Nature and Science of Sleep (Sep 2021)

PTSD Symptoms and Sleep Quality of COVID-19 Patients During Hospitalization: An Observational Study from Two Centers

  • Sun L,
  • Yi B,
  • Pan X,
  • Wu L,
  • Shang Z,
  • Jia Y,
  • Tao X,
  • Zhao F,
  • Xie W,
  • Sun Z,
  • Bai Y,
  • Liu W

Journal volume & issue
Vol. Volume 13
pp. 1519 – 1531

Abstract

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Luna Sun,1,2,* Bin Yi,3,* Xiao Pan,4,* Lili Wu,1,2,* Zhilei Shang,1,2,* Yanpu Jia,1,2 Xiandong Tao,3 Feng Zhao,5 Weifen Xie,6 Zhuoer Sun,1,2 Yonghai Bai,4 Weizhi Liu1,2 1Lab for Post-Traumatic Stress Disorder, Faculty of Psychology and Mental Health, Naval Medical University, Shanghai, 200433, People’s Republic of China; 2The Emotion & Cognition Lab, Faculty of Psychology and Mental Health, Naval Medical University, Shanghai, 200433, People’s Republic of China; 3Eastern Hepatobiliary Surgery Hospital, Shanghai; Department II of Infectious Disease, Huoshenshan Hospital, Wuhan, 430100, People’s Republic of China; 4Department of Medical Psychology, Changzheng Hospital, Naval Medical University, Shanghai, 200003, People’s Republic of China; 5Hongkou District of Changhai Hospital, Naval Medical University, Shanghai, 200081, People’s Republic of China; 6Department of Gastroenterology, Changzheng Hospital, Naval Medical University, Shanghai, 200003, People’s Republic of China*These authors contributed equally to this workCorrespondence: Weizhi LiuLab for Post-Traumatic Stress Disorder, Faculty of Psychology and Mental Health, Naval Medical University, 800 Xiangyin Road, Shanghai, 200433, People’s Republic of ChinaTel/Fax +86-21-81871671Email [email protected] BaiDepartment of Medical Psychology, Changzheng Hospital, Naval Medical University, Shanghai, 200003, People’s Republic of ChinaTel/Fax +86-21-81885057Email [email protected]: The outbreak of COVID-19 has developed into a pandemic. Data are required that specifically address the psychological consequences in COVID-19 confirmed patients. This study mainly aimed to examine posttraumatic stress disorder (PTSD) symptoms and sleep quality among COVID-19 confirmed patients during hospitalization.Methods: An observational study was conducted in two designated hospitals in Wuhan, China. Data were collected from 190 patients hospitalized with laboratory-confirmed COVID-19 infection between February 10, 2020 and March 13, 2020.Results: The mean age of the 190 confirmed patients was 55.7 years (SD = 13.7), of which 96 (50.5%) were female and 88 (46.3%) had family members or acquaintances infected with COVID-19. Lymphocytopenia was presented in 62 (32.6%) patients and 25 (13.2%) patients showed oxygen desaturation. The prevalence of high PTSD symptoms was 22.6% among the 190 patients. The median time from symptom onset to first medical visit and hospitalization was 2 days (IQR, 1– 5) and 16 days (IQR, 10– 27), respectively. Patients’ PTSD symptoms were positively related to the time from symptom onset to first medical visit (r = 0.156, p < 0.05) and hospitalization (r = 0.181, p < 0.01). There were significant correlations between sleep quality and PTSD symptoms (r = 0.312– 0.547, p < 0.01).Conclusion: The prevalence of high PTSD symptoms was 22.6% among hospitalized COVID-19 patients. Early diagnosis and treatment of COVID-19 symptoms are beneficial to infected patients both physically and psychologically. With the recovery of physical symptoms, psychological intervention is desired to promote the trauma recovery in COVID-19 patients.Keywords: COVID-19, patients, psychological, PTSD, sleep quality

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