Post-traumatic stress disorder symptoms in COVID-19 survivors 6 months after hospital discharge: An application of the conservation of resource theory

Bingyi WANG, Xue YANG, Leiwen FU, Yuqing HU, Dan LUO, Xin XIAO, Niu JU, Weiran ZHENG, Hui Xu, Yuan FANG, Paul Shing Fong CHAN, Zhijie XU, Ping CHEN, Jiaoling HE, Hongqiong ZHU, Huiwen TANG, Dixi HUANG, Zhongsi HONG, Xiaojun MA, Yanrong HAOLianying CAI, Jianrong YANG, Shupei YE, Jianhui YUAN, Yao-Qing CHEN, Fei XIAO, Zixin WANG, Huachun ZOU

Research output: Contribution to journalArticlespeer-review

3 Citations (Scopus)

Abstract

COVID-19 survivors who had acute respiratory symptoms might experience prolonged post-traumatic stress disorder (PTSD) due to further rehabilitation, somatic symptoms and related distress. The conservation of resource (COR) theory is a well-developed theory to understand how people develop PTSD symptoms in traumatic events. The current study aimed to examine the potential factors of PTSD symptoms and interrelationships among this factors among COVID-19 survivors based on the COR theory. This cross-sectional telephone survey enrolled 199 COVID-19 patients (Mean age = 42.7; 53.3% females) 6 months after their hospital discharge in five Chinese cities (i.e., Wuhan, Shenzhen, Zhuhai, Dongguan, and Nanning). The results showed that 7% of participants were classified as having probable PTSD. The significant potential factors relating to PTSD symptoms included socio-demographic status, hospitalization experiences, post-hospitalization experiences, and psychological status. Besides, the proposed statistical mediation model based on the COR framework showed good model fit, χ2(df) = 17.286 (5), p = 0.004, CFI = 0.962, NNFI = 0.951, RMSEA = 0.077. Perceived resource loss/gain fully mediated the association between exposure to other patients' suffering during hospitalization and PTSD symptoms, and partially mediated the relationships from somatic symptoms/perceived impact of being infected with COVID-19 after discharge to PTSD symptoms. On the other hand, resilience was a full mediator in the relationship from ICU experience to PTSD symptoms and a partial mediator in the relationship from perceived impact to PTSD symptoms. The results provide preliminary support on applying the COR theory to understand the factors of PTSD symptoms among COVID-19 survivors. Interventions to reduce PTSD symptoms in this population can be developed based on the modifiable psychosocial mediators. Copyright © 2022 Wang, Yang, Fu, Hu, Luo, Xiao, Ju, Zheng, Xu, Fang, Chan, Xu, Chen, He, Zhu, Tang, Huang, Hong, Ma, Hao, Cai, Yang, Ye, Yuan, Chen, Xiao, Wang and Zou.

Original languageEnglish
Article number773106
JournalFrontiers in Psychiatry
Volume12
DOIs
Publication statusPublished - Jan 2022

Citation

Wang, B., Yang, X., Fu, L., Hu, Y., Luo, D., Xiao, X., . . . Zou, H. (2022). Post-traumatic stress disorder symptoms in COVID-19 survivors 6 months after hospital discharge: An application of the conservation of resource theory. Frontiers in Psychiatry, 12. Retrieved from https://doi.org/10.3389/fpsyt.2021.773106

Keywords

  • Post-traumatic stress disorder (PTSD)
  • Hospitalization-related factors
  • Resource loss and gain
  • Resilience
  • Conservation of resource theory (COR)

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