COVID-19 居家隔离的心理后果：ECLB-COVID19 多中心研究。
Psychological consequences of COVID-19 home confinement: The ECLB-COVID19 multicenter study.
机构信息
Institute of Sport Science, Otto-von-Guericke University, Magdeburg, Germany.
Interdisciplinary Laboratory in Neurosciences, Physiology and Psychology: Physical Activity, Health and Learning, UFR STAPS, UPL, Paris Nanterre University, Nanterre, France.
出版信息
PLoS One. 2020 Nov 5;15(11):e0240204. doi: 10.1371/journal.pone.0240204. eCollection 2020.
BACKGROUND
Public health recommendations and government measures during the COVID-19 pandemic have enforced restrictions on daily-living. While these measures are imperative to abate the spreading of COVID-19, the impact of these restrictions on mental health and emotional wellbeing is undefined. Therefore, an international online survey (ECLB-COVID19) was launched on April 6, 2020 in seven languages to elucidate the impact of COVID-19 restrictions on mental health and emotional wellbeing.
METHODS
The ECLB-COVID19 electronic survey was designed by a steering group of multidisciplinary scientists, following a structured review of the literature. The survey was uploaded and shared on the Google online-survey-platform and was promoted by thirty-five research organizations from Europe, North-Africa, Western-Asia and the Americas. All participants were asked for their mental wellbeing (SWEMWS) and depressive symptoms (SMFQ) with regard to "during" and "before" home confinement.
RESULTS
Analysis was conducted on the first 1047 replies (54% women) from Asia (36%), Africa (40%), Europe (21%) and other (3%). The COVID-19 home confinement had a negative effect on both mental-wellbeing and on mood and feelings. Specifically, a significant decrease (p < .001 and Δ% = 9.4%) in total score of the SWEMWS questionnaire was noted. More individuals (+12.89%) reported a low mental wellbeing "during" compared to "before" home confinement. Furthermore, results from the mood and feelings questionnaire showed a significant increase by 44.9% (p < .001) in SMFQ total score with more people (+10%) showing depressive symptoms "during" compared to "before" home confinement.
CONCLUSION
The ECLB-COVID19 survey revealed an increased psychosocial strain triggered by the home confinement. To mitigate this high risk of mental disorders and to foster an Active and Healthy Confinement Lifestyle (AHCL), a crisis-oriented interdisciplinary intervention is urgently needed.
背景
在 COVID-19 大流行期间，公共卫生建议和政府措施对日常生活施加了限制。虽然这些措施对于遏制 COVID-19 的传播是必要的，但这些限制对心理健康和情绪健康的影响尚不清楚。因此，2020 年 4 月 6 日，一个由多学科科学家组成的指导小组发起了一项国际在线调查（ECLB-COVID19），以阐明 COVID-19 限制对心理健康和情绪健康的影响。
方法
ECLB-COVID19 电子调查由一个多学科科学家组成的指导小组设计，遵循对文献的结构化审查。该调查被上传并分享到 Google 在线调查平台上，并由来自欧洲、北非、西亚和美洲的三十五个研究组织进行推广。所有参与者都被要求就“居家隔离期间”和“居家隔离之前”的心理健康状况（SWEMWS）和抑郁症状（SMFQ）进行回答。
结果
对来自亚洲（36%）、非洲（40%）、欧洲（21%）和其他地区（3%）的前 1047 名回复者（54%为女性）进行了分析。COVID-19 居家隔离对心理健康和情绪和感觉都有负面影响。具体来说，SWEMWS 问卷的总分显著下降（p<.001，Δ%=9.4%）。与居家隔离之前相比，更多的人（+12.89%）报告居家隔离期间心理健康状况较差。此外，情绪和感觉问卷的结果显示，SMFQ 总分显著增加了 44.9%（p<.001），与居家隔离之前相比，更多的人（+10%）表现出抑郁症状。
结论
ECLB-COVID19 调查显示，居家隔离引发了更大的社会心理压力。为了减轻这种精神障碍的高风险，并促进积极健康的隔离生活方式（AHCL），迫切需要采取以危机为导向的跨学科干预措施。
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