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ICD-11 Posttraumatic Stress Disorder and Complex PTSD Among Hospital Medical Workers in China

Impacts of Wenchuan Earthquake Exposure, Workplaces, and Sociodemographic Factors

Bibliographic Data

ID15523406
AuthorsSijian Li (0000-0003-1578-0516, Hong Kong Polytechnic University), Chunlan Guo (0000-0001-7921-8878, Hong Kong Polytechnic University, corresponding author), Sunshine S S Chan (Hong Kong Polytechnic University)
Year2022
Volume12
Publication date2022-01-17
Open AccessYes
TypeARTICLE
VenueFrontiers in Psychiatry (JOURNAL)
Journal identifiersISSN: 1664-0640 • E-ISSN: 1664-0640
PublisherFrontiers Media (PUBLISHER • CH)
DOI10.3389/fpsyt.2021.735861
OpenAlexW4206380103
LanguageEN
Citations received5
References cited17

Background Previous studies address posttraumatic stress disorder (PTSD) following disasters as a public health issue. However, few studies investigate the long-term effect of disaster exposure on PTSD among hospital medical workers (HMWs). Objectives This study aimed to study the prevalence of ICD-11 PTSD and complex PTSD (CPTSD) among exposed and non-exposed HMWs 11 years after the Wenchuan earthquake in China, to identify the factors associated with PTSD and CPTSD scores, and to examine the factor structures of PTSD and CPTSD models. Methods A cross-sectional study was conducted using a self-administered online questionnaire. Two thousand fifty-nine valid samples were collected from four hospitals in 2019. Descriptive statistical analysis, multivariate regression models, and confirmatory factor analysis (CFA) were performed. Results The prevalence of PTSD and CPTSD was 0.58 and 0.34%, respectively. The unexposed group reported higher PTSD and CPTSD scores than the exposed group. The type of workplace and marital status were significantly associated with the PTSD and CPTSD scores of HMWs. The CFA results indicate that both the correlated first-order model and the correlated two-layer model were a good fit to explain the structure of PTSD and CPTSD. Conclusion These findings suggest that few HMWs who were exposed to the Wenchuan earthquake suffered from PTSD or CPTSD 11 years following the disaster. However, psychological support was still necessary for all HMWs, especially for unmarried HMWs who were Working in smaller hospitals. Further research is required to analyze mental health status using ICD-11 PTSD and CPTSD to provide ongoing evidence to help HWMs cope effectively with the challenges of future disasters

Confirmatory factor analysis · Cross-sectional study · Descriptive statistics · Environmental health · Marital status · Mental health · Population · Posttraumatic stress · Psychiatry · Structural equation modeling · Clinical Psychology · COVID-19 and Mental Health · Medicine · Posttraumatic Stress Disorder Research · Psychology · Resilience and Mental Health

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Citations per year1.25
Citation span2022 - 2025 (4)
Highly citedNo

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