Chen Fang, Wang Xiao-Dong, Zhu Kan-Kai, Hu Jian-Bo
Department of Gastrointestinal Surgery.
Department of Mental Health, The First Affiliated Hospital Zhejiang University School of Medicine, 79 Qingchun Road, Hangzhou, Zhejiang Province, People's Republic of China.
Medicine (Baltimore). 2020 Sep 18;99(38):e22260. doi: 10.1097/MD.0000000000022260.
We explored the psychological changes in suspected patients during the coronavirus disease 2019 (COVID-19) epidemic and obtained evidence for early psychological guidance and intervention in this group. A total of 31 inpatients with suspected COVID-19 were identified at our hospital. The depression module of the Patient Health Questionnaire (PHQ-9), the General Anxiety Disorder (GAD)-7 scale, and the Self-Reporting Questionnaire (SRQ-20) mental health self-assessment questionnaire were used to assess depression, anxiety, and overall mental health. Among the patients, 32.3% had symptoms of depression and 19.4% had symptoms of anxiety. Levels of anxiety and fear varied. In comparing the PHQ-9 and 7-item Generalized Anxiety Disorder Scale scores of suspected and confirmed patients, there was no significant difference in the distribution of severity of anxiety or depression in the 2 groups. The PHQ-9 scores indicated mild depression symptoms in 25.8% of suspected patients, moderate symptoms in 0%, and severe symptoms in 6.5%. Overall, 50% of confirmed patients had symptoms, with 30.8% classified as mild, 15.4% classified as moderate, and 3.8% classified as severe. The 7-item Generalized Anxiety Disorder Scale scores in the group of suspected patients showed that 9.7% had mild symptoms, 0% had moderate symptoms, and 9.7% had severe symptoms. In the group of confirmed patients, 38.4% had symptoms (34.6% mild, 0% moderate, and 3.8% severe). Diagnosed patients had more visible symptoms of depression and different total PHQ-9 scores. During the COVID-19 epidemic, suspected and diagnosed patients had different levels of mental health problems. Diagnosed patients had more visible symptoms. The performance of suspected patients was higher, but their mental state was more polarized. It may thus be important to monitor the psychological state of suspected patients as early as possible to enable timely interventions that promote psychological rehabilitation.
我们探讨了2019冠状病毒病（COVID-19）疫情期间疑似患者的心理变化，并获得了对该群体进行早期心理指导和干预的证据。我院共识别出31例COVID-19疑似住院患者。使用患者健康问卷（PHQ-9）的抑郁模块、广泛性焦虑障碍（GAD）-7量表和自测问卷（SRQ-20）心理健康自评问卷来评估抑郁、焦虑和整体心理健康状况。患者中，32.3%有抑郁症状，19.4%有焦虑症状。焦虑和恐惧程度各不相同。比较疑似和确诊患者的PHQ-9和7项广泛性焦虑障碍量表得分，两组焦虑或抑郁严重程度分布无显著差异。PHQ-9得分显示，25.8%的疑似患者有轻度抑郁症状，0%有中度症状，6.5%有重度症状。总体而言，50%的确诊患者有症状，其中30.8%为轻度，15.4%为中度，3.8%为重度。疑似患者组的7项广泛性焦虑障碍量表得分显示，9.7%有轻度症状，0%有中度症状，9.7%有重度症状。确诊患者组中，38.4%有症状（34.6%为轻度，0%为中度，3.8%为重度）。确诊患者有更明显的抑郁症状和不同的PHQ-9总分。在COVID-19疫情期间，疑似和确诊患者有不同程度的心理健康问题。确诊患者有更明显的症状。疑似患者的表现较高，但心理状态更两极分化。因此，尽早监测疑似患者的心理状态可能很重要，以便能够及时进行干预，促进心理康复。
