新冠肺炎疫情下家庭关系对上海高校大学生心理应激反应的影响

  目的  分析上海高校大学生家庭关系与新型冠状病毒肺炎(简称“新冠肺炎”)疫情下心理应激反应之间的关系，为降低疫情对大学生造成的心理创伤和选择相关干预措施提供参考依据。  方法  采取分层随机抽样抽取上海市4所高校904名大学生, 采用家庭亲密度和适应性量表中文版(FACESII-CV)、事件影响量表修订版(IES-R)进行调查。  结果  大学生家庭关系亲密度得分为(61.32±6.29)分、家庭关系适应性得分为(43.30±5.83)分，心理应激反应总得分为(30.77±7.33)分，内部维度得分分别为:闯入症状(11.63±2.53)分、回避症状(11.69±2.64)分、高警觉症状(7.45±2.33)分；表现为轻微应激反应和中度应激反应人数占比分别为77.5%(701名)和17.3%(156名)；不同年龄、年级、家庭收入情况、父亲文化程度、母亲文化程度组大学生在心理应激反应3个维度得分及家庭关系2个维度得分差异均有统计学意义(P值均 < 0.01)。家庭关系亲密度、家庭关系适应性得分对心理应激反应的闯入症状、回避症状、高警觉症状维度得分均有负向预测效应(P值均 < 0.05)。  结论  大学生面对疫情出现轻微程度心理应激反应且主要表现为闯入和回避症状，家庭关系的亲密度和适应性对疫情下大学生的心理应激反应具有负向作用。高质量的家庭关系可降低新冠疫情给大学生心理带来的冲击和不利影响。

Family relationship and psychological stress response of college students in Shanghai under the COVID-19 epidemic

  Objective   To investigate the association between the family relationship of college students in Shanghai and the psychological stress response under the COVID-19 epidemic.   Methods   Totally 904 college students from universities in Shanghai were investigated with questionnaire of FACESII-CV and IES-R.   Results   The score of family relationship intimacy was(61.32±6.29), the score of family relationship adaptability was(43.30±5.83), the score of psychological stress was(30.77±7.33), the score of internal dimension, avoidance, high alertness were(11.63±2.53)(11.69±2.64)(7.45±2.33). About 77.5%(701) and 17.3%(156) of college students showed mild and moderate stress reactions. Three dimensional scores of psychological stress response and two dimensional scores of family relationship differed significantly by age, grade, family income and parental education(P < 0.01). Moreover, family relationship intimacy and adaptability scores showed negative associations with intrusive symptoms, avoidance symptoms, and high alert symptom dimension scores(P < 0.05).   Conclusion   College students showed mild psychological stress under the COVID-19 epidemic with intrusion and avoidance symptoms as the most common. The intimacy and adaptability of family relationships are negatively associated with psychological stress response of college students under the epidemic. High-quality family relationships can reduce the psychological impact and adverse effects of the new crown epidemic on college students.