19 Outbreak in China. The American journal of psychiatry. 2020;177(7):574–5.PubMedCrossRef
9.
go back to reference Sergeant. A, Reekum. EAv, Sanger. N, Dufort. A, Rosic. T, Sanger. S, et al. Impact of COVID-19 and other pandemics and epidemics on people with pre-existing mental disorders: a systematic review protocol and suggestions for clinical care. BMJ Open. 2020;10:e040229.PubMedPubMedCentralCrossRef Sergeant. A, Reekum. EAv, Sanger. N, Dufort. A, Rosic. T, Sanger. S, et al. Impact of COVID-19 and other pandemics and epidemics on people with pre-existing mental disorders: a systematic review protocol and suggestions for clinical care. BMJ Open. 2020;10:e040229.PubMedPubMedCentralCrossRef
11.
go back to reference Druss BG. Addressing the COVID-19 Pandemic in Populations With Serious Mental Illness. JAMA Psychiatry. 2020;77(9):891–2.PubMedCrossRef Druss BG. Addressing the COVID-19 Pandemic in Populations With Serious Mental Illness. JAMA Psychiatry. 2020;77(9):891–2.PubMedCrossRef
12.
go back to reference Huang Y, Wang Y, Wang H, Liu Z, Yu X, Yan J, et al. Prevalence of mental disorders in China: a cross-sectional epidemiological study. The Lancet Psychiatry. 2019;6(3):211–24.PubMedCrossRef Huang Y, Wang Y, Wang H, Liu Z, Yu X, Yan J, et al. Prevalence of mental disorders in China: a cross-sectional epidemiological study. The Lancet Psychiatry. 2019;6(3):211–24.PubMedCrossRef
13.
go back to reference Xiang YT, Zhao N, Zhao YJ, Liu Z, Zhang Q, Feng Y, et al. An overview of the expert consensus on the mental health treatment and services for major psychiatric disorders during COVID-19 outbreak: China’s experiences. Int J Biol Sci. 2020;16(13):2265–70.PubMedPubMedCentralCrossRef Xiang YT, Zhao N, Zhao YJ, Liu Z, Zhang Q, Feng Y, et al. An overview of the expert consensus on the mental health treatment and services for major psychiatric disorders during COVID-19 outbreak: China’s experiences. Int J Biol Sci. 2020;16(13):2265–70.PubMedPubMedCentralCrossRef
14.
go back to reference Vindegaard N, Benros ME. COVID-19 pandemic and mental health consequences: Systematic review of the current evidence. Brain Behav Immun. 2020;89:531–42.PubMedPubMedCentralCrossRef Vindegaard N, Benros ME. COVID-19 pandemic and mental health consequences: Systematic review of the current evidence. Brain Behav Immun. 2020;89:531–42.PubMedPubMedCentralCrossRef
15.
go back to reference Casagrande M, Favieri F, Tambelli R, Forte G. The enemy who sealed the world: effects quarantine due to the COVID-19 on sleep quality, anxiety, and psychological distress in the Italian population. Sleep Med. 2020;75:12–20.PubMedPubMedCentralCrossRef Casagrande M, Favieri F, Tambelli R, Forte G. The enemy who sealed the world: effects quarantine due to the COVID-19 on sleep quality, anxiety, and psychological distress in the Italian population. Sleep Med. 2020;75:12–20.PubMedPubMedCentralCrossRef
16.
go back to reference McCabe. D, DNP., APRN-BC., GNP. The Impact of Event Scale - Revised (IES-R). 2020. McCabe. D, DNP., APRN-BC., GNP. The Impact of Event Scale - Revised (IES-R). 2020.
17.
go back to reference Dutheil. F, Mondillon. L,. VN. PTSD as the second tsunami of the SARS-Cov-2 pandemic. Psychological medicine. 2020:1-2. Dutheil. F, Mondillon. L,. VN. PTSD as the second tsunami of the SARS-Cov-2 pandemic. Psychological medicine. 2020:1-2.
