新型冠状病毒肺炎疫情期间湖北非武汉地区居民焦虑和抑郁状况及其影响因素

Analysis of anxiety and depression of residents outside Wuhan in Hubei Province during the outbreak of COVID-19 and its influencing factors

目的了解新型冠状病毒肺炎(coronavirus disease 2019,COVID-19,简称"新冠肺炎")疫情期间湖北非武汉地区居民焦虑和抑郁症状检出率及其影响因素,为开展针对性心理干预提供参考。方法本研究采用方便抽样法,于2020年3月14日―3月17日在网上发放自行编制的电子问卷,内容包括一般个人信息、焦虑和抑郁症状等信息,采用χ~2检验和多因素Logistic回归分析模型分析湖北非武汉地区居民出现焦虑和抑郁症状的影响因素。结果在483名调查对象中,男性122人(25.26%),女性361人(74.74%),平均年龄(45.00±10.00)岁,担心会被感染者388人(80.33%),疫情期间做过心理咨询74人(7.04%),焦虑症状检出率13.66%(66/483),抑郁症状检出率26.29%(127/483)。多因素Logistic回归分析模型分析结果显示女性、担心会被感染和疫情期间做过心理咨询是焦虑症状出现的危险因素(均有P<0.05);女性、担心会被感染、疫情期间做过心理咨询是抑郁症状出现的危险因素,知道疫情期间国家有开通心理援助渠道是抑郁症状出现的保护因素(均有P<0.05)。结论新冠肺炎疫情下湖北非武汉地区居民焦虑及抑郁症状检出率较高,相关部门需采取措施针对性进行心理干预,缓解该地区居民的焦虑及抑郁状况。

Objective To understand the prevalence and influencing factors of anxiety and de-pression symptoms of residents outside Wuhan in Hubei province during the outbreak of coronavirus disease 2019(COVID-19), so as to provide reference for carrying out targeted psychological intervention. Methods In this study, the convenient sampling method was adopted to distribute self-developed electronic questionnaire on the Internet from March 14 to March 17, 2020, including general personal information, anxiety and depression symptoms. And the influencing factors of anxiety and depression symptoms in residents outside Wuhan in Hubei province were analyzed by chi square(χ~2) test and multivariate Logistic regression model. Results Among the 483 respondents, 122 were males(25.26%) and 361 were females(74.74%), with an average age of(45.00 ± 10.00) years old. 388(80.33%) of them were afraid of being infected, 74(7.04%) had received psychological counseling during the epidemic period. The prevalence of anxiety symptoms was 13.66%(66/483), and the prevalence of depression symptoms was 26.29%(127/483).Logistic regression analysis showed that women, fear of infection and prior counseling during epidemics were risk factors for anxiety(all P<0.05). Women, fear of infection, and prior counseling during epidemics are risk factors for depressive, and knowing that the country has opened channels for psychological assistance during the epidemic is a protective factor for depression(all P<0.05). Conclusion Under the COVID-19 epidemic situation, the prevalence of anxiety and depression symptoms of residents outside Wuhan areas in Hubei province was relatively high. Relevant departments should take measures to carry out targeted psychological intervention to alleviate the anxiety and depression of residents in this area.