新型冠状病毒肺炎流行期间海外侨胞焦虑抑郁状况及影响因素

Prevalence and influencing factors of anxiety and depression in overseas Chinese during the outbreak of COVID-19

目的:了解新型冠状病毒肺炎流行期间海外侨胞的心理健康状况并探讨其影响因素。方法:通过网络问卷,采用一般资料问卷、广泛性焦虑量表(GAD-7)和患者健康问卷抑郁症状群量表(PHQ-9)对372名海外侨胞进行评估,采用二元Logistic回归分析焦虑和抑郁的影响因素。结果:海外侨胞的焦虑整体检出率为49.2%,其中轻、中和重度焦虑检出率分别为36.8%、7.5%和4.8%;抑郁整体检出率为55.1%,其中轻、中、中重和重度抑郁检出率分别为32.8%、13.7%、6.2%和2.4%。二元Logistic回归分析结果显示,在读硕士、在读博士、有躯体疾病、有5个以下可倾诉对象及平时不参加身体锻炼的海外侨胞易产生焦虑情绪,从不饮酒、偶尔饮酒的海外侨胞与经常饮酒的海外侨胞相比焦虑水平较低。在读本科、硕士、博士、居住在欧洲、有5个以下可倾诉对象、每周身体锻炼时间少于3小时的海外侨胞易产生抑郁情绪。结论:新冠肺炎流行期间,海外侨胞的焦虑和抑郁情绪较为明显,重点关注有躯体疾病、倾诉对象少、缺少锻炼行为的群体及在读留学生。

Objective:To explore the mental health status of the overseas Chinese during the epidemic of COVID-19 and identify the factors influencing their mental health.Methods:A total of 372 overseas Chinese were assessed using general information questionnaire,Generalized Anxiety Disorder 7(GAD-7)and Patient Health Questionnaire 9(PHQ-9)by means of internet questionnaire.Binary logistic regression analysis was used to analyze the influencing factors of anxiety and depression.Results:The survey showed that the overall incidence of anxiety was 49.2%,of which 36.8%,7.5% and 4.8% were mild,moderate and severe anxiety.The overall detection rate of depression was 55.1%,of which 32.8%,13.7%,6.2% and 2.4%were mild,moderate,moderate to severe and severe depression.The results of binary logistic regression analysis showed that overseas Chinese who were studying for a master’s degree or a doctor’s degree,physical diseases,less than 5 objects to talk to and not take part in physical exercise were prone to anxiety.The anxiety level of overseas Chinese who never drink and occasionally drink was lower,compared with the overseas Chinese who often drink.Overseas Chinese who were studying for a bachelor’s degree,master’s degree or a doctor’s degree,living in Europe,less than 5 objects to talk to,spend less than 3 hours in exercise per week were prone to depression.Conclusion:During the epidemic of COVID-19,the anxiety and depression of overseas Chinese are obvious.More humanistic care and psychological intervention should be given to them,with more focus on those with physical illness,less objects to talk to,less exercise behavior and overseas students.