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新冠