新冠疫情期间检疫隔离人群焦虑和抑郁状况调查研究

Investigation of Anxiety and Depression of Quarantine People during the COVID-19

目的了解新冠病毒疫情期间检疫隔离群体心理状况,为心理干预提供参考。方法调查纳入2020年4月7日-5月26日期间由境外或重点疫区进入深圳的定点酒店检疫隔离人员,隔离人员需在隔离开始24 h内完成心理筛查。共收集调查问卷2219份,最后得到1705人填写的合格问卷,有效回收率为76.8%。采用健康问卷抑郁量表(PHQ-9)、广泛性焦虑量表(GAD-7)对检疫隔离人群进行心理问题筛查,统计方法包括t检验、方差分析及Pearson相关性分析、Logistic回归等。结果检疫隔离者抑郁、焦虑的检出率分别是15.8%、14.8%,多元Logistic回归分析显示,女性(OR=1.526)和对隔离部分理解及不理解(OR=3.273;OR=3.148)是检疫隔离者焦虑的危险因素;经济条件一般及较好(OR=0.422;OR=0.305)是检疫隔离者焦虑的保护因素;女性(OR=1.323)和对隔离部分理解及不理解(OR=3.387;OR=3.153)是检疫隔离者出现抑郁的危险因素;经济条件一般及较好(OR=0.627;OR=0.373)是检疫隔离者抑郁的保护因素。结论新型冠状肺炎疫情期间,检疫隔离者出现不同程度的焦虑、抑郁表现,需重点加强对女性、经济条件差、对隔离态度较差人群的心理疏导与社会支持。

Objective To understand the psychological status of the quarantine group during the COVID-19,and provide reference for psychological intervention.Methods The Health Questionnaire Depression Scale(PHQ-9)and Generalized Anxiety Scale(GAD-7)were used to screen the quarantine population for psychological problems.Statistical methods included t-test,analysis of variance,Pearson correlation analysis,Logistic regression,etc.Results The detection rates of depression and anxiety of quarantine patients were 15.8%and 14.8%,respectively.Multivariate logistic regression analysis showed that females(OR=1.526)and some understanding and lack of understanding(OR=3.273;OR=3.148)were risk factors for anxiety of quarantined persons;general and better economic conditions(OR=0.422;OR=0.305)were the protection factors for anxiety of quarantine persons.Females(OR=1.323)and understanding and not understanding of the quarantine part(OR=3.387;OR=3.153)were risk factors for depression among quarantine patients;general and better economic conditions(OR=0.627;OR=0.373)were protective factors for depression of medically quarantined people.Conclusion During the period of the new type of coronary pneumonia,quarantine patients show varying degrees of anxiety and depression.It is necessary to strengthen psychological counseling and social support for women,people with poor economic conditions,and poor attitudes towards isolation.