COVID-19隔离人员焦虑与抑郁症状调查及危险因素分析

许辰; 莫阔; 刘笑彤; 陆晚; 徐晓晓; 彭李; 李敏

doi:10.16016/j.1000-5404.202003174

您当前的位置：

首页 >

文章列表页 >

COVID-19隔离人员焦虑与抑郁症状调查及危险因素分析

特殊军事环境心理健康研究 | 更新时间：2026-01-09

- COVID-19隔离人员焦虑与抑郁症状调查及危险因素分析
- Survey of anxiety and depressive symptoms and analysis of their risks factors among individuals quarantined for COVID-19
- 第三军医大学学报 2020年42卷第16期页码：1613-1618
- 作者机构：
  
  1.400038 重庆，陆军军医大学(第三军医大学)医学心理系军事心理学教研室
  2.441021 湖北襄阳，湖北文理学院附属医院/湖北省襄阳市中心医院消化内科
- 作者简介：
  
  [ 李敏，E-mail: limin52267@tmmu.edu.cn LI Min, E-mail: limin52267@tmmu.edu.cn
- 基金信息：
- DOI：10.16016/j.1000-5404.202003174
  中图分类号： R195.4;R395.1;R563.1
- 收稿：2020-03-04，
  
  修回：2020-05-11，
  
  纸质出版：2020-08-30
- 稿件说明：
移动端阅览
许辰, 莫阔, 刘笑彤, 等. COVID-19隔离人员焦虑与抑郁症状调查及危险因素分析[J]. 第三军医大学学报, 2020,42(16):1613-1618.

Chen XU, Kuo MO, Xiaotong LIU, et al. Survey of anxiety and depressive symptoms and analysis of their risks factors among individuals quarantined for COVID-19[J]. Journal of Third Military Medical University, 2020, 42(16): 1613-1618.
许辰, 莫阔, 刘笑彤, 等. COVID-19隔离人员焦虑与抑郁症状调查及危险因素分析[J]. 第三军医大学学报, 2020,42(16):1613-1618. DOI： 10.16016/j.1000-5404.202003174.

Chen XU, Kuo MO, Xiaotong LIU, et al. Survey of anxiety and depressive symptoms and analysis of their risks factors among individuals quarantined for COVID-19[J]. Journal of Third Military Medical University, 2020, 42(16): 1613-1618. DOI： 10.16016/j.1000-5404.202003174.

摘要

目的

调查COVID-19隔离人员焦虑与抑郁症状及危险因素。

方法

采用焦虑自评量表(Self-rating Anxiety Scale，SAS)、抑郁自评量表(Self-rating Depression Scale，SDS)、失眠严重指数量表(Insomnia Severity Index，ISI)和知觉压力量表(Chinese Perceived Stress Scale，CPSS)于2020年1月31日至2月27日期间，对2 322名集中与自主隔离人员进行网络调查，了解他们的焦虑、抑郁、失眠严重程度及知觉压力情况。

结果

14.81%(344/2 322)的隔离人员存在抑郁症状，4.44%(103/2 322)的隔离人员存在焦虑症状，3.53%(82/2 322)的隔离人员同时存在抑郁与焦虑两种症状，COVID-19隔离人员的SAS与SDS显著高于国内常模(

=35.26，

0.01；

=43.25，

0.01)。多因素Logistic回归分析显示:COVID-19隔离人员焦虑症状与学历(

=-2.84，

0.01)，失眠严重程度(

=0.11，

0.01)、知觉压力紧张感(

=0.20，

0.01)和抑郁(

=0.19，

0.01)有关

抑郁症状与知觉压力失控感(

=0.18，

0.01)和焦虑(

=0.32，

0.01)有关。

结论

COVID-19隔离人员的焦虑和抑郁水平高于全国常模；焦虑症状的主要危险因素有学历、失眠严重程度、知觉压力紧张感和抑郁；抑郁症状的危险因素有知觉压力失控感和焦虑。

Abstract

Objective

To investigate the prevalence and risk factors of anxiety and depressive symptoms among individuals isolated during coronavirus disease 2019 (COVID-19) pandemic

and provide suggestions for psychological self-regulation and interventions for these individuals.

Method

Self-rating Anxiety Scale

Self-rating Depression Scale

Insomnia Severity Index and Chinese Perceived Stress Scale were used to survey 2 322 individuals who were isolated in quarantine facilities or in home quarantine for COVID-19 from January 31 to February 27

2020.

Results

Of the 2 322 individuals surveyed

344 (14.81%) were found to have depressive symptoms

103 (4.44

%) had anxiety symptoms

and 82 (3.53%) had both depressive and anxiety symptoms during quarantine. The scores for anxiety and depression of the quarantined individuals were significantly higher than the national norms of China (

=35.26

0.01;

=43.25

0.01). Multivariate logistic regression analysis showed that the anxiety symptoms of the quarantined individuals were closely associated with their education level (

=-2.84

0.01)

severity of insomnia (

=0.11

0.01)

perceived tension (

=0.20

0.01) and depression (

=0.19

0.01); the depressive symptoms were positively correlated with their perceived loss of control (

=0.18

0.01) and anxiety (

=0.32

0.01).

