Prevalence and Predictors of Post-Traumatic Stress Disorder and Insomnia among Medical Staff during Coronavirus Disease 2019 Pandemic

Hussein Sm, Ibrahima Ba
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Abstract

Introduction: The coronavirus disease 2019 known as (COVID-19) pandemic hasa great public concern with major psychological distress, especially on the medicalstaff. Aim of work: The present study aimed at improving the medical staff’s mentalhealth and productivity through assessing the prevalence, risk factors, and relationship of post-traumatic stress disorder (PTSD) and insomnia among Egyptian medical staff.Materials and methods: This cross-sectional study was carried out on 390 Egyptianmedical staff including physicians and nurses using web-based survey between 29thJune and 22nd July 2020. The questionnaire included personal and professionalquestions, PTSD Checklist for DSM-5 (PCL-5), and Insomnia Severity Index.Results: The study results displayed that the prevalence of PTSD and insomnia were55.9% and 78.7%; respectively with a significant positive correlation between PTSDand insomnia scores (r=0.614, p value =0.000). Significant predictors of PTSS weregender (female) (OR: 1.971; 95% CI, 1.231–3.155; p < 0.05) and age (OR: 0.958;95% CI, 0.922–0.995; p < 0.05), worrying about getting infected (OR: 2.355; 95% CI,1.082–5.126; p < 0.05), and having insomnia (OR: 5.639; 95% CI, 3.146–10.108; p <0.05). Significant predictors of insomnia were educational level (vocational school)(OR: 8.954; 95% CI, 2.020–39.692; p < 0.05), and having PTSD (OR: 5.602; 95% CI,3.135–10.013; p < 0.05). Conclusion: High prevalence rates of PTSD and insomniawith significant positive correlation were found among Egyptian medical staff duringCOVID-19 pandemic affected by significant predictors. So, urgent psychological andorganizational interventions should be carried out to decrease this phenomenon.
2019冠状病毒病大流行期间医务人员创伤后应激障碍和失眠的患病率及预测因素
2019冠状病毒病(COVID-19)大流行引起了公众的极大关注,特别是对医务人员造成了重大的心理困扰。工作目的:本研究旨在通过评估埃及医务人员创伤后应激障碍(PTSD)与失眠的患病率、危险因素和关系,提高医务人员的心理健康水平和工作效率。材料和方法:本横断面研究于2020年6月29日至7月22日期间对390名埃及医务人员(包括医生和护士)进行了网络调查。问卷包括个人和专业问题、DSM-5 PTSD检查表(PCL-5)和失眠严重程度指数。结果:研究结果显示,PTSD和失眠患病率分别为55.9%和78.7%;ptsd与失眠得分呈显著正相关(r=0.614, p值=0.000)。ptsd的显著预测因素为性别(女性)(OR: 1.971;95% ci, 1.231-3.155;p < 0.05)和年龄(OR: 0.958;95% CI, 0.922-0.995;p < 0.05),担心感染(OR: 2.355;95%置信区间,1.082 - -5.126;p < 0.05),失眠(OR: 5.639;95% ci, 3.146-10.108;p < 0.05)。失眠症的显著预测因子为学历(职业学校)(OR: 8.954;95% ci, 2.020-39.692;p < 0.05),且患有PTSD (OR: 5.602;95%置信区间,3.135 - -10.013;P < 0.05)。结论:2019冠状病毒病大流行期间,埃及医务人员PTSD患病率与失眠症患病率呈显著正相关,且受显著预测因素影响。因此,迫切需要进行心理和组织干预来减少这种现象。
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