Difference of posttraumatic stress disorder between severe acute respiratory syndrome patients and the public in epidemic area / 中国组织工程研究

ABSTRACT

BACKGROUND: It is reported that the first line medical staff have experienced posttraumatic stress disorder(PTSD) symptoms after severe acute respiratory syndrome (SARS) events. However, there are few reports regarding the PTSD symptoms among SARS patients and the public in epidemic area. OBJECTIVE: To investigate the occurrence and main influence factors of PTSD among SARS patients and the public in epidemic area.DESIGN: Sampling investigation.SETTING: First Hospital of Shanxi Medical University. PARTICIPANTS: Totally 114 SARS patients and 93 people were selected from the epidemic area of Taiyuan city from August to September in 2003.METHODS: Self-made stressor-cognition questionnaire, edited impact of event scale-revised (IES-R), perceived social support scale (PSSS), simple cope scale questionnaire(SCSQ), self-esteem scale(SES) and eysenck personality questionaire(EPQ) were conducted to 114 SARS patients and 93 common people in epidemic area. Correlative analysis was performed as well.MAIN OUTCOME MEASURES: ① Detection rate of PTSD among SARS patients and the public in epidemic area. ② The score of intrusion factor,avoidance factor and hyperarousal factor of two populations. ③ The correlative analysis between IES-R score and influence factor among SARS patients and the public in epidemic area.RESULTS: The detection rate of suspect of PTSD among SARS patients was higher than that in public of epidemic area(55.1% , 31%, P = 0.000)The score of intrusion, avoidance and hyperarousal factor of SARS patients ( 11.37±9.54, 10.28±7.67, 6.55±6.20) was much higher than those of the public in epidemic area(5.64±4.68,5.58±4.74, 4.43 ±4.63,P = 0. 000) . The correlative analysis showed that the difference on PTSD incidence between SARS patients and the public of epidemic area might be due to the different stressor intensity and features. The negative response mode was the risk factor of both SARS patients and the public of epidemic area while self-esteem was the protective factor of SARS patients. CONCLUSION: ① PTSD symptoms had appeared among all the correlative populations although the exposure intensity of SARS event stress was different. The detection rate of PTSD and symptoms of intrusion, avoidance and hyperarousal were much common among SARS patients; ② The difference between groupswas due to the different stressor intensity as well as the different influence factors of different population.