Increased symptoms of post-traumatic stress in school students soon after the start of the COVID-19 outbreak in China

• Main Authors: Hanmei Xu, Hang Zhang, Lijuan Huang, Xiaolan Wang, Xiaowei Tang, Yanping Wang, Qingqing Xiao, Ping Xiong, Rongqiu Jiang, Jie Zhan, Fang Deng, Mingya Yu, Dong Liu, Xuejun Liu, Chunli Zhang, Wenjun Wang, Lu Li, Hongmei Cao, Wenchao Zhang, Hongping Zhou, Wo Wang, Li Yin
• Format: Article
• Language: English
• Published: BMC 2021-07-01
• Series: BMC Psychiatry
• Subjects: Post-traumatic stress; COVID-19; School students; CRIES-13; Stress; China
• Online Access: https://doi.org/10.1186/s12888-021-03339-3

Abstract Background The outbreak of Coronavirus Disease 2019(COVID-19) caused psychological stress in Chinese adults population. But we are unaware of whether the pandemic causes psychological stress on children. Methods We used the Children’s Impact of Event Scale questionnaire (CRIES-13) to investigate the degree of Post-traumatic Stress (PTSD) symptoms caused by the pandemic in students selected from schools in Sichuan, Jiangsu, Henan, Yunnan, and Chongqing provinces of China. Results A total of 7769 students(3692 male and 4077 female), aged 8–18 years, were enrolled in the study, comprising 1214 in primary schools, 2799 in junior high schools and 3756 in senior high schools. A total of 1639 students (21.1%) had severe psychological stress reactions. A large proportion of senior high school students (23.3%) experienced severe psychological stress, and they had the highest median total CRIES-13 score. Female students were more likely to experience severe psychological stress and had higher median CRIES-13 total scores than males. Conclusion COVID-19 has placed psychological stresses on primary and secondary school students in China. These stresses are more likely to reach severe levels among female students and senior high school students.