18.
go back to reference Cooke JE, Eirich R, Racine N, Madigan S. Prevalence of posttraumatic and general psychological stress during COVID-19: A rapid review and meta-analysis. Psychiatry Res. 2020;292:113347.PubMedPubMedCentralCrossRef Cooke JE, Eirich R, Racine N, Madigan S. Prevalence of posttraumatic and general psychological stress during COVID-19: A rapid review and meta-analysis. Psychiatry Res. 2020;292:113347.PubMedPubMedCentralCrossRef
19.
go back to reference Shuja KH, Aqeel M, Jaffar A, Ahmed A. COVID-19 Pandemic and Impending Global Mental Health Implications. Psychiatr Danub. 2020;32(1):32–5.PubMedCrossRef Shuja KH, Aqeel M, Jaffar A, Ahmed A. COVID-19 Pandemic and Impending Global Mental Health Implications. Psychiatr Danub. 2020;32(1):32–5.PubMedCrossRef
20.
go back to reference Xiong J, Lipsitz O, Nasri F, Lui LMW, Gill H, Phan L, et al. Impact of COVID-19 pandemic on mental health in the general population: A systematic review. J Affect Disord. 2020;277:55–64.PubMedPubMedCentralCrossRef Xiong J, Lipsitz O, Nasri F, Lui LMW, Gill H, Phan L, et al. Impact of COVID-19 pandemic on mental health in the general population: A systematic review. J Affect Disord. 2020;277:55–64.PubMedPubMedCentralCrossRef
21.
go back to reference Cenat JM, Blais-Rochette C, Kokou-Kpolou CK, Noorishad PG, Mukunzi JN, McIntee SE, et al. Prevalence of symptoms of depression, anxiety, insomnia, posttraumatic stress disorder, and psychological distress among populations affected by the COVID-19 pandemic: A systematic review and meta-analysis. Psychiatry Res. 2021;295:113599.PubMedCrossRef Cenat JM, Blais-Rochette C, Kokou-Kpolou CK, Noorishad PG, Mukunzi JN, McIntee SE, et al. Prevalence of symptoms of depression, anxiety, insomnia, posttraumatic stress disorder, and psychological distress among populations affected by the COVID-19 pandemic: A systematic review and meta-analysis. Psychiatry Res. 2021;295:113599.PubMedCrossRef
22.
go back to reference Tortella-Feliu M, Fullana MA, Perez-Vigil A, Torres X, Chamorro J, Littarelli SA, et al. Risk factors for posttraumatic stress disorder: An umbrella review of systematic reviews and meta-analyses. Neurosci Biobehav Rev. 2019;107:154–65.PubMedCrossRef Tortella-Feliu M, Fullana MA, Perez-Vigil A, Torres X, Chamorro J, Littarelli SA, et al. Risk factors for posttraumatic stress disorder: An umbrella review of systematic reviews and meta-analyses. Neurosci Biobehav Rev. 2019;107:154–65.PubMedCrossRef
23.
go back to reference Breslau N, Chase GA, Anthony JC. The uniqueness of the DSM definition of post-traumatic stress disorder: implications for research. Psychological medicine. 2002;32(4):573–6.PubMedCrossRef Breslau N, Chase GA, Anthony JC. The uniqueness of the DSM definition of post-traumatic stress disorder: implications for research. Psychological medicine. 2002;32(4):573–6.PubMedCrossRef
24.
go back to reference DiGangi JA, Gomez D, Mendoza L, Jason LA, Keys CB, Koenen KC. Pretrauma risk factors for posttraumatic stress disorder: a systematic review of the literature. Clin Psychol Rev. 2013;33(6):728–44.PubMedCrossRef DiGangi JA, Gomez D, Mendoza L, Jason LA, Keys CB, Koenen KC. Pretrauma risk factors for posttraumatic stress disorder: a systematic review of the literature. Clin Psychol Rev. 2013;33(6):728–44.PubMedCrossRef
25.
