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Clinical psychology & psychotherapy 创伤后应激症状的卫生保健工作者在电晕病毒疾病的 2019.

影响因子：3.198 DOI：10.1002/cpp.2477

作者： Yin Q,Sun Z,Liu T,Ni X,Deng X,Jia Y,Shang Z,Zhou Y,Liu W 发表时间：2020-07-15 19:21:19

from：《CLINICAL PSYCHOLOGY & PSYCHOTHERAPY》

keywords： Yin QSun ZLiu TNi XDeng XJia YShang ZZhou YLiu W

关键词：新型冠状病毒肺炎创伤后应激障碍卫生保健工作者心理指导睡眠质量

Abstract

:Corona virus disease 2019 (COVID-19) outbreak has attracted worldwide attention. The COVID-19 outbreak is unique in its rapid transmission and results in heavy stress for the front-line health care workers (HCWs). The current study aimed to exam posttraumatic stress symptoms (PTSSs) of HCWs fighting for the COVID-19 and to evaluate their sleep quality after 1-month stressful suffering. Three hundred seventy-seven HCWs working in different provinces of China participated in the survey between February 1 and 5. The demographic information was collected first. Posttraumatic Stress Disorder Checklist for DSM-5 (PCL-5) and the Pittsburgh Sleep Quality Index (PSQI) were selected to measure PTSSs and sleep quality. Results showed that 1 month after the outbreak, the prevalence of PTSSs was 3.8% in HCWs. Female HCWs were more vulnerable to PTSSs with hazard ratio of 2.136 (95% CI = 1.388-3.286). HCWs with higher exposure level also significantly rated more hyperarousal symptoms (hazard ratio = 4.026, 95% CI = 1.233-13.140). There was a significant difference of sleep quality between participants with and without PTSSs (z value = 6.014, p < .001) and among different groups with various contact frequencies (chi-square = 7.307, p = .026). Path analysis showed that there was a significant indirect effect from exposure level to PTSSs through sleep quality (coefficient = 1.750, 95% CI of Boostroop test = 0.543-2.998). In summary, targeted interventions on sleep contribute to the mental recovery during the outbreak of COVID-19. Understanding the mental health response after a public health emergency might help HCWs and communities prepare for a population's response to disaster.

摘要

: 电晕病毒疾病 2019 (新型冠状病毒肺炎) 爆发引起了全世界的广泛关注.新型冠状病毒肺炎疫情的特点是传播迅速，给一线医护人员带来了巨大压力。目前的研究旨在检查新型冠状病毒肺炎战斗的HCWs的创伤后应激症状 (PTSSs)，并评估他们在 1 个月压力痛苦后的睡眠质量。在 2 月 1 日至 5 日期间，在中国不同省份工作的 377 名医务人员参与了这项调查。首先收集了人口信息。选择DSM-5 (PCL-5) 创伤后应激障碍检查表和匹兹堡睡眠质量指数 (PSQI) 测量PTSSs和睡眠质量。结果显示，暴发后 1 个月，HCWs中PTSSs的患病率为 3.8%。女性HCWs更容易受到PTSSs的影响，风险比为 2.136 (95% CI = 1.388-3.286)。具有较高暴露水平的HCWs也显著评价更多的过度唤醒症状 (风险比 = 4.026，95% CI = 1.233-13.140)。有PTSSs和无PTSSs的参与者之间的睡眠质量差异有统计学意义 (z值 = 6.014，p <.001)，不同接触频率的参与者之间的睡眠质量差异有统计学意义 (卡方 = 7.307，p = .026)。通径分析显示，从暴露水平到PTSSs通过睡眠质量存在显著的间接效应 (系数 = 1.750，Boostroop检验的 95% CI = 0.543-2.998)。总之，有针对性的睡眠干预有助于新型冠状病毒肺炎爆发期间的精神恢复。了解突发公共卫生事件后精神卫生的应对措施可能有助于医疗工作者和社区为人口应对灾难做好准备。

期刊介绍

《CLINICAL PSYCHOLOGY & PSYCHOTHERAPY》 (点击进入期刊详情)

英文简介 : Clinical Psychology & Psychotherapy aims to keep clinical psychologists and psychotherapists up to date with new developments in their fields. The Journal will provide an integrative impetus both between theory and practice and between different orientations within clinical psychology and psychotherapy. Clinical Psychology & Psychotherapy will be a forum in which practitioners can present their wealth of expertise and innovations in order to make these available to a wider audience. Equally, the Journal will contain reports from researchers who want to address a larger clinical audience with clinically relevant issues and clinically valid research. The journal is primarily focused on clinical studies of clinical populations and therefore no longer normally accepts student-based studies. This is a journal for those who want to inform and be informed about the challenging field of clinical psychology and psychotherapy.

中文简介 : （来自Google、百度翻译）临床心理学与心理治疗的目的是使临床心理学家和心理治疗师跟上他们领域的最新发展。该杂志将提供理论和实践之间以及临床心理学和心理治疗的不同取向之间的综合动力。临床心理学和心理治疗将是一个论坛，从业者可以在其中展示他们的丰富的专业知识和创新，以使这些更广泛的观众。同样，该杂志将包含研究人员的报告，他们希望用临床相关的问题和临床有效的研究来解决更多的临床观众。该杂志主要关注临床人群的临床研究，因此不再接受以学生为基础的研究。这是一本为那些想要了解和了解临床心理学和心理治疗的挑战性领域的人准备的杂志。

CIRCULATION RESEARCH 期刊中科院评价数据

新中科院分区

大类(学科)	小类(学科)	学科排名
医学	PSYCHOLOGY, CLINICAL (心理学：临床)	41/127

新发布的期刊年发文量

年度总发文量	年度论文发表量	年度综述发表量
129	122	7

总被引频次 :2771

特征因子 : 0.003680

影响因子趋势图

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