新型冠状病毒肺炎流行期非湖北地区民众心理应激、抑郁、焦虑情绪和失眠的调查

Stress, anxiety, depression and insomnia in adults outside Hubei province during the COVID-19 pandemic

目的:调查新型冠状病毒肺炎(COVID-19)疫情下非湖北地区民众的心理应激、焦虑、抑郁情绪和失眠状况。方法:2020年2月5—19日期间,通过问卷星网络平台对全国民众进行疫情前后心理及睡眠问卷调查,非湖北地区受试者纳入本研究。事件影响量表修订版、广泛性焦虑障碍量表-7、患者健康问卷抑郁量表-9及失眠严重程度指数量表,分别用于评估COVID-19事件相关的应激反应和疫情前后焦虑、抑郁情绪和失眠严重程度。结果:疫情发生后,在纳入的3134例受试者中,15.5%(487例)存在COVID-19相关的应激反应,24.9%(779例)存在焦虑症状,28.7%(899例)存在抑郁症状,30.9%(968例)存在失眠症状,检出比例均较疫情前增加(均P<0.01)。受试者对COVID-19疫情的应激反应是疫情后焦虑抑郁情绪及失眠加重的危险因素。结论:COVID-19疫情下,普通民众中出现疫情相关应激反应,焦虑、抑郁情绪和失眠发生率增加且严重程度加重,应激反应与情绪及失眠加重密切相关,需及时给予心理干预和睡眠卫生教育。

Objective To investigate the severity of stress,anxiety,depression and insomnia during the novel coronavirus disease(COVID-19)pandemic in adults outside Hubei Province,China.Methods An online survey of psychological and sleep by using Questionnaire Star program from 5th to 19th February 2020 was conducted.The Impact of Event Scale-Revised was used to assess COVID-19 outbreak-related stress symptoms.Meanwhile,Questionnaires of Generalized Anxiety Disorder-7,Patient Health Questionnaire-9 and the Insomnia Severity Index were respectively used to assess the severity of anxiety,depression and insomnia symptoms prior to and during the COVID-19 pandemic.Results A total of 3134 subjects were included.Among the included subjects,15.5%(487),24.9%(779),28.7%(899)and 30.9%(968)of the subjects had COVID-19-related stress symptoms,anxiety,depression and insomnia after the COVID-19 outbreak,respectively.The severity levels of anxiety,depression and insomnia were significantly increased during the COVID-19 pandemic compared to prior to the outbreak(all P<0.01).Furthermore,the subjects'stress response to the COVID-19 outbreak was an independent risk factor for increased anxiety,depression and insomnia after the outbreak.Conclusion The COVID-19 outbreak resulted in related stress response and widespread increase in anxiety,depression,and insomnia outside Hubei Province,China in the general population.The aggravation of anxiety,depression and insomnia is associated with stress levels.Our data demonstrate that the widespread psychological and insomnia problems in the general population need to be addressed at the early phase of the pandemic.