Feng Zhiling, Xu Lizhi, Cheng Peng, Zhang Li, Li Ling-Jiang, Li Wei-Hui
Department of Mental Health, The Second Xiangya Hospital, Central South University, Changsha, China.
Department of Psychiatry, The Second Xiangya Hospital, Central South University, Changsha, China.
Indian J Psychiatry. 2020 Sep;62(Suppl 3):S438-S444. doi: 10.4103/psychiatry.IndianJPsychiatry_1057_20. Epub 2020 Sep 28.
Under the COVID-19 epidemic, the families of front-line rescue workers are under unusual pressure. We aim to understand the extent of their psychological distress in this epidemic and whether they have received sufficient support. Thus targeted to provide support for them and indirectly reduce the concerns of the rescue workers. From February 27 to March 1, 2020, we used the scales of Perceived Stress Scale, 10-items Connor-Davidson Resilience Scale, Generalized Anxiety Disorder-7, Patient Health Questionnaire-2, and primary care-posttraumatic stress disorder (PTSD) to evaluate the mental health level of the family members of front-line rescue workers online. Six hundred and seventy one family members voluntarily filled out the questionnaire after reading the purpose of the study. A total of 671 family members of front-line rescue workers participated in the survey, including 194 husbands/wives, 52 parents, 49 children, 76 brothers and sisters, and 300 other relationships. Among them, 55% of the family members reported sleep problems, 49.0% of the family members had mild, and above anxiety symptoms, 12.2% of the family members reported clinically significant depression symptoms, and 10.4% of the family members may have PTSD, 8.3% of family members had thoughts of self-injury or suicide. The feeling of stress was positively correlated with anxiety and depression, but there was no significant correlation between psychological elasticity and various symptoms. Family members who are more worried about the safety, physical condition and living security of front-line rescue workers are more likely to report symptoms such as sleep disorders, anxiety, and depression. Family members' first-line rescue has a significant impact on their daily life, raising children and supporting the elderly, which is also related to the occurrence of mental and psychological symptoms. During the period of front-line support, they received support from the units or organizations of the first-line workers, mainly including telephone greetings and daily necessities. The top three concerns about the information of the epidemic were the time of the end of the epidemic, the time of the return of the family and the progress of COVID-19's treatment. After the end of the epidemic, what they most want to do is to pay more attention to and accompany their families, family gatherings, and do more exercise. The psychological impact of this epidemic on the families of front-line rescue workers is mainly sleep problems and anxiety. The psychological intervention of family members should mainly start from the relief of stress and increase of material and spiritual support.
在新冠疫情期间，一线救援人员的家属承受着不同寻常的压力。我们旨在了解他们在此次疫情中的心理困扰程度以及是否得到了足够的支持。从而有针对性地为他们提供支持，并间接减轻救援人员的担忧。2020年2月27日至3月1日，我们使用感知压力量表、10项Connor-Davidson心理弹性量表、广泛性焦虑障碍-7量表、患者健康问卷-2以及初级保健创伤后应激障碍量表，对一线救援人员家属的心理健康水平进行了在线评估。671名家属在阅读研究目的后自愿填写了问卷。共有671名一线救援人员家属参与了调查，其中包括194名丈夫/妻子、52名父母、49名子女、76名兄弟姐妹以及300名其他关系的家属。其中，55%的家属报告有睡眠问题，49.0%的家属有轻度及以上焦虑症状，12.2%的家属报告有临床显著的抑郁症状，10.4%的家属可能患有创伤后应激障碍，8.3%的家属有自我伤害或自杀念头。压力感与焦虑和抑郁呈正相关，但心理弹性与各种症状之间无显著相关性。更担心一线救援人员安全、身体状况和生活保障的家属更有可能报告睡眠障碍、焦虑和抑郁等症状。家属的一线救援工作对他们的日常生活、养育子女和赡养老人有显著影响，这也与心理和精神症状的发生有关。在一线支持期间，他们得到了一线工作人员所在单位或组织的支持，主要包括电话问候和生活必需品。对疫情信息最为关注的前三项分别是疫情结束时间、家人归来时间以及新冠治疗进展。疫情结束后，他们最想做的是多关心陪伴家人、家庭团聚以及多做运动。此次疫情对一线救援人员家属的心理影响主要是睡眠问题和焦虑。对家属的心理干预应主要从缓解压力和增加物质及精神支持入手。
