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Post-traumatic stress symptoms in hemodialysis patients with MERS-CoV exposure.
Biopsychosoc Med. 2020; 14:9.BM

Abstract

Background

Post-traumatic stress symptoms can occur in patients with medical illness. During the Middle East Respiratory Syndrome (MERS) outbreak in South Korea in 2015, some dialysis patients in three centers who were incidentally exposed to patients or medical staff with confirmed MERS-CoV infection were isolated to interrupt the spread of the infection. We aimed to investigate post-traumatic stress symptoms and risk factors among these patients.

Materials and methods

In total, 116 hemodialysis (HD) patients in contact with MERS-CoV-confirmed subjects were isolated using three strategies, namely, single room isolation, cohort isolation, and self-quarantine. We used the Impact of Event Scale-Revised-Korean (IES-R-K) to examine post-traumatic stress symptoms at 12 months after the isolation period.

Results

Of the 116 HD patients, 27 were lost to follow-up. Of the 89 patients, 67 (75.3%) completed the questionnaires. Single room isolation was used on 40 (58.8%) of the patients, cohort isolation on 20 (29.4%), and self-imposed quarantine on 8 (11.8%). In total, 17.9% of participants (n = 12) reported post-traumatic stress symptoms exceeding the IES-R-K's cutoff point (≧18). Prevalence rates of IES-R-K ≧18 did not differ significantly according to isolation method. However, isolation duration was linearly associated with the IES-R-K score (standardized β coefficient - 0.272, P = 0.026). Scores in Avoidance, Emotional numbing and Dissociation subscale were higher in patients with longer isolation period.

Conclusion

MERS was a traumatic experience for quarantined HD patients. IES-R-K scores were not significantly different by isolation methods. However, short isolation was associated with post-traumatic stress symptoms.

Authors+Show Affiliations

1Department of Internal Medicine, Kangnam Sacred Heart Hospital, Hallym University College of Medicine, 1, Singil-ro, Yeongdeungpo-gu, Seoul, 07441 South Korea.2Hallym University College of Medicine, Psychiatry, Seoul, Republic of Korea.1Department of Internal Medicine, Kangnam Sacred Heart Hospital, Hallym University College of Medicine, 1, Singil-ro, Yeongdeungpo-gu, Seoul, 07441 South Korea.1Department of Internal Medicine, Kangnam Sacred Heart Hospital, Hallym University College of Medicine, 1, Singil-ro, Yeongdeungpo-gu, Seoul, 07441 South Korea.3Department of Internal Medicine, Armed Forces Capital Hospital, Seongnam, South Korea.4Internal Medicine, Kyung Hee University at Kangdong, Seoul, Republic of Korea.4Internal Medicine, Kyung Hee University at Kangdong, Seoul, Republic of Korea.4Internal Medicine, Kyung Hee University at Kangdong, Seoul, Republic of Korea.Gangeung Medical Center, Anesthesiology, Gangeung, Republic of Korea.6Internal Medicine, Ulsan University Hospital, Ulsan, Republic of Korea.2Hallym University College of Medicine, Psychiatry, Seoul, Republic of Korea.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

32308734

Citation

Cho, A Jin, et al. "Post-traumatic Stress Symptoms in Hemodialysis Patients With MERS-CoV Exposure." BioPsychoSocial Medicine, vol. 14, 2020, p. 9.
Cho AJ, Lee HS, Lee YK, et al. Post-traumatic stress symptoms in hemodialysis patients with MERS-CoV exposure. Biopsychosoc Med. 2020;14:9.
Cho, A. J., Lee, H. S., Lee, Y. K., Jeon, H. J., Park, H. C., Jeong, D. W., Kim, Y. G., Lee, S. H., Lee, C. H., Yoo, K. D., & Wong, A. K. (2020). Post-traumatic stress symptoms in hemodialysis patients with MERS-CoV exposure. BioPsychoSocial Medicine, 14, 9. https://doi.org/10.1186/s13030-020-00181-z
Cho AJ, et al. Post-traumatic Stress Symptoms in Hemodialysis Patients With MERS-CoV Exposure. Biopsychosoc Med. 2020;14:9. PubMed PMID: 32308734.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Post-traumatic stress symptoms in hemodialysis patients with MERS-CoV exposure. AU - Cho,A Jin, AU - Lee,Hong-Seock, AU - Lee,Young-Ki, AU - Jeon,Hee Jung, AU - Park,Hayne Cho, AU - Jeong,Da-Wun, AU - Kim,Yang-Gyun, AU - Lee,Sang-Ho, AU - Lee,Chang-Hee, AU - Yoo,Kyung Don, AU - Wong,Ae Kyeong, Y1 - 2020/04/15/ PY - 2019/10/13/received PY - 2020/03/23/accepted PY - 2020/4/21/entrez PY - 2020/4/21/pubmed PY - 2020/4/21/medline KW - Hemodialysis KW - Middle East respiratory syndrome KW - Post-traumatic stress symptom SP - 9 EP - 9 JF - BioPsychoSocial medicine JO - Biopsychosoc Med VL - 14 N2 - Background: Post-traumatic stress symptoms can occur in patients with medical illness. During the Middle East Respiratory Syndrome (MERS) outbreak in South Korea in 2015, some dialysis patients in three centers who were incidentally exposed to patients or medical staff with confirmed MERS-CoV infection were isolated to interrupt the spread of the infection. We aimed to investigate post-traumatic stress symptoms and risk factors among these patients. Materials and methods: In total, 116 hemodialysis (HD) patients in contact with MERS-CoV-confirmed subjects were isolated using three strategies, namely, single room isolation, cohort isolation, and self-quarantine. We used the Impact of Event Scale-Revised-Korean (IES-R-K) to examine post-traumatic stress symptoms at 12 months after the isolation period. Results: Of the 116 HD patients, 27 were lost to follow-up. Of the 89 patients, 67 (75.3%) completed the questionnaires. Single room isolation was used on 40 (58.8%) of the patients, cohort isolation on 20 (29.4%), and self-imposed quarantine on 8 (11.8%). In total, 17.9% of participants (n = 12) reported post-traumatic stress symptoms exceeding the IES-R-K's cutoff point (≧18). Prevalence rates of IES-R-K ≧18 did not differ significantly according to isolation method. However, isolation duration was linearly associated with the IES-R-K score (standardized β coefficient - 0.272, P = 0.026). Scores in Avoidance, Emotional numbing and Dissociation subscale were higher in patients with longer isolation period. Conclusion: MERS was a traumatic experience for quarantined HD patients. IES-R-K scores were not significantly different by isolation methods. However, short isolation was associated with post-traumatic stress symptoms. SN - 1751-0759 UR - https://www.unboundmedicine.com/medline/citation/32308734/Post_traumatic_stress_symptoms_in_hemodialysis_patients_with_MERS_CoV_exposure_ L2 - https://bpsmedicine.biomedcentral.com/articles/10.1186/s13030-020-00181-z DB - PRIME DP - Unbound Medicine ER -
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