go back to reference Steel. Z, Chey. T, Silove. D, Marnane. C, Bryant. RA, Ommeren. Mv. Association of Torture and Other Potentially Traumatic Events With Mental Health Outcomes Among Populations Exposed to Mass Conflict and Displacement A Systematic Review and Meta-analysis. JAMA 2009;304(5):537–49.CrossRef Steel. Z, Chey. T, Silove. D, Marnane. C, Bryant. RA, Ommeren. Mv. Association of Torture and Other Potentially Traumatic Events With Mental Health Outcomes Among Populations Exposed to Mass Conflict and Displacement A Systematic Review and Meta-analysis. JAMA 2009;304(5):537–49.CrossRef
26.
go back to reference Shalev. AY, Gevonden. M, Ratanatharathorn. A, Laska. E, Mei. WFvd, Qi. W, et al. Estimating the risk of PTSD in recent trauma survivors: results of the International Consortium to Predict PTSD (ICPP). World Psychiatry. 2019;18:77–87.PubMedPubMedCentralCrossRef Shalev. AY, Gevonden. M, Ratanatharathorn. A, Laska. E, Mei. WFvd, Qi. W, et al. Estimating the risk of PTSD in recent trauma survivors: results of the International Consortium to Predict PTSD (ICPP). World Psychiatry. 2019;18:77–87.PubMedPubMedCentralCrossRef
27.
go back to reference Zhang Z, Feng Y, Song R, Yang D, Duan X. Prevalence of psychiatric diagnosis and related psychopathological symptoms among patients with COVID-19 during the second wave of the pandemic. Global Health. 2021;17(1):44.PubMedPubMedCentralCrossRef Zhang Z, Feng Y, Song R, Yang D, Duan X. Prevalence of psychiatric diagnosis and related psychopathological symptoms among patients with COVID-19 during the second wave of the pandemic. Global Health. 2021;17(1):44.PubMedPubMedCentralCrossRef
28.
go back to reference Association WM. World Medical Association Declaration of Helsinki: ethical principles for medical research involving human subjects. Jama. 2013;310(20):2191–4.CrossRef Association WM. World Medical Association Declaration of Helsinki: ethical principles for medical research involving human subjects. Jama. 2013;310(20):2191–4.CrossRef
29.
go back to reference Xiao-jun. W, Shi-liang. W, Yan-hong. H, Chen-jie. G, Guo-hua. S, Zhong-xia. S. Reliability and Validity of the Impact of Event Scale-Revised (IES-R) in the Isolated Population under the Epidemic Situation of COVID-19. Chinese Journal of Clinical Psychology. 2020;28(4):760-2. Xiao-jun. W, Shi-liang. W, Yan-hong. H, Chen-jie. G, Guo-hua. S, Zhong-xia. S. Reliability and Validity of the Impact of Event Scale-Revised (IES-R) in the Isolated Population under the Epidemic Situation of COVID-19. Chinese Journal of Clinical Psychology. 2020;28(4):760-2.
30.
go back to reference Wu. P, Fang. Y, Guan. Z, Fan. B, Kong. J, Yao. Z, et al. The psychological impact of the SARS epidemic on hospital employees in China: exposure, risk perception, and altruistic acceptance of risk. Can J Psychiatry. 2009;54(5):302–11.PubMedCrossRef Wu. P, Fang. Y, Guan. Z, Fan. B, Kong. J, Yao. Z, et al. The psychological impact of the SARS epidemic on hospital employees in China: exposure, risk perception, and altruistic acceptance of risk. Can J Psychiatry. 2009;54(5):302–11.PubMedCrossRef
31.
go back to reference Wang C, Pan R, Wan X, Tan Y, Xu L, Ho CS, et al. Immediate psychological responses and associated factors during the initial stage of the 2019 coronavirus disease (COVID-19) epidemic among the general population in China. Int J Environ Res Public Health. 2020;17(5):1729–53.PubMedCentralCrossRef Wang C, Pan R, Wan X, Tan Y, Xu L, Ho CS, et al. Immediate psychological responses and associated factors during the initial stage of the 2019 coronavirus disease (COVID-19) epidemic among the general population in China. Int J Environ Res Public Health. 2020;17(5):1729–53.PubMedCentralCrossRef
32.
