Prevalence of Post-traumatic Stress Disorder Symptoms Among Psychiatric Patients during the COVID-19 Pandemic

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 psychiatric patients, 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 psychiatric patients 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 was collected data 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 psychiatric patients 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 its 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 s (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 psychiatric patients 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 psychiatric patients during the pandemic. We call for higher awareness and introduction of PTSD interventions to relieve the psychological stress in these patients.

Prevalence and influencing factors of post-traumatic stress disorder among Chinese healthcare workers during the COVID-19 epidemic: a systematic review and meta-analysis

“…This requires a lot of energy and concerns that their family members will have an increased risk of infection because of the nature of their work (54). In addition, most of them have not participated in public health emergencies such as SARS and H1N1 influenza epidemics, lack relevant experience, may have lower self-efficacy at work, and will face greater occupational pressure in the face of epidemics, which makes them more susceptible to stress reactions (17).…”