新冠肺炎密切接触者集中隔离医学观察期的心理健康状况

Mental health status in close contacts of COVID-19 infections undergoing centralized quarantine and observation

目的探讨新冠肺炎密切接触者在隔离医学观察期间的焦虑、抑郁、失眠情况及其影响因素,为后续开展有针对性的心理危机干预提供参考。方法于2020年2月6日-8日,采用自编一般资料调查表、医院焦虑抑郁量表(HADS)和失眠严重指数量表(ISI)对雅安市4个区县的136名接受隔离医学观察的新冠肺炎密切接触者进行调查。结果检出26例(19.12%)隔离人员存在不同程度的焦虑、抑郁或失眠症状,其中存在焦虑症状者16例(11.76%),存在抑郁症状者9例(6.62%),存在失眠者16例(11.76%)。相关分析显示,HAD(A)评分与HAD(D)评分呈正相关(r=0.642,P<0.01),HAD(A)评分与ISI评分呈正相关(r=0.590,P<0.01),HAD(D)评分与ISI评分呈正相关(r=0.329,P<0.01)。回归分析显示,焦虑的危险因素有隔离第一周(OR=3.290,P<0.05),失眠的危险因素有老年(OR=7.990,P<0.05)、隔离第一周(OR=4.659,P<0.05)。结论雅安地区新冠肺炎密切接触者在集中隔离医学观察期间的焦虑、失眠检出率较高,焦虑和失眠情况在隔离的第一周更严重。

Objective To explore the prevalence rate and related risk factors of anxiety,depression and insomnia symptoms in close contacts of COVID-19 patients undergoing centralized quarantine and observation,so as to provide references for follow-up targeted psychological crisis intervention.Methods From February 6 to 8,2020,a total of 136 close contacts at designated quarantine sites in four districts and counties of Ya'an city were enrolled,and assessed using the general information questionnaire,Hospital Anxiety and Depression Scale(HAD)and Insomnia Severity Index(ISI).Results A total of 26 quarantined individuals(19.12%)had various degrees of anxiety,depression or insomnia,including 16 cases(11.76%)with anxiety,9 cases(6.62%)with depression and 16 cases(11.76%)with insomnia.Correlation analysis showed that HAD(A)score was positively correlated with HAD(D)score(r=0.642,P<0.01).HAD(A)score was positively correlated with ISI score(r=0.590,P<0.01).HAD(D)score was positively correlated with ISI score(r=0.329,P<0.01).Multivariate Logistic regression analysis showed that the risk factor of anxiety was the first week of isolation(OR=3.290,P<0.05),meantime,the risk factors of insomnia included the old age(OR=7.990,P<0.05)and the first week of isolation(OR=4.659,P<0.05).Conclusion The close contacts of COVID-19 infections undergoing centralized quarantine and observation in Ya’an have high prevalence rate of anxiety and insomnia,and the symptoms are most severe during the first week of quarantine.