go back to reference Spitzer. RL, Kroenke. K, Williams. JBW, Löwe. B. A Brief Measure for Assessing Generalized Anxiety Disorder. Arch Intern Med. 2006;166(10):1092–7.PubMedCrossRef Spitzer. RL, Kroenke. K, Williams. JBW, Löwe. B. A Brief Measure for Assessing Generalized Anxiety Disorder. Arch Intern Med. 2006;166(10):1092–7.PubMedCrossRef
33.
go back to reference Kroenke. K, Spitzer. RL. The PHQ-9_ A New Depression Diagnostic and Severity Measure. Psychiatric Annals. 2002;32(9):509–15.CrossRef Kroenke. K, Spitzer. RL. The PHQ-9_ A New Depression Diagnostic and Severity Measure. Psychiatric Annals. 2002;32(9):509–15.CrossRef
34.
go back to reference Ye. X, Shu. H-L, Feng. X, Xia. D-M, Wang. Z-Q, Mi. W-Y, et al. Reliability and validity of the Chinese version of the Patient Health Questionnaire-9 (C-PHQ-9) in patients with psoriasis: a cross-sectional study. BMJ Open. 2020;10:E033211.PubMedPubMedCentralCrossRef Ye. X, Shu. H-L, Feng. X, Xia. D-M, Wang. Z-Q, Mi. W-Y, et al. Reliability and validity of the Chinese version of the Patient Health Questionnaire-9 (C-PHQ-9) in patients with psoriasis: a cross-sectional study. BMJ Open. 2020;10:E033211.PubMedPubMedCentralCrossRef
35.
go back to reference Wang W, Bian Q, Zhao Y, Li X, Wang W, Du J, et al. Reliability and validity of the Chinese version of the Patient Health Questionnaire (PHQ-9) in the general population. Gen Hosp Psychiatry. 2014;36(5):539–44.PubMedCrossRef Wang W, Bian Q, Zhao Y, Li X, Wang W, Du J, et al. Reliability and validity of the Chinese version of the Patient Health Questionnaire (PHQ-9) in the general population. Gen Hosp Psychiatry. 2014;36(5):539–44.PubMedCrossRef
36.
go back to reference Del Rio Joao KA, Becker NB, de Neves Jesus S, Isabel Santos Martins R. Validation of the Portuguese version of the Pittsburgh Sleep Quality Index (PSQI-PT). Psychiatry Res. 2017;247:225–9.PubMedCrossRef Del Rio Joao KA, Becker NB, de Neves Jesus S, Isabel Santos Martins R. Validation of the Portuguese version of the Pittsburgh Sleep Quality Index (PSQI-PT). Psychiatry Res. 2017;247:225–9.PubMedCrossRef
37.
go back to reference Zimet GD, Dahlem NW, Zimet SG, Farley GK. The multidimensional scale of perceived social support. Journal of personality assessment. 1988;52(1):30–41.CrossRef Zimet GD, Dahlem NW, Zimet SG, Farley GK. The multidimensional scale of perceived social support. Journal of personality assessment. 1988;52(1):30–41.CrossRef
38.
go back to reference Wang Y, Duan Z, Ma Z, Mao Y, Li X, Wilson A, et al. Epidemiology of mental health problems among patients with cancer during COVID-19 pandemic. Transl Psychiatry. 2020;10(1):263.PubMedPubMedCentralCrossRef Wang Y, Duan Z, Ma Z, Mao Y, Li X, Wilson A, et al. Epidemiology of mental health problems among patients with cancer during COVID-19 pandemic. Transl Psychiatry. 2020;10(1):263.PubMedPubMedCentralCrossRef
39.
go back to reference Atwoli L, Stein DJ, Koenen KC, McLaughlin KA. Epidemiology of posttraumatic stress disorder: prevalence, correlates and consequences. Curr Opin Psychiatry. 2015;28(4):307–11.PubMedPubMedCentralCrossRef Atwoli L, Stein DJ, Koenen KC, McLaughlin KA. Epidemiology of posttraumatic stress disorder: prevalence, correlates and consequences. Curr Opin Psychiatry. 2015;28(4):307–11.PubMedPubMedCentralCrossRef
40.
