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

唐映丹; 张玲; 黄磊; 杜欣; 王云; 罗春梅; 孙建国; 张曦; 杨国愉; 贺英

doi:10.16016/j.2097-0927.202207204

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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

医学心理学 | 更新时间：2026-01-09

- 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
- Survey of anxiety, depression and insomnia statuses and their influencing factors in COVID-19 patients in Shanghai makeshift hospital
- 陆军军医大学学报 2023年45卷第13期页码：1456-1462
- 作者机构：
  
  1.400038 重庆，陆军军医大学(第三军医大学)医学心理系军人发展心理学教研室
  2.671000 云南大理，陆军第七十五集团军医院
  3.400037 重庆，陆军军医大学(第三军医大学)第二附属医院：神经内科医学中心
  4.400037 重庆，陆军军医大学(第三军医大学)第二附属医院：血液科
  5.400037 重庆，陆军军医大学(第三军医大学)第二附属医院：骨科
  6.400037 重庆，陆军军医大学(第三军医大学)第二附属医院：肿瘤科
- 作者简介：
  
  [贺英，E-mail: hy1996jw@163.comHE Ying, E-mail: hy1996jw@163.com
- 基金信息：
  
  2019陆军军医大学优秀人才库重点扶持对象(2019R044)
- DOI：10.16016/j.2097-0927.202207204
  中图分类号： R197.61;R512.39;R749.21
- 收稿：2022-10-31，
  
  修回：2023-03-20，
  
  纸质出版：2023-07-15
- 稿件说明：
移动端阅览
唐映丹, 张玲, 黄磊, 等. 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[J]. 陆军军医大学学报, 2023,45(13):1456-1462.

Yingdan TANG, Ling ZHANG, Lei HUANG, et al. Survey of anxiety, depression and insomnia statuses and their influencing factors in COVID-19 patients in Shanghai makeshift hospital[J]. Journal of Army Medical University, 2023, 45(13): 1456-1462.
唐映丹, 张玲, 黄磊, 等. 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[J]. 陆军军医大学学报, 2023,45(13):1456-1462. DOI： 10.16016/j.2097-0927.202207204.

Yingdan TANG, Ling ZHANG, Lei HUANG, et al. Survey of anxiety, depression and insomnia statuses and their influencing factors in COVID-19 patients in Shanghai makeshift hospital[J]. Journal of Army Medical University, 2023, 45(13): 1456-1462. DOI： 10.16016/j.2097-0927.202207204.

摘要

目的

调查上海方舱医院新型冠状病毒感染者的焦虑、抑郁、失眠特点及影响因素。

方法

采用9项患者健康问卷(PHQ-9)、广泛性焦虑量表-7(GAD-7)、阿森斯失眠量表(AIS)，自编问卷，对2022年4月9日至5月15日765名上海某方舱医院新型冠状病毒感染者进行网络调查，分析其焦虑、抑郁、失眠特点及影响因素。

结果

765名新冠病毒感染者焦虑、抑郁、失眠阳性检出率分别为22.22%、26.67%、24.05%，较2020年显著降低(

＜0.05)；不同性别、年龄、学历的感染者在焦虑、抑郁、失眠得分上差异有统计学意义(

＜0.05)；感染者受到疫情的不利影响编码得到9个主题，其中排前3的不利影响分别是：经济、工作、家庭，分别占报告人数的38.43%、27.58%、17.91%，与2020年对疾病本身担忧造成的不利影响有所不同；受到不利影响的感染者焦虑、抑郁、失眠得分高于未受到影响的感染者(

0.05)；本研究数据模型拟合指数良好(χ

=3.999，

GFI

、

NFI

、

IFI

、

TLI

、

CFI

0.9，

RMSEA

=0.063，

SRMR

=0.053)，感染者受到的不利影响正向预测焦虑、抑郁、失眠，标准化系数为0.209(

＜0.01)。

结论

随着疫情在全球的发展，感染者的焦虑抑郁情绪降低，对个体的不利影响从疾病本身转为对经济、工作、家庭方面的担忧。

Abstract

Objective

To explore the characteristics of anxiety

depression and insomnia of Corona Virus Disease 2019 (COVID-19) patients in Shanghai makeshift hospital.

Methods

Health Questionnaire-9 (PHQ-9)

Generalized Anxiety Disorder-7 (GAD-7)

Athens Insomnia Scale (AIS)

and self-complied questionnaire were used to survey 765 COVID-19 patients in a Shanghai makeshift hospital during April 9 and May 15

2022 through an online survey system. Their statuses and characteristics of anxiety

depression

and insomnia as well as their influencing factors were analyzed.

Results

The positive detection rate of anxiety

depression and insomnia of the patients was 22.22%

26.67% and 24.05%

respectively

which were significantly lower than the rates of 2020 (

0.05). There were significant differences in the scores of PHQ-9

GAD-7 and AIS among the patients of different gender

age

and education levels (

0.05). The adverse effects of patients were mainly synthesized as 9 themes

among which the top 3 adverse effects were economics

work and family

accounting for 38.43%

27.58% and 17.91% of the reported

population

which were different from the adverse effects of the disease itself in 2020. The adversely affected patients had significantly higher PHQ-9

GAD-7 and AIS scores than those who were not affected by adverse effects (

0.05). The model fitness of current data was acceptable (χ

=3.999

GFI

NFI

IFI

TLI

CFI

0.9

RMSEA

=0.063

SRMR

=0.053)

indicating that adverse effects positively predicted a latent variable of anxiety

depression

and insomnia

with a standardized coefficient of 0.209 (

0.001).

Conclusion

With the global development of the epidemic

the infected individuals have decreased anxiety and depression

and the adverse effects on them have shifted from the disease itself to concerns about the economy

work

and family.

关键词

Keywords

references

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