新冠肺炎疫情封闭管理期间大学生心理健康状况及影响因素分析

  目的  了解新型冠状病毒肺炎(COVID-19)局部暴发期间封闭式管理下大学生心理健康状况及其影响因素，为疫情应急状态下大学生心理健康教育提供科学依据。  方法  于2021年10月18日至11月18日，采用一般情况调查表、抑郁症状群量表、广泛性焦虑量表对1 816名实行封闭式管理的兰州某高校在读大学生进行调查，运用有序多分类Logistic回归方法进行统计分析。  结果  大学生抑郁的发生率是38.76%，其中轻度抑郁和中重度抑郁发生率分别为31.33%和7.43%；焦虑的发生率为16.36%，其中轻度焦虑和中重度焦虑发生率分别为13.33%和3.03%。多因素Logistic回归分析结果显示，贫困生(OR=1.29)、作息情况(基本规律OR=0.33、规律OR=0.18)、网络教学适应度(一般适应OR=0.45、很适应OR=0.25)、担心自己及家人感染(有些担心OR=1.73、非常担心OR=2.09)、男生(OR=0.78)、隔离方式(OR=1.70)等6个因素是大学生抑郁状况的影响因素(P值均 < 0.05)；听音乐情况(有时OR=0.44、经常OR=0.41)、作息情况(基本规律OR=0.36、规律OR=0.19)、网络教学适应度(一般适应OR=0.42、很适应OR=0.28)、担心自己及家人感染(有些担心OR=1.87、非常担心OR=3.27)等4个因素是大学生焦虑状况的影响因素(P值均 < 0.05)。  结论  新冠肺炎局部暴发校园封闭式管理和集中隔离医学观察期间，大学生抑郁和焦虑状况检出率高，高校和有关部门应及时采取精准措施进行心理疏导。

Mental health and its associated factors in college students during COVID-19 confinement in campus

  Objective  To investigate mental health and its associated factors in college students during COVID-19 confinement in campus, and to provide a scientific basis for mental health education.  Methods  A general questionnaire, the Patient Health Questionnaire 9 (PHQ-9) and the Generalized Anxiety Disorder- 7 (GAD-7) were administered. A total of 1 816 college students under COVID-19 confinement in campus in Lanzhou City were surveyed from October 18 to November 18, 2021. Data were analyzed by using the ordinal Logistic regression method.  Results  The overall incidence of depressive emotions was 38.76%, and the incidences of mild, moderate to severe depression emotions were 31.33% and 7.43%, respectively. About 16.36% of students showed anxiety, with mild, moderate to severe anxiety being 13.33% and 3.03%, respectively. Multivariate analysis showed that poverty(OR=1.29), daily schedule (basically normal OR=0.33, normal OR=0.18), adaptability of online learning (moderate adaptation OR=0.45, high level of adaptation OR=0.25), concerns about the infection of oneself and family members (some concerns OR=1.73, considerable concerns OR=2.09), male(OR=0.78), and the isolation mode(OR=1.70). The music listening (sometimes OR=0.44, often OR=0.41), daily schedule (basically normal OR=0.36, normal OR=0.19), adaptability of online learning (moderate adaptation OR=0.42, high level of adaptation OR=0.28), and concerns about the infection of oneself and family members (some concerns OR=1.87, considerable concerns OR=3.27) were primary factors associated with high level of anxiety among college students(P < 0.05).  Conclusion  The incidence of depression and anxiety among college students increased following COVID-19 confinement and centralized isolation for medical observation in campus. Universities and relevant departments should take timely and precise measures for psychological counseling.