基于互联网问卷的2019冠状病毒病流行期人群情绪、应激及中医五脏症状调查

Survey of emotion,stress and five viscera symptoms of population during the epidemic of Corona Virus Disease 2019 based on internet questionnaire

目的:了解2019冠状病毒病(COVID-19)流行期人群情绪-躯体等健康状况,为心理干预提供依据。方法:运用临床流行病学调查的方法,采用抑郁自评量表(PHQ-9)、广泛性焦虑量表(GAD-7)、急性应激障碍自评量表(ASDS)、失眠严重指数量表(ISI)及五脏健康问卷,基于网络平台对受疫情影响人群情绪-躯体健康状况进行问卷调查。结果:本研究共回收有效答卷5296份。ASDS平均(28.00±10.82)分,10.50%的被调查者符合急性应激障碍诊断;依据PHQ-9存在重度及极重度抑郁者577例(10.90%),依据GAD-7存在中度及重度焦虑986例(18.62%);各项评分在年龄段、性别、人群分级、湖北及非湖北地区组间有显著性差异(P<0.01,P<0.05);中医五脏症状分布以脾系(1623例,30.65%)、肝系(1124例,21.22%)和肺系(827例,15.62%)症状最为多见。结论:COVID-19流行期间人群存在不同程度的应激和焦虑、抑郁等负性情绪,病毒威胁风险较高人群尤为明显。启动并介入现场心理急救支援可能有助于改善人群(包括医务人员)的应激异常和负性情绪。

Objective:To observe the emotional-physical and other health conditions of the population during the epidemics of the COVID-19,and to provide basis for psychological intervention.Methods:The survey is a clinical epidemiological investigation and used Patient Health Questionnaire(PHQ-9),Generalized Anxiety Disorder Scale(GAD-7),Acute Stress Disorder Scale(ASDS),and Insomnia Severity Index(ISI)and Five Viscera Health Questionnaire.Based on the online platform,the questionnaire survey targeted on the emotional-physical health of all affected population.Results:A total of 5296 valid answers were collected in this study.The mean and standard deviation of ASDS score is(28.00±10.82),10.50%of the respondents met the diagnosis of Acute Stress Disorder;577(10.90%)had severe and extremely severe depression according to PHQ-9,and 986 cases(18.62%)had moderate and severe anxiety according to GAD-7;the scores were significantly different between the age gender,population classification,Hubei and non-Hubei regions groups(P<0.01,P<0.05).The most common symptoms of the five internal organs of TCM are spleen(1623 cases,30.65%),liver(1124 cases,21.22%),lung(827 cases,15.62%).Conclusion:During the epidemic of COVID-19,there are different degrees of negative emotions such as stress,anxiety,and depression affect the population,especially in people with a higher risk of virus threats.Initiating and intervening on-site psychological support may help relieve stress abnormalities and negative emotions in the population.