新型冠状病毒肺炎流行期间公众心理健康状况及其影响因素研究

目的了解新型冠状病毒肺炎流行期间公众心理健康状况及其影响因素。方法采用结构化问卷,通过网络平台对研究对象进行问卷调查。其中,公众心理健康状况采用症状自评量表(SCL-90)进行评估。利用Logistic回归分析探讨相关影响因素。结果调查纳入分析1078份合格问卷,其中SCL-90量表评分阳性人数252人(23.38%)。各单因子中阳性率最高的为焦虑41.28%,其次为恐怖35.16%、抑郁33.21%,阳性率最低的为偏执13.45%。多因素Logistic回归分析显示,来自武汉市(OR=1.64,P=0.014)、男性(OR=1.37,P=0.036)、医学相关职业或专业(OR=1.57,P=0.008)、对疫情很关注(OR=2.19,P=0.013)及认识的人有疑似或确诊病例(OR=2.75,P<0.001)均是影响公众心理健康状况的危险因素。结论新型冠状病毒肺炎流行期间公众心理健康问题较为严重,尤其是武汉市人群。此外,男性群体、医学相关职业或专业、亲朋出现病例的人群最需要关注自身心理健康问题。政府应加大心理健康知识宣传力度,以有效预防上述人群心理疾病的发生发展。

Mental health status and related influencing factors during the epidemic of coronavirus disease 2019(COVID-19)

Objective To understand the public mental health status and related influencing factors during the epidemic of coronavirus disease 2019(COVID-19).Methods A structured questionnaire was used to conduct a questionnaire survey of the research subjects through an online platform.The public mental health status was assessed using the Symptom Checklist(SCL-90).Logistic regression analysis was used to analyze related influencing factors.Results The survey included 1078 eligible questionnaires,of which 252(23.38%)were positive on the SCL-90 scale.For each SCL-90 factor,the highest positive rate was anxiety(41.28%),followed by horror(35.16%),and depression(33.21%).Multivariate logistic regression analysis showed that from Hubei(OR=1.64,P=0.014),male(OR=1.37,P=0.036),medical related occupations or professions(OR=1.57,P=0.008),and high concern over the epidemic(OR=2.19,P=0.013)and known people with suspected or confirmed cases(OR=2.75,P<0.001)were risk factors influencing public mental health.Conclusion The mental health problems of the population during the epidemic of COVID-19 were serious,especially in Hubei.Male groups,medical workers,and people with relatives and friends who have a case need to pay attention to their own mental health.The government should increase the publicity of mental health knowledge to effectively prevent the occurrence and development of mental illness in these people.