新型冠状病毒肺炎疫情下公众人群心理健康状况及睡眠的中介效应

Mental health status of the public and the mediating effect of sleep under the COVID-19 epidemic

目的了解新型冠状病毒肺炎疫情下公众人群焦虑、抑郁、心理压力及睡眠状况,并分析睡眠在压力与焦虑、抑郁间的中介效应。方法采用问卷星网络调研的方式,对346名普通民众应用患者健康问卷、广泛性焦虑障碍量表、压力感受量表及阿森斯失眠量表进行测评分析,采用Pearson相关分析及多元层级回归分析探讨焦虑、抑郁、压力、睡眠状况的相关性及睡眠在压力与焦虑、抑郁间的中介效应。结果公众人群焦虑情绪检出率为28.9%,抑郁情绪检出率为33.8%,失眠检出率为40.2%,压力感受量表评分为(8.12±7.56)分。Pearson相关分析显示,睡眠与压力、焦虑、抑郁存在显著正相关(P<0.01),压力与焦虑、抑郁存在显著正相关(P<0.01)。多元层级回归分析显示,睡眠在压力与焦虑、抑郁情绪间起部分中介作用(P<0.01)。结论新型冠状病毒肺炎疫情下公众人群焦虑、抑郁检出率升高,感受到不同程度的压力,失眠发生率较高。另外年龄、文化程度、职业、是否罹患慢性病可能是民众产生焦虑、抑郁情绪的风险因素,睡眠、压力与焦虑、抑郁密切相关,且有部分预测作用,睡眠在压力与焦虑、抑郁间存在部分中介作用。

Objective To understand the anxiety,depression,psychological stress and sleep status of the public under the COVID-19 epidemic,and to analyze the mediating effect of sleep between stress,anxiety and depression.Methods A total of 346 ordinary people were evaluated and analyzed using the patient health questionnaire-9 items(PHQ-9),generalized anxiety disorder scale(GAD-7),perceived stress scale(PSS-10)and Athens insomnia scale(AIS)by means of network survey.Results The detection rate of anxiety in the general public was 28.9%,the detection rate of depression was 33.8%,the detection rate of insomnia was 40.2%,and the score of PSS-10 was(8.12±7.56).Pearson correlation analysis showed that sleep was significantly positively correlated with stress,anxiety and depression(P<0.01),and stress was significantly positively correlated with anxiety and depression(P<0.01).Multiple hierarchical regression analysis showed that sleep played a partial mediating effect between stress,anxiety and depression(P<0.01).Conclusions Under the COVID-19 epidemic,the detection rate of anxiety and depression in the public population increased,they felt different degrees of stress,and the incidence of insomnia was high.In addition,age,education level,occupation and chronic diseases may be risk factors of anxiety and depression.Sleep and stress are closely related to anxiety and depression,and have partial predictive effects.Sleep has a partial mediating effect between stress,anxiety and depression.