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  • 吴荔荔,尚志蕾,张帆,孙露娜,刘伟志.2例确诊和6例疑似新型冠状病毒肺炎患者创伤后应激症状调查[J].第二军医大学学报,2020,41(2):186-190    [点击复制]
  • WU Li-li,SHANG Zhi-lei,ZHANG Fan,SUN Lu-na,LIU Wei-zhi.A preliminary study of post-traumatic stress symptoms of two confirmed and six suspected coronavirus disease 2019 patients[J].Acad J Sec Mil Med Univ,2020,41(2):186-190   [点击复制]
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2例确诊和6例疑似新型冠状病毒肺炎患者创伤后应激症状调查
吴荔荔1,2,尚志蕾1,2,张帆1,2,孙露娜1,2,刘伟志1,2*
0
(1. 海军军医大学(第二军医大学)心理系基础心理学教研室, 上海 200433;
2. 海军军医大学(第二军医大学)心理系 PTSD 防护实验室, 上海 200433
*通信作者)
摘要:
目的 分析新型冠状病毒肺炎(COVID-19)确诊和疑似患者的心理状况,并探讨其心理干预措施。方法 通过网络在线方式调查收集2例确诊和6例疑似COVID-19患者的资料。采用自编自评式一般情况问卷收集患者的人口学资料,用创伤后应激障碍自评量表5(PCL-5)评估患者创伤后应激症状,用匹兹堡睡眠质量指数量表评价患者的睡眠质量。结果 2例COVID-19确诊患者和6例疑似患者的年龄为17~71岁。女5例,男3例;7例为专科或本科以上学历,1例为高中及以下学历;5例有武汉市居民接触史。2例确诊COVID-19患者中有1例创伤后应激障碍筛查阳性,6例疑似患者中有1例创伤后应激障碍筛查阳性,8例患者侵入症状尤为明显(5例)。疫情对8例患者的睡眠质量均有不同程度的影响,主要表现为夜间易醒或早醒(5例)。PCL-5总分与睡眠质量变化趋势总体一致,PCL-5总分越高睡眠质量越差。结论 COVID-19确诊患者与疑似患者均存在不同程度的睡眠问题及创伤后应激症状,夜间易醒或早醒和侵入症状较明显,需要采取及时、有效的心理干预措施。
关键词:  创伤后应激症状  睡眠质量  严重急性呼吸综合征冠状病毒2  新型冠状病毒肺炎  心理干预
DOI:10.16781/j.0258-879x.2020.02.0186
投稿时间:2020-02-07修订日期:2020-02-15
基金项目:海军重点课程建设项目(20180925),海军院校学科专业重点项目:精神医学(2017).
A preliminary study of post-traumatic stress symptoms of two confirmed and six suspected coronavirus disease 2019 patients
WU Li-li1,2,SHANG Zhi-lei1,2,ZHANG Fan1,2,SUN Lu-na1,2,LIU Wei-zhi1,2*
(1. Department of Basic Psychology, Faculty of Psychology, Naval Medical University(Second Military Medical University), Shanghai 200433, China;
2. Lab for Post-Traumatic Stress Disorder, Faculty of Psychology, Naval Medical University(Second Military Medical University), Shanghai 200433, China
*Corresponding author)
Abstract:
Objective To explore the psychological status and interventions in confirmed and suspected coronavirus disease 2019 (COVID-19) patients. Methods The data of 2 confirmed cases and 6 suspected cases of COVID-19 were collected through the Internet. Demographic data of the patients were collected by self-designed self-assessment general situation questionnaire. Post-traumatic stress symptoms were assessed by post-traumatic stress disorder checklist for DSM-5 (PCL-5). Sleep quality was evaluated by Pittsburgh sleep quality index. Results There were 5 females and 3 males aged from 17 to 71 years old. The education level was junior college, bachelor degree and above in 7 patients, and senior high school or below in one patient. Five cases had the contact history with Wuhan residents. The screening result of post-traumatic stress symptom was positive in one confirmed case and one suspected case. Invasive symptoms presented in 5 cases. The epidemic affected the sleep quality of 8 patients in different degrees, mainly manifested as sleep fitfully at night or early morning awakening (5 cases). The total score of PCL-5 was consistent with the change trend of sleep quality. The higher the total score of PCL-5, and the worse the sleep quality. Conclusion Confirmed and suspected COVID-19 patients have sleep disorders (sleep fitfully at night or early morning awakening) and psychological trauma (invasive symptoms), and they need timely and effective psychological interventions.
Key words:  post-traumatic stress symptoms  sleep quality  severe acute respiratory syndrome coronavirus 2  coronavirus disease 2019  psychological interventions