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新型冠状病毒肺炎疫情期间大学生心理健康状况及其影响因素

[Mental health status and its influencing factors among college students during the epidemic of COVID-19].

作者信息

Chang Jinghui, Yuan Yuxin, Wang Dong

机构信息

School of Public Health, Southern Medical University, Guangzhou 510515, China.

School of Health Services Management, Southern Medical University, Guangzhou 510515, China.

出版信息

Nan Fang Yi Ke Da Xue Xue Bao. 2020 Feb 29;40(2):171-176. doi: 10.12122/j.issn.1673-4254.2020.02.06.

Abstract

OBJECTIVE

To investigate the mental health status of college students during the epidemic of COVID-19 and identify the factors influencing the mental health of the students.

METHODS

Using a general questionnaire, a self-designed new coronavirus pneumonia knowledge and cognitive behavior questionnaire, the Generalized Anxiety Disorder 7 (GAD-7) and Patient Health Questionnaire 9 (PHQ-9), we conducted an internet-based questionnaire survey of 3881 college students in Guangdong Province. A multinomial-logistic regression model was used to analyze the collected data.

RESULTS

The survey showed that 69.47% of the college students had a high level of awareness of COVID-19; the overall incidence of anxiety was 26.60%, and the incidences of mild, moderate and severe anxiety were 23.19%, 2.71%, and 0.70%, respectively. Depressive emotions were detected in 21.16% of the students, and the incidences of mild, moderate, and moderate-to-severe depression were 16.98%, 3.17%, and 1.01%, respectively. The results of multivariate analysis showed that an older age was associated with a higher level of awareness of COVID-19 and greater changes in future health behaviors were associated with less anxiety and depression among the students. The students currently in rural areas, of non-medical majors, and reporting half of their information concerning the epidemic being negative were more likely to have anxiety; female gender, residence in suburbs, a drinking history, and excessive negative information concerning the epidemic were all associated with the likeliness of depression.

CONCLUSIONS

The college students have different levels of anxiety and depression during the epidemic. Depression and anxiety are closely related, but the factors contributing to different levels of such emotions can be different, and colleges and related departments are urged to provide precision mental health education for college students.

摘要

目的

调查新型冠状病毒肺炎疫情期间大学生的心理健康状况,并确定影响学生心理健康的因素。

方法

我们使用一般问卷、自行设计的新型冠状病毒肺炎知识与认知行为问卷、广泛性焦虑障碍量表(GAD-7)和患者健康问卷9(PHQ-9),对广东省3881名大学生进行了基于互联网的问卷调查。采用多项逻辑回归模型对收集到的数据进行分析。

结果

调查显示,69.47%的大学生对新型冠状病毒肺炎有较高的认知水平;焦虑的总体发生率为26.60%,轻度、中度和重度焦虑的发生率分别为23.19%、2.71%和0.70%。21.16%的学生检测出有抑郁情绪,轻度、中度和中重度抑郁的发生率分别为16.98%、3.17%和1.01%。多因素分析结果显示,年龄较大与对新型冠状病毒肺炎的认知水平较高相关,未来健康行为变化较大与学生焦虑和抑郁程度较低相关。目前居住在农村、非医学专业、报告疫情相关信息一半为负面的学生更易出现焦虑;女性、居住在郊区、有饮酒史以及疫情相关负面信息过多均与抑郁可能性相关。

结论

疫情期间大学生存在不同程度的焦虑和抑郁。抑郁和焦虑密切相关,但导致这些情绪不同程度的因素可能不同,敦促高校及相关部门为大学生提供精准心理健康教育。

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