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One-quarter of COVID-19 patients developed PTSD symptoms: A one-year longitudinal study
Luna Sun1, Zhilei Shang1, Lili Wu1
1Lab for Post-traumatic Stress Disorder, Faculty of Psychology and Mental Health, Naval Medical University, Shanghai, China; The Emotion & Cognition Lab, Faculty of Psychology and Mental Health, Naval Medical University, Shanghai, China.
Insights
COVID-19 survivors experienced a significant decrease in probable post-traumatic stress disorder (PTSD) symptoms one year after hospital discharge. However, female patients and those with respiratory issues faced a higher risk of chronic PTSD, necessitating psychological support.
Area of Science:
- Medical Research
- Psychiatry
- Pulmonology
Background:
- COVID-19 survivors often experience long-term physical and psychological effects.
- Post-traumatic stress disorder (PTSD) is a recognized sequela of severe illness and hospitalization.
Purpose of the Study:
- To investigate the longitudinal development of PTSD symptoms in COVID-19 survivors one year post-discharge.
- To identify risk factors for chronic PTSD among COVID-19 survivors.
- To examine the relationship between respiratory sequelae and PTSD development.
Main Methods:
- A cohort of 329 COVID-19 survivors was followed for 12 months after hospital discharge.
- PTSD symptoms were assessed at 3 and 12 months post-discharge.
- Statistical analyses were performed to determine symptom changes and risk factors.
Main Results:
- The cumulative incidence of probable PTSD decreased from 23.1% at 3 months to 4.3% at 12 months.
- Non-severe COVID-19 patients showed improvement in all PTSD symptom clusters, while severe patients improved in re-experiencing and numbing symptoms.
- Female sex and the presence of respiratory sequelae were identified as risk factors for chronic PTSD.
Conclusions:
- While most COVID-19 survivors show improvement in PTSD symptoms over time, a subset remains at risk.
- Respiratory sequelae and female sex are significant predictors of persistent PTSD.
- Long-term psychological interventions are crucial for managing PTSD in COVID-19 convalescence.
Abstract:
This study investigated the longitudinal development of PTSD symptoms and respiratory sequelae among COVID-19 patients one year after hospital discharge. The cumulative occurrence of probable PTSD in COVID-19 survivors (n = 329) was 26.7%, which significantly decreased over the 12-month period (23.1% to 4.3%). Non-severe patients showed marked improvement in all four clusters of PTSD symptoms at 12 months compared to 3 months, while severe patients only showed improvements in re-experiencing and numbing symptoms. Moreover, being female and having respiratory sequelae increased the risk for chronic PTSD. Psychological interventions are required for COVID-19 patients during long-term convalescence.
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