新冠肺炎疫情下大众替代性创伤的影响因素

Influencing factors of vicarious trauma in general population during COVID-19 epidemic

目的:调查新冠肺炎疫情期间大众替代性创伤状况及其影响因素。方法:采用替代性创伤量表(VTS)及简易应对方式问卷(SCSQ)线上调查了201位受访者。结果:201例研究受访者中,7%(14例)发生了替代性创伤,20.0%(40例)出现情绪反应,11.0%(23例)行为出现改变,8.5%(17例)出现认知反应,20.0%(40例)出现生活信念发生变化,6%(12例)出现生理反应。不同性别受访者情绪反应和行为反应呈现出显著差异(P<0.05或P<0.01);所处地区疫情严重的受访者替代性创伤、情绪反应、认知反应和生活信念得分显著高于所处地区疫情一般或较轻者得分(P<0.05或P<0.01);每日关注疫情时长超过1 h受访者替代性创伤、情绪反应、认知反应和生活信念得分显著高于每日关注疫情时长≤1 h受访者(P<0.05或P<0.01)。结论:新冠肺炎疫情期间7%大众发生了替代性创伤。大众身处严重疫情地区者及每日接触疫情信息时长超过1 h者其替代性创伤更明显。

Objective:To investigate the vicarious trauma status and its influencing factors in general population during COVID-19 epidemic.Methods:We surveyed 201 respondents online by Vicarious Traumatization Scale(VT-S) and Simplified Coping Style Questionnaire(SCSQ).Results:Among 201 cases,there were 14 cases(7.0%) whose vicarious trauma total points exceeded theoretical mid-value,and the percentages of whose scores about emotional reaction,behavioral reaction,cognitive reaction,life belief,and physiological reaction exceeded theoretical mid-value were 20.0%(40 cases),11.0%(23 cases),8.5%(17 cases),20.0%(40 cases),and 6%(12 cases) respectively.There were significant differences in emotional and behavioral reaction between different genders(P<0.05 or P<0.01).The scores of vicarious trauma,emotional reaction,cognitive reaction and life belief of the respondents who live in severe epidemic regions were significantly higher than those who live in moderate or mild epidemic regions(P<0.05 or P<0.01).The scores of vicarious trauma,emotional reaction,cognitive reaction,and life belief of the respondents who focued on epidemic information for more than one hour a day were significantly higher than the scores of those who were concerned about the epidemic for less than one hour(≤1 h) a day(P<0.05 or P<0.01).Conclusion:There were 7% of the population suffered from vicarious trauma during the new coronavirus epidemic.People in severe epidemic regions and those exposed to epidemic information for more than one hour a day have higher degree of vicarious trauma.