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新冠疫情期间被隔离人群中抑郁的流行率、风险因素及临床相关性。

Prevalence, risk factors and clinical correlates of depression in quarantined population during the COVID-19 outbreak.

机构信息

Department of Psychiatry, Shenzhen Nanshan People's Hospital of Shenzhen University, Shenzhen, China.

Shenzhen Nanshan People's Hospital of Shenzhen University, Shenzhen, China.

出版信息

J Affect Disord. 2020 Oct 1;275:119-124. doi: 10.1016/j.jad.2020.06.035. Epub 2020 Jul 2.

Abstract

BACKGROUND

The COVID-19 outbreak has brought tremendous psychological pressure to the general population, which may lead to depression. Therefore, this study aim to evaluate the prevalence and clinical correlates of depressive symptoms in the general population quarantined during the COVID-19 outbreak in Shenzhen.

METHODS

2237 quarantined general individuals participated in this cross-sectional study from February 14 to March 4, 2020, during their 14 days quarantine. They completed the Zung's Self-Rating Depression Scale (SDS) for depression, Zung's self-rating anxiety scale (SAS) for anxiety, the Pittsburgh Sleep Quality Index (PSQI) for sleep quality, and the Impact of Events Scale-Revised (IES-R) for post-traumatic stress symptoms (PTSS).

RESULTS

The prevalence of depressive symptom was 6.21% in quarantined individuals. The depressed group were younger, less married and educated, and had higher SAS, PSQI, IES-R total scores (all p<0.05), as well as more avoidance, intrusion and hyperarousal symptoms than the non-depressed group. Correlation analysis showed significant correlations between SDS score and the following parameters: age, marriage, education, SAS, PSQI, IES-R total and its three subscale scores (Bonferroni corrected all p<0.05). Further multiple regression indicated that age, marriage, education, SAS, PSQI, IES-R total score, Avoidance and Hyperarousal factor were independent predictors of depressive symptom.

LIMITATIONS

This study adopted a cross-sectional design and used self-report questionnaires.

CONCLUSIONS

Our results suggest an elevated prevalence of depressive symptom in quarantined general individuals in Shenzhen. Some demographic and clinical variables were associated with depressive symptoms.

摘要

背景

COVID-19 疫情给普通民众带来了巨大的心理压力,这可能导致抑郁。因此,本研究旨在评估 COVID-19 疫情期间在深圳被隔离的普通人群中抑郁症状的患病率和临床相关性。

方法

2020 年 2 月 14 日至 3 月 4 日,在被隔离的 14 天内,2237 名被隔离的普通个体参与了这项横断面研究。他们完成了 Zung 的自评抑郁量表(SDS)、Zung 的自评焦虑量表(SAS)、匹兹堡睡眠质量指数(PSQI)和修订后的事件影响量表(IES-R)用于评估抑郁症状、焦虑症状、睡眠质量和创伤后应激症状(PTSS)。

结果

被隔离个体中抑郁症状的患病率为 6.21%。与非抑郁组相比,抑郁组年龄较小,婚姻状况和受教育程度较低,SAS、PSQI、IES-R 总分较高(均 p<0.05),回避、闯入和警觉性增高症状也较多。相关性分析显示 SDS 评分与以下参数显著相关:年龄、婚姻状况、受教育程度、SAS、PSQI、IES-R 总分及其三个分量表得分(经 Bonferroni 校正后均 p<0.05)。进一步的多元回归分析表明,年龄、婚姻状况、受教育程度、SAS、PSQI、IES-R 总分、回避和警觉性增高因子是抑郁症状的独立预测因子。

局限性

本研究采用横断面设计,使用自我报告问卷。

结论

我们的研究结果表明,深圳被隔离的普通人群中抑郁症状的患病率较高。一些人口统计学和临床变量与抑郁症状相关。

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