SARS流行期间北京三所高校学生心理状况影响因素分析

Study on the psychosocial status and related factors in three universities during severe acute respiratory syndrome epidemic in Beijing

目的 了解严重急性呼吸综合征(SARS)流行期间北京高校学生心理状况并探索其影响因素。方法 采用精神症状自评量表(SCL-90)和一般情况调查表,按分层整群抽样方法,对北京市3所重点院校6800名学生进行自评问卷调查。结果 回收有效问卷6280份。SARS流行期间学校提供了良好的社会支持系统。SCL-90阳性症状检出率为7.3％。文科学生(OR=2.00)、对防治SARS措施不了解(OR=1.91)、认为控制SARS措施无效(OR=2.25)、对战胜SARS没有信心(OR=3.57)是SCL-90阳性症状检出的危险因素,女性(OR=0.77)、研究生学历(OR=0.38)、封闭式管理对学习和个人生活无影响(OR=0.54)是SCL-90阳性症状检出的保护因素。结论 SARS流行期间,大学生心理状况受到SARS的知识和态度的影响,完善的社会支持系统有利于学生保持良好的心理健康状况。

Objective To investigate the psychosocial status and related factors among university students during severe acute respiratory syndrome (SARS) epidemic in Beijing. Methods By means of stratified cluster sampling, symptom checklist-90 (SCL-90) and questionnaire on general information were applied among 6800 students in three universities in Beijing. Results There were 6280 valid questionnaires gathered. In order to control and prevent SARS, strict management was conducted in three universities which providing various social supports. Out of the 6280 students, 460 had SCL-90 positive symptoms with a rate of 7. 3%. Risk factors of SCL-90 positive symptom were found as follows: major in arts (OR= 2.00), misconception on the control and prevention of SARS (OR=1.91), considering measures non- effective (OR=2.25), and do not believe that SARS can be under control (OR=3. 57). Protective factors of SCL-90 positive symptom would include as: being female (OR=0.77), being graduate students (OR=0.38), and being not much influenced on study and daily life during the period of strict management (OR=0.54). Conclusion Psychosocial status of students was influenced by their knowledge and attitude on SARS. Various social supports might keep the university students to having a healthy psychosocial status.