Liang Shun-Wei, Chen Rong-Ning, Liu Li-Li, Li Xue-Guo, Chen Jian-Bin, Tang Si-Yao, Zhao Jing-Bo
Department of Psychology, School of Public Health, Southern Medical University, Guangzhou, China.
Mental Health Center, School of Public Health, Southern Medical University, Guangzhou, China.
Front Psychol. 2020 Sep 4;11:2231. doi: 10.3389/fpsyg.2020.02231. eCollection 2020.
Coronavirus disease 2019 (COVID-19) has considerably psychologically impacted Chinese college students. Several types of online mental health services were widely implemented for college students during the outbreak. This study investigated the relationship between college students' mental health status and psychological help-seeking behavior to test the phases-decision-making model (PDM).
A cross-sectional survey was conducted among college students in Guangdong Province using an online platform. In total, 4,164 students were assigned to the "counseling group" or "non-counseling group" according to whether they had sought psychological help because of the COVID-19 outbreak; the groups were matched based on age, sex, and grade. Demographics, perceived mental health, and experience with seeking psychological help were recorded. Fear, depression, and trauma were assessed by the COVID-19 Fear Screening Scale, Patient Health Questionnaire, and Impact of Event Scale-6.
The fear, depression, and trauma scores were significantly higher in the counseling group than in the non-counseling group ( < 0.001). Fear (OR = 1.27, < 0.001), depression (OR = 1.02, = 0.032), trauma (OR = 1.08, < 0.001), poor perceived mental health status (OR = 3.61, = 0.001), and experience with seeking psychological help (OR = 7.06, < 0.001) increased the odds of seeking psychological help.
During the COVID-19 epidemic, the rate of psychological help-seeking was still low, and college students in poor psychological condition sought psychological counseling more. Fear, depression, trauma, experience with seeking psychological help, and perceived mental health can effectively predict psychological help-seeking behavior. These findings emphasized the importance of closely monitoring college students' psychological status, providing psychological intervention, and improving the probability of seeking psychological help.
2019年冠状病毒病（COVID-19）对中国大学生产生了相当大的心理影响。疫情期间，多种类型的在线心理健康服务被广泛应用于大学生群体。本研究旨在调查大学生心理健康状况与心理求助行为之间的关系，以检验阶段决策模型（PDM）。
利用在线平台对广东省大学生进行横断面调查。根据是否因COVID-19疫情寻求过心理帮助，将4164名学生分为“咨询组”或“非咨询组”；两组在年龄、性别和年级方面进行匹配。记录人口统计学信息、感知到的心理健康状况以及寻求心理帮助的经历。通过COVID-19恐惧筛查量表、患者健康问卷和事件影响量表-6评估恐惧、抑郁和创伤情况。
咨询组的恐惧、抑郁和创伤得分显著高于非咨询组（<0.001）。恐惧（OR = 1.27，<0.001）、抑郁（OR = 1.02，= 0.032）、创伤（OR = 1.08，<0.001）、感知心理健康状况较差（OR = 3.61，= 0.001）以及寻求心理帮助的经历（OR = 7.06，<0.001）增加了寻求心理帮助的几率。
在COVID-19疫情期间，心理求助率仍然较低，心理状况较差的大学生更倾向于寻求心理咨询。恐惧、抑郁、创伤、寻求心理帮助的经历以及感知到的心理健康状况能够有效预测心理求助行为。这些发现强调了密切监测大学生心理状况、提供心理干预以及提高寻求心理帮助可能性的重要性。
