Psychiatry Investig.  2024 Mar;21(3):219-229. 10.30773/pi.2023.0095.

Polysomnography and Neuropsychological Analysis of Patients With Post-Traumatic Stress Disorder Two Years After the COVID-19 Pandemic in Wuhan

Affiliations
  • 1Department of Neurology, The First Hospital of Wuhan City, Wuhan University, Wuhan, China
  • 2Department of Neurology, Beijing Longfu Hospital, Beijing, China
  • 3Department of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China
  • 4Department of Neurology, Renmin Hospital of Wuhan University, Wuhan, China

Abstract


Objective
We used polysomnography (PSG) monitoring and neuropsychological scales to explore the characteristics of coronavirus disease-2019 (COVID-19) patients diagnosed with post-traumatic stress disorder (PTSD) in Wuhan, two years after the onset of the COVID-19 pandemic.
Methods
A total of 42 patients in the Sleep Medicine Center were diagnosed with insomnia between December 2021 and May 2022; they were divided into the PTSD group (patients with PTSD diagnosed with insomnia after COVID-19 infection) and the non-PTSD group (patients with insomnia without PTSD). A healthy control group was simultaneously included.
Results
The PTSD group was more significant than the non-PTSD group in partial manifestations of sleep disorders, neuropsychological clinical symptoms, and partial PSG data. Patients with different COVID-19 subtypes showed significant differences in the course of disease, sleep disorders, neuropsychological clinical symptoms, relevant scale scores, and PSG data analysis.
Conclusion
The emotional anxiety and depression of COVID-19 patients diagnosed with PTSD two years after the COVID-19 pandemic in Wuhan are more significant, and will not be self-alleviated with the passage of time. It is necessary to continue to pay attention to the PTSD symptoms and sleep psychology of COVID-19 infected patients, and take appropriate measures. Patients with severe and critical COVID-19 have more severe sleep and mental disorders, and there is a significant correlation between the duration of the disease and the severity of mental and mental disorders and sleep disorders after recovery.

Keyword

COVID-19; Psychophysiologic disorders; PTSD; Polysomnography; Sleep disorders
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