Conclusion

The levels of anxiety and depression among the quarantined individuals for COVID-19 are higher than the national norms. The main risk factors for anxiety symptoms include education level

severity of insomnia

perceived tension and depression

while perceived loss of control and anxiety are the major risk factors for the depressive symptoms in these individuals.

关键词

Keywords

references

WANG C, HORBY P W, HAYDEN F G, et al . A novel coronavirus outbreak of global health concern[J ] . Lancet, 2020, 395(10223): 470-473. DOI: 10.1016/S0140-6736(20)30185-9.

[World Health Organization. Clinical management of severe acute respiratory infection when Middle East respiratory syndrome coronavirus (MERS-CoV) infection is suspected Interim guidance[EB/OL ] . (2020-03-05)[2020-01 ] . https://www.who.int/csr/disease/coronavirus_infections/case-management-ipc/en/ https://www.who.int/csr/disease/coronavirus_infections/case-management-ipc/en/ .

[赵倩, 胡彩虹, 冯仁杰, 等.新型冠状病毒肺炎患者的焦虑抑郁情绪和躯体症状[J/OL ] .中华神经科杂志, 2020 (2020-03-05). http://rs.yiigle.com/yufabiao/1183762.htm http://rs.yiigle.com/yufabiao/1183762.htm .

[ZHAO Q, HU C H, FENG R J, et al . Investigation of the mental health of patients with novel coronavirus pneumonia[J ] . Chin J Neurol, 2020(2020-03-05). DOI: 10.3760/cma.j.cn113694-20200220-00102.Epubaheadofprint http://dx.doi.org/10.3760/cma.j.cn113694-20200220-00102.Epubaheadofprint .

ETARD J F, SOW M S, LEROY S, et al . Multidisciplinary assessment of post-Ebola sequelae in Guinea (Postebogui): an observational cohort study[J ] . Lancet Infect Dis, 2017, 17(5): 545-552. DOI: 10.1016/S1473-3099(16)30516-3.

CHUA S E, CHEUNG V, CHEUNG C, et al . Psychological effects of the SARS outbreak in Hong Kong on high-risk health care workers[J ] . Can J Psychiatry, 2004, 49(6): 391-393. DOI: 10.1177/070674370404900609.

CHOI J S, KIM J S. Factors influencing preventive behavior against middle east respiratory syndrome-coronavirus among nursing students in South Korea[J]. Nurse Educ Today, 2016, 40: 168-172. DOI: 10.1016/j.nedt.2016.03.006.

XIANG Y T, YANG Y, LI W, et al . Timely mental health care for the 2019 novel coronavirus outbreak is urgently needed[J ] . Lancet Psychiatry, 2020, 7(3): 228-229. DOI: 10.1016/S2215-0366(20)300 46-8.

杨凯, 肖玲燕, 刘永福, 等. 57例非疫区COVID-19出院患者流行病学及临床特点分析[J].第三军医大学学报, 2020, 42(06): 555-559. DOI: 10.16016/j.1000-5404.202002166.

YANK K, XIAO L Y, LIU Y F, et al . Epidemiological and clinical characteristics of 57 cases of new coronavirus pneumonia in non-epidemic areas[J ] . J Third Mil Med Univ, 2020, 42(06): 555-559. DOI: 10.16016/j.1000-5404.202002166.

SEGERSTROM S C, MILLER G E. Psychological stress and the human immune system: a meta-analytic study of 30 years of inquiry[J]. Psychol Bull, 2004, 130(4): 601-630. DOI: 10.1037/0033-2909.130.4.601.

王征宇, 迟玉芬.抑郁自评量表(SDS)[J].上海精神医学, 1984, 2(2): 71-72.

WANG Z Y, CHI Y F. Depression Self-Assessment Scale (SDS)[J]. Shanghai Arch Psychiatry, 1984, 2 (2): 71-72.

段泉泉, 胜利.焦虑及抑郁自评量表的临床效度[J].中国心理卫生杂志, 2012, 26(9): 676-679.

DUAN Q Q, SHENG L. Differential validity of SAS and SDS among psychiatric non-psychotic outpatients and their partners[J]. Chin Ment Heal J, 2012, 26(9): 676-679.

白春杰, 纪代红, 陈丽霞, 等.失眠严重程度指数量表在临床失眠患者评估中的信效度研究[J].中国实用护理杂志, 2018, 34(28): 2182-2186. DOI: 10.3760/cma.j.issn.1672-7088.2018.28.005.

BAI C J, JI D H, CHEN L X, et al . Study on the reliability of insomnia severity index scale in the evaluation of clinical insomnia patients[J ] . Chin J Prac Nurs, 2018, 34(28): 2182-2186. DOI: 10.3760/cma.j.issn.1672-7088.2018.28.005.

