High risk of infection caused Posttraumatic Stress symptoms in individuals with poor sleep quality: A study on influence of Coronavirus disease (COVID-19) in China

  1. Fan Zhang
  2. Zhilei Shang
  3. Haiying Ma
  4. Yanpu Jia
  5. Luna Sun
  6. Xin Guo
  7. Lili Wu
  8. Zhuoer Sun
  9. Yaoguang Zhou
  10. Yan Wang
  11. Nianqi Liu
  12. Weizhi Liu

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Abstract

The influence of the outbreak of coronavirus disease (COVID-19) on mental health was poorly understood. The present study aimed to exam sleep problems and posttraumatic stress symptoms (PTSS) in Chinese immediately after the massive outbreak of COVID-19. A total of 2027 Chinese participated in the present study. Wuhan-expose history, sleep quality and PTSS were measured with self-rating scales. Results showed that t here were significant differences of PCL-5 and of sleep quality scores in different data-collection dates ( p s<0.05). There were significant differences of PCL-5 scores ( t =-2.93, p <0.05) and latency onset of sleep (χ2=9.77, p <0.05) between participants with and without Wuhan-expose history. The interaction effect of Wuhan exposure history× sleep quality significantly influenced PCL-5 ( p s<0.05). These results indicate that keeping good sleep quality in individuals with high infectious risk is a way to prevent PTSS.

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  1. ScreenIT

    SciScore for 10.1101/2020.03.22.20034504: (What is this?)

    Please note, not all rigor criteria are appropriate for all manuscripts.

    Table 1: Rigor

    Institutional Review Board StatementConsent: All the study participants were provided with written informed consent.
    IRB: This project was approved by the Ethics Committee of the Naval Military Medical University.
    Randomizationnot detected.
    Blindingnot detected.
    Power Analysisnot detected.
    Sex as a biological variablenot detected.

    Table 2: Resources

    No key resources detected.

    Results from OddPub: We did not detect open data. We also did not detect open code. Researchers are encouraged to share open data when possible (see Nature blog).

    Results from LimitationRecognizer: We detected the following sentences addressing limitations in the study:
    Limitations of the current study included the use of a health example and the fact that we used online survey in data collection. Only a few subjects were confirmed or suspected COVID-19 patients in our study. And the mean levels of sleep quality and PTSS were in the moderate range. For those being infected with COVID-19, sleep and metal health problems might be far more severe. Considering the risk of infection, we used online survey to investigate relationship among Wuhan exposure history, sleep and PTSS. However, it was hard to guarantee authenticity with this method and the validity was limited. We suggested that future studies could exam PTSD and related factors among COVID-19 survivors with face-to-face investigation or interview.

    Results from TrialIdentifier: No clinical trial numbers were referenced.

    Results from Barzooka: We found bar graphs of continuous data. We recommend replacing bar graphs with more informative graphics, as many different datasets can lead to the same bar graph. The actual data may suggest different conclusions from the summary statistics. For more information, please see Weissgerber et al (2015).

    Results from JetFighter: We did not find any issues relating to colormaps.

    Results from rtransparent:
    • Thank you for including a conflict of interest statement. Authors are encouraged to include this statement when submitting to a journal.
    • Thank you for including a funding statement. Authors are encouraged to include this statement when submitting to a journal.
    • No protocol registration statement was detected.

    About SciScore

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  2. Version published to 10.1101/2020.03.22.20034504v1 on medRxiv