Residential College | false |
Status | 已發表Published |
Prevalence and network structure of post-traumatic stress symptoms and their association with suicidality among Chinese mental health professionals immediately following the end of China’s Dynamic Zero-COVID Policy: a national survey | |
Chen, Pan1,2; Zhang, Ling3; Feng, Yuan3; An, Feng Rong3; Su, Zhaohui4; Cheung, Teris5; Lok, Ka In6; Ungvari, Gabor S.7,8; Jackson, Todd9; Xiang, Yu Tao1,2; Zhang, Qinge3 | |
2023-12-15 | |
Source Publication | Translational Psychiatry |
ISSN | 2158-3188 |
Volume | 13Pages:395 |
Abstract | Studies on post-traumatic stress symptoms (PTSS) among mental health professionals (MHPs) are limited, particularly since restrictions due to coronavirus disease (COVID-19) have been lifted such as the recent termination of China’s Dynamic Zero-COVID Policy. The current study filled this gap by exploring the prevalence, correlates, and network structure of PTSS as well as its association with suicidality from a network analysis perspective. A cross-sectional, national survey was conducted using a convenience sampling method on MHPs between January 22 and February 10, 2023. PTSS were assessed using the Post-Traumatic Stress Disorder Checklist-Civilian version, while suicidality was assessed using standardized questions related to ideation, plans, and attempts. Univariate and multivariate analyses examined correlates of PTSS. Network analysis explored the structure of PTSS and suicidality. The centrality index of “Expected influence” was used to identify the most central symptoms in the network, reflecting the relative importance of each node in the network. The “flow” function was adopted to identify specific symptoms that were directly associated with suicidality. A total of 10,647 MHPs were included. The overall rates of PTSS and suicidality were 6.7% (n = 715; 95% CI = 6.2–7.2%) and 7.7% (n = 821; 95% CI = 7.2–8.2%), respectively. Being married (OR = 1.523; P < 0.001), quarantine experience (OR = 1.288; P < 0.001), suicidality (OR = 3.750; P < 0.001) and more severe depressive symptoms (OR = 1.229; P < 0.001) were correlates of more PTSS. Additionally, higher economic status (e.g., good vs. poor: OR = 0.324; P = 0.001) and health status (e.g., good vs. poor: OR = 0.456; P < 0.001) were correlates of reduced PTSS. PCL6 (“Avoiding thoughts”; EI = 1.189), PCL7 (“Avoiding reminders”; EI = 1.157), and PCL11 (“Feeling emotionally numb”; EI = 1.074) had the highest centrality, while PCL12 (“Negative belief”), PCL 16 (“Hypervigilance”) and PCL 14 (“Irritability”) had the strongest direct, positive associations with suicidality. A high prevalence of lingering PTSS was found among MHPs immediately after China’s “Dynamic Zero-COVID Policy” was terminated. Avoidance and hyper-arousal symptoms should be monitored among at-risk MHPs after the COVID-19 pandemic and serve as potential targets for the prevention and treatment of PTSS in this population. |
DOI | 10.1038/s41398-023-02680-3 |
URL | View the original |
Indexed By | SCIE |
Language | 英語English |
WOS Research Area | Psychiatry |
WOS Subject | Psychiatry |
WOS ID | WOS:001125477600002 |
Publisher | SPRINGERNATURE, CAMPUS, 4 CRINAN ST, LONDON N1 9XW, ENGLAND |
Scopus ID | 2-s2.0-85179901163 |
Fulltext Access | |
Citation statistics | |
Document Type | Journal article |
Collection | Institute of Translational Medicine Faculty of Health Sciences DEPARTMENT OF PSYCHOLOGY INSTITUTE OF COLLABORATIVE INNOVATION DEPARTMENT OF PUBLIC HEALTH AND MEDICINAL ADMINISTRATION |
Co-First Author | Chen, Pan; Zhang, Ling |
Corresponding Author | Xiang, Yu Tao; Zhang, Qinge |
Affiliation | 1.Unit of Psychiatry, Department of Public Health and Medicinal Administration, & Institute of Translational Medicine, Faculty of Health Sciences, University of Macau, Macao, Macao 2.Centre for Cognitive and Brain Sciences, University of Macau, Macao, Macao 3.The National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders, Beijing Anding Hospital & the Advanced Innovation Center for Human Brain Protection, Capital Medical University, Beijing, China 4.School of Public Health, Southeast University, Nanjing, China 5.School of Nursing, Hong Kong Polytechnic University, Hong Kong 6.Faculty of Health Sciences and Sports, Macao Polytechnic University, Macao, Macao 7.University of Notre Dame Australia, Fremantle, Australia 8.Division of Psychiatry, School of Medicine, University of Western Australia/Graylands Hospital, Perth, Australia 9.Department of Psychology, University of Macau, SAR, Macao |
First Author Affilication | Faculty of Health Sciences; University of Macau |
Corresponding Author Affilication | Faculty of Health Sciences; University of Macau |
Recommended Citation GB/T 7714 | Chen, Pan,Zhang, Ling,Feng, Yuan,et al. Prevalence and network structure of post-traumatic stress symptoms and their association with suicidality among Chinese mental health professionals immediately following the end of China’s Dynamic Zero-COVID Policy: a national survey[J]. Translational Psychiatry, 2023, 13, 395. |
APA | Chen, Pan., Zhang, Ling., Feng, Yuan., An, Feng Rong., Su, Zhaohui., Cheung, Teris., Lok, Ka In., Ungvari, Gabor S.., Jackson, Todd., Xiang, Yu Tao., & Zhang, Qinge (2023). Prevalence and network structure of post-traumatic stress symptoms and their association with suicidality among Chinese mental health professionals immediately following the end of China’s Dynamic Zero-COVID Policy: a national survey. Translational Psychiatry, 13, 395. |
MLA | Chen, Pan,et al."Prevalence and network structure of post-traumatic stress symptoms and their association with suicidality among Chinese mental health professionals immediately following the end of China’s Dynamic Zero-COVID Policy: a national survey".Translational Psychiatry 13(2023):395. |
Files in This Item: | There are no files associated with this item. |
Items in the repository are protected by copyright, with all rights reserved, unless otherwise indicated.
Edit Comment