杨廷忠, 黄晶晶, 吴秀娟, 等.城市居民社会转型心理压力研究[J].中华行为医学与脑科杂志, 2007, 016(004): 331-333. DOI: 10.3760/cma.j.issn.1674-6554.2007.04.017.

YANG T Z, HUANG J J, WU X J, et al . A study of stress among the urban residents in social transition[J ] . Chin J Behav Med Brain Sci, 2007, 016(004): 331-333. DOI: 10.3760/cma.j.issn.1674-6554.2007.04.017.

张明园.精神科评定量表手册[M]..长沙:湖南科学技术出版社, 1998: 35-41.

ZHANG M Y. Handbook of psychiatric assessmentscale[M]. Changsha: Hunan Science and Technology Press, 1998: 35-41.

王筱君, 阎红, 李俊.失眠与焦虑、抑郁相关性的临床研究[J].中国误诊学杂志, 2009, 9(22): 5325-5326.

WANG X J, YAN H, LI J. Clinical study on relationship between insomnia and anxiety and dumps[J]. Chin J Misdiagnostics, 2009, 9(22): 5325-5326.

韩燕, 周欢, 朱江, 等.压力知觉量表在抑郁症状阴性和阳性人群中的测量等值性[J].中国临床心理学杂志, 2019, 27(6): 1196-1198, 1231. DOI: 10.16128/j.cnki.1005-3611.2019.06.024.

HAN Y, ZHOU H, ZHU J, et al . Measurement invariance of the perceived stress scale(PSS-10) between groups with negative and positive depressive symptoms[J ] . Chin J Clin Psychol, 2019, 27(6): 1196-1198, 1231. DOI: 10.16128/j.cnki.1005-3611.2019.06.024.

王千, 朱青峰, 艾宇雷.非典型肺炎医学隔离期间心理状况分析及其干预措施[J].人民军医, 2004, 47(3): 125-126.

WANG Q, ZHU Q F, AI Y L. Analysis of psychological status and intervention measures during medical isolation of SARS[J]. People Mil Surg, 2004, 47(3): 125-126.

STAVRAKAKI C, VARGO B. The relationship of anxiety and depression: a review of the literature[J]. Br J Psychiatry, 1986, 149(1): 7-16. DOI: 10.1192/bjp.149.1.7.

DUAN L, ZHU G. Psychological interventions for people affected by the COVID-19 epidemic[J]. Lancet Psychiatry, 2020, 7(4): 300-302. DOI: 10.1016/S2215-0366(20)30073-0.

LIU S, YANG L L, ZHANG C X, et al . Online mental health services in China during the COVID-19 outbreak[J ] . Lancet Psychiatry, 2020, 7(4): e17-e18. DOI: 10.1016/S2215-0366(20)30077-8.

傅燕飞, 马敏.急性心肌梗死患者焦虑抑郁现状调查及相关危险因素分析[J].护士进修杂志, 2013, 28(24): 2227-2229. DOI: 10.16821/j.cnki.hsjx.2013.24.005.

FU Y F, MA M. Survey of anxiety and depression status and the risk factors analysis for patients with acute myocardial infarction[J]. J Nurses Train, 2013, 28(24): 2227-2229. DOI: 10.16821/j.cnki.hsjx.2013.24.005.

鲁芳, 徐媛媛, 于永菊, 等.重症监护室护士情感衰竭特点及其与抑郁和创伤后应激障碍的关系:正念的调节作用[J].第三军医大学学报, 2019, 41(14): 1397-1402. DOI: 10.16016/j.1000-5404.201901097.

LU F, XU Y Y, YU Y J, et al . Levels of emotional exhaustion and its relationship with depression and posttraumatic stress disorder in ICU nurses: the moderating effect of mindfulness[J ] . J Third Mil Med Univ, 2019, 41(14): 1397-1402. DOI: 10.16016/j.1000-5404.201901097.

郭梅英, 阎克乐, 尚志恩.放松训练和腹式呼吸对应激的影响[J].心理学报, 2002, 34(4): 426-430.

GUO M Y, YAN K L, SHANG Z E. Effects of relaxation training and abdominal breathing on t-wave and heart rate of college students under stress[J]. J Chin Psychol Acta Psychol Sin, 2002, 34(4): 426-430.

浏览量

下载量

CSCD

文章被引用时，请邮件提醒。

提交

工具集

关联资源

诊断告知/隐瞒对早、中期肝癌患者的焦虑、抑郁及疾病感知的影响

基于网络的接纳与承诺疗法对精神健康影响的Meta分析

情绪调节方式在军人幸福感促进心理健康中的作用

新兵职业认同和焦虑、抑郁、失眠的相关关系变化研究

上海方舱医院新型冠状病毒感染者焦虑、抑郁、失眠状况及影响因素调查研究