go back to reference Li X, Li S, Xiang M, Fang Y, Qian K, Xu J, et al. The prevalence and risk factors of PTSD symptoms among medical assistance workers during the COVID-19 pandemic. J Psychosom Res. 2020;139:110270.PubMedPubMedCentralCrossRef Li X, Li S, Xiang M, Fang Y, Qian K, Xu J, et al. The prevalence and risk factors of PTSD symptoms among medical assistance workers during the COVID-19 pandemic. J Psychosom Res. 2020;139:110270.PubMedPubMedCentralCrossRef
41.
go back to reference Wang Y, Ma S, Yang C, Cai Z, Hu S, Zhang B, et al. Acute psychological effects of Coronavirus Disease 2019 outbreak among healthcare workers in China: a cross-sectional study. Transl Psychiatry. 2020;10(1):348.PubMedPubMedCentralCrossRef Wang Y, Ma S, Yang C, Cai Z, Hu S, Zhang B, et al. Acute psychological effects of Coronavirus Disease 2019 outbreak among healthcare workers in China: a cross-sectional study. Transl Psychiatry. 2020;10(1):348.PubMedPubMedCentralCrossRef
42.
go back to reference Ismail H, Marshall VD, Patel M, Tariq M, Mohammad RA. The impact of the COVID-19 pandemic on medical conditions and medication adherence in people with chronic diseases. J Am Pharmacists Association. 2021:1–6. Ismail H, Marshall VD, Patel M, Tariq M, Mohammad RA. The impact of the COVID-19 pandemic on medical conditions and medication adherence in people with chronic diseases. J Am Pharmacists Association. 2021:1–6.
43.
go back to reference Demir B, Guneysu E, Sancaktar M, Sahin SK, Elboga G, Altindag A. Effect of the COVID-19 pandemic on medication adherence in psychiatric disorders. Medicine. 2021;10(3):720–4. Demir B, Guneysu E, Sancaktar M, Sahin SK, Elboga G, Altindag A. Effect of the COVID-19 pandemic on medication adherence in psychiatric disorders. Medicine. 2021;10(3):720–4.
44.
go back to reference Stentzel U, van den Berg N, Schulze LN, Schwaneberg T, Radicke F, Langosch JM, et al. Predictors of medication adherence among patients with severe psychiatric disorders: findings from the baseline assessment of a randomized controlled trial (Tecla). BMC psychiatry. 2018;18(1):1–8.CrossRef Stentzel U, van den Berg N, Schulze LN, Schwaneberg T, Radicke F, Langosch JM, et al. Predictors of medication adherence among patients with severe psychiatric disorders: findings from the baseline assessment of a randomized controlled trial (Tecla). BMC psychiatry. 2018;18(1):1–8.CrossRef
45.
go back to reference Stander VA, Thomsen CJ, Highfill-McRoy RM. Etiology of depression comorbidity in combat-related PTSD: a review of the literature. Clin Psychol Rev. 2014;34(2):87–98.PubMedCrossRef Stander VA, Thomsen CJ, Highfill-McRoy RM. Etiology of depression comorbidity in combat-related PTSD: a review of the literature. Clin Psychol Rev. 2014;34(2):87–98.PubMedCrossRef
46.
go back to reference Wright KM, Britt TW, Bliese PD, Adler AB, Picchioni D, Moore D. Insomnia as predictor versus outcome of PTSD and depression among Iraq combat veterans. J Clin Psychol. 2011;67(12):1240–58.PubMedCrossRef Wright KM, Britt TW, Bliese PD, Adler AB, Picchioni D, Moore D. Insomnia as predictor versus outcome of PTSD and depression among Iraq combat veterans. J Clin Psychol. 2011;67(12):1240–58.PubMedCrossRef
47.
go back to reference Yang. Y, Li. W, Zhang. Q, Zhang. L, Cheung. T, Xiang. Y-T. Mental health services for older adults in China during the COVID-19 outbreak. Lancet Psychiatry. 2020;7(4):e19.PubMedPubMedCentralCrossRef Yang. Y, Li. W, Zhang. Q, Zhang. L, Cheung. T, Xiang. Y-T. Mental health services for older adults in China during the COVID-19 outbreak. Lancet Psychiatry. 2020;7(4):e19.PubMedPubMedCentralCrossRef
48.
