2020年新冠肺炎流行期入境集中隔离人员心理健康状况调查

Psychological Health Status of the Immigration Quarantine Individuals During the COVID-19 Epidemic in 2020

目的调查新冠肺炎流行期间入境集中隔离人员的心理健康状况,为及时筛查、诊治中/重度心理症状人员提供支持。方法2020-05/08新冠肺炎流行期间自广州口岸入境人员,采用自编电子表单小程序制作3个量化评估表:失眠严重程度指数(ISI),抑郁症筛查量表(PHQ-9),广泛性焦虑量表(GAD-7),由入境隔离人员在隔离期间自助(或他人辅助)扫码填写,对3785名在广州市黄埔区入境隔离点集中隔离的人员开展了心理量化测评,应用卡方检验分析测评结果及各症状相关性,比较不同入境集中隔离人员的心理健康状况,检验水准α=0.05。结果不同性别患"中/重度抑郁"(χ^(2)=10.27,P=0.001)和"中重度焦虑"(χ^(2)=27.91,P<0.001)的比例差异有统计学意义,女性高于男性;不同年龄组患"中/重度抑郁"(χ^(2)=18.91,P<0.001)和"中/重度焦虑"(χ^(2)=13.77,P=0.003)的比例差异有统计学意义,20~40岁中青年的比例高于其他年龄组人群;失眠、抑郁和焦虑程度三者间存在相关关系(失眠和抑郁的相关系数Phi=0.398,P=0.000;失眠和焦虑的相关系数Phi=0.385,P<0.001;抑郁和焦虑的相关系数Phi=0.558,P<0.001)患任一种"中/重度"心理症状的隔离人员都有更大可能同时患有其他两种"中/重度"心理症状。结论入境隔离人员中,女性及中青年患"中/重度"心理症状的比例较高,"中/重度失眠"、"中/重度抑郁"和"中/重度焦虑"常相互伴生,对该部分入境隔离人员的心理健康需重点关注、及时处置,避免发生进一步身心损害。

Objective To investigate the psychological health status of the immigration quarantine individuals during the COVID-19 epidemic so as to provide support for timely screening,diagnosis and treatment of moderate/severe psychological symptoms.Methods During the COVID-19 epidemic from May to August 2020,a self-made electronic questionnaire was used to investigate the psychological health status,including Insomnia Severity Index(ISI),Generalized Anxiety Disorder(GAD-7),Patient Health Questionnaire-9(PHQ-9).The immigration quarantine individuals were asked to fill in the questionnaires through scanning the QR code by themselves or someone else during the quarantine period.Totally,3785 immigration quarantine individuals finished the questionnaire at the entry quarantine hotel in Huangpu District,Guangzhou.The chi-square test was used to analyze the results and the correlation of symptoms,and to compare the mental health status of the different groups.The significance level was set asα=0.05.Results Females had higher proportion of moderate/severe depression(χ^(2)=10.27,P=0.001)and anxiety(χ^(2)=27.91,P=0.000)than that of males.There were significant differences in the proportion of moderate/severe depression(χ^(2)=18.91,P=0.000)and anxiety(χ^(2)=13.77,P=0.003)among different age groups;specifically,the proportion of moderate/severe depression and anxiety in 20-40 years was higher than that of other age groups.There was a correlation between the degree of insomnia,depression and anxiety(the correlation coefficient between insomnia and depression,Phi=0.398,P=0.000;the correlation coefficient between insomnia and anxiety Phi=0.385,P=0.000;the correlation coefficient between depression and anxiety,Phi=0.558,P=0.000).Conclusion Females,young and middle-aged were more likely to suffer from moderate/severe mental symptoms,and moderate/severe insomnia,moderate/severe depression and moderate/severe anxiety often occur together among the immigration quarantine people.Attention should be paid to the mental health of those quarantined to avoid further physical and mental damage.