The increase of PTSD in front-line health care workers during the COVID-19 pandemic and the mediating role of risk perception: a one-year follow-up study

Abstract The long-term health consequences of the COVID-19 pandemic on health care workers (HCWs) are largely unclear. The purpose of the present study was to investigate the development of posttraumatic stress disorder (PTSD) in HCWs in a longitudinal manner. Additionally, we further explored the r...

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Main Authors: Hui Ouyang, Shiyu Geng, Yaoguang Zhou, Jing Wang, Jingye Zhan, Zhilei Shang, Yanpu Jia, Wenjie Yan, Yan Zhang, Xu Li, Weizhi Liu
Format: Article
Language:English
Published: Nature Publishing Group 2022-05-01
Series:Translational Psychiatry
Online Access:https://doi.org/10.1038/s41398-022-01953-7
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author Hui Ouyang
Shiyu Geng
Yaoguang Zhou
Jing Wang
Jingye Zhan
Zhilei Shang
Yanpu Jia
Wenjie Yan
Yan Zhang
Xu Li
Weizhi Liu
author_facet Hui Ouyang
Shiyu Geng
Yaoguang Zhou
Jing Wang
Jingye Zhan
Zhilei Shang
Yanpu Jia
Wenjie Yan
Yan Zhang
Xu Li
Weizhi Liu
author_sort Hui Ouyang
collection DOAJ
description Abstract The long-term health consequences of the COVID-19 pandemic on health care workers (HCWs) are largely unclear. The purpose of the present study was to investigate the development of posttraumatic stress disorder (PTSD) in HCWs in a longitudinal manner. Additionally, we further explored the role of risk perception in the evolution of PTSD over time based on a one-year follow-up study. HCWs were recruited from hospitals in Guangdong, China. Demographic information, the PTSD checklist for DSM-5 (PCL-5) and the risk perception questionnaire were obtained online at two different time points: May to June 2020 (T1), with 317 eligible responses, and June 2021 (T2), with 403 eligible responses. Seventy-four HCWs participated in the survey at both T1 and T2. The results revealed that (1) the PTSD prevalence rate in the HCWs (cut-off = 33) increased from 10.73% at T1 to 20.84% at T2, and the HCWs reported significantly higher PTSD scores at T2 than at T1 (p < 0.001); (2) risk perception was positively correlated with PTSD (p < 0.001); and (3) PTSD at T1 could significantly positively predict PTSD at T2 (β = 2.812, p < 0.01), and this longitudinal effect of PTSD at T1 on PTSD at T2 was mediated by risk perception at T2 (coefficient = 0.154, 95% CI = 0.023 to 0.297). Our data provide a snapshot of the worsening of HCWs’ PTSD along with the repeated pandemic outbreaks and highlight the important role of risk perception in the development of PTSD symptoms in HCWs over time.
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spelling doaj.art-a3b08e7acc144acb8e1f380b0eea80612022-12-22T02:54:10ZengNature Publishing GroupTranslational Psychiatry2158-31882022-05-011211710.1038/s41398-022-01953-7The increase of PTSD in front-line health care workers during the COVID-19 pandemic and the mediating role of risk perception: a one-year follow-up studyHui Ouyang0Shiyu Geng1Yaoguang Zhou2Jing Wang3Jingye Zhan4Zhilei Shang5Yanpu Jia6Wenjie Yan7Yan Zhang8Xu Li9Weizhi Liu10Lab for Post-traumatic Stress Disorder, Faculty of Psychology and Mental Health,, Navy Medical UniversityDepartment of Emergency Medicine, Nanfang Hospital,, Southern Medical UniversityLab for Post-traumatic Stress Disorder, Faculty of Psychology and Mental Health,, Navy Medical UniversityLab for Post-traumatic Stress Disorder, Faculty of Psychology and Mental Health,, Navy Medical UniversityLab for Post-traumatic Stress Disorder, Faculty of Psychology and Mental Health,, Navy Medical UniversityLab for Post-traumatic Stress Disorder, Faculty of Psychology and Mental Health,, Navy Medical UniversityLab for Post-traumatic Stress Disorder, Faculty of Psychology and Mental Health,, Navy Medical UniversityLab for Post-traumatic Stress Disorder, Faculty of Psychology and Mental Health,, Navy Medical UniversitySchool of Economics,, Xiamen UniversityDepartment of Emergency Medicine, Nanfang Hospital,, Southern Medical UniversityLab for Post-traumatic Stress Disorder, Faculty of Psychology and Mental Health,, Navy Medical UniversityAbstract The long-term health consequences of the COVID-19 pandemic on health care workers (HCWs) are largely unclear. The purpose of the present study was to investigate the development of posttraumatic stress disorder (PTSD) in HCWs in a longitudinal manner. Additionally, we further explored the role of risk perception in the evolution of PTSD over time based on a one-year follow-up study. HCWs were recruited from hospitals in Guangdong, China. Demographic information, the PTSD checklist for DSM-5 (PCL-5) and the risk perception questionnaire were obtained online at two different time points: May to June 2020 (T1), with 317 eligible responses, and June 2021 (T2), with 403 eligible responses. Seventy-four HCWs participated in the survey at both T1 and T2. The results revealed that (1) the PTSD prevalence rate in the HCWs (cut-off = 33) increased from 10.73% at T1 to 20.84% at T2, and the HCWs reported significantly higher PTSD scores at T2 than at T1 (p < 0.001); (2) risk perception was positively correlated with PTSD (p < 0.001); and (3) PTSD at T1 could significantly positively predict PTSD at T2 (β = 2.812, p < 0.01), and this longitudinal effect of PTSD at T1 on PTSD at T2 was mediated by risk perception at T2 (coefficient = 0.154, 95% CI = 0.023 to 0.297). Our data provide a snapshot of the worsening of HCWs’ PTSD along with the repeated pandemic outbreaks and highlight the important role of risk perception in the development of PTSD symptoms in HCWs over time.https://doi.org/10.1038/s41398-022-01953-7
spellingShingle Hui Ouyang
Shiyu Geng
Yaoguang Zhou
Jing Wang
Jingye Zhan
Zhilei Shang
Yanpu Jia
Wenjie Yan
Yan Zhang
Xu Li
Weizhi Liu
The increase of PTSD in front-line health care workers during the COVID-19 pandemic and the mediating role of risk perception: a one-year follow-up study
Translational Psychiatry
title The increase of PTSD in front-line health care workers during the COVID-19 pandemic and the mediating role of risk perception: a one-year follow-up study
title_full The increase of PTSD in front-line health care workers during the COVID-19 pandemic and the mediating role of risk perception: a one-year follow-up study
title_fullStr The increase of PTSD in front-line health care workers during the COVID-19 pandemic and the mediating role of risk perception: a one-year follow-up study
title_full_unstemmed The increase of PTSD in front-line health care workers during the COVID-19 pandemic and the mediating role of risk perception: a one-year follow-up study
title_short The increase of PTSD in front-line health care workers during the COVID-19 pandemic and the mediating role of risk perception: a one-year follow-up study
title_sort increase of ptsd in front line health care workers during the covid 19 pandemic and the mediating role of risk perception a one year follow up study
url https://doi.org/10.1038/s41398-022-01953-7
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