go back to reference Kerai SM, Khan UR, Islam M, Asad N, Razzak J, Pasha O. Post-traumatic stress disorder and its predictors in emergency medical service personnel: a cross-sectional study from Karachi, Pakistan. BMC Emerg Med. 2017;17(1):26.PubMedPubMedCentralCrossRef Kerai SM, Khan UR, Islam M, Asad N, Razzak J, Pasha O. Post-traumatic stress disorder and its predictors in emergency medical service personnel: a cross-sectional study from Karachi, Pakistan. BMC Emerg Med. 2017;17(1):26.PubMedPubMedCentralCrossRef
49.
go back to reference Lee SM, Kang WS, Cho AR, Kim T, Park JK. Psychological impact of the 2015 MERS outbreak on hospital workers and quarantined hemodialysis patients. Compr Psychiatry. 2018;87:123–7.PubMedPubMedCentralCrossRef Lee SM, Kang WS, Cho AR, Kim T, Park JK. Psychological impact of the 2015 MERS outbreak on hospital workers and quarantined hemodialysis patients. Compr Psychiatry. 2018;87:123–7.PubMedPubMedCentralCrossRef
50.
go back to reference Matsumoto N, Kawaguchi J. Negative item memory and associative memory: Influences of working memory capacity, anxiety sensitivity, and looming cognition. J Behav Ther Exp Psychiatry. 2020;68:101569.PubMedCrossRef Matsumoto N, Kawaguchi J. Negative item memory and associative memory: Influences of working memory capacity, anxiety sensitivity, and looming cognition. J Behav Ther Exp Psychiatry. 2020;68:101569.PubMedCrossRef
51.
go back to reference Lee D. The convergent, discriminant, and nomological validity of the Depression Anxiety Stress Scales-21 (DASS-21). J Affect Disord. 2019;259:136–42.PubMedCrossRef Lee D. The convergent, discriminant, and nomological validity of the Depression Anxiety Stress Scales-21 (DASS-21). J Affect Disord. 2019;259:136–42.PubMedCrossRef
52.
go back to reference Zou S, Liu ZH, Yan X, Wang H, Li Y, Xu X, et al. Prevalence and correlates of fatigue and its association with quality of life among clinically stable older psychiatric patients during the COVID-19 outbreak: a cross-sectional study. Global Health. 2020;16(1):119.PubMedPubMedCentralCrossRef Zou S, Liu ZH, Yan X, Wang H, Li Y, Xu X, et al. Prevalence and correlates of fatigue and its association with quality of life among clinically stable older psychiatric patients during the COVID-19 outbreak: a cross-sectional study. Global Health. 2020;16(1):119.PubMedPubMedCentralCrossRef
53.
go back to reference Liu CH, Zhang E, Wong GTF, Hyun S, Hahm HC. Factors associated with depression, anxiety, and PTSD symptomatology during the COVID-19 pandemic: Clinical implications for U.S. young adult mental health. Psychiatry Res. 2020;290:113172.PubMedPubMedCentralCrossRef Liu CH, Zhang E, Wong GTF, Hyun S, Hahm HC. Factors associated with depression, anxiety, and PTSD symptomatology during the COVID-19 pandemic: Clinical implications for U.S. young adult mental health. Psychiatry Res. 2020;290:113172.PubMedPubMedCentralCrossRef
Metadata
Title
Prevalence of post-traumatic stress disorder symptoms among patients with mental disorder during the COVID-19 pandemic
Authors
Lirong Tang
Yue Gao
Shuangyi Qi
Jie Cui
Li Zhou
Yi Feng
Publication date
01-12-2022
Publisher
BioMed Central
Published in
BMC Psychiatry / Issue 1/2022
Electronic ISSN: 1471-244X
DOI
https://doi.org/10.1186/s12888-022-03790-w

Other articles of this Issue 1/2022

BMC Psychiatry 1/2022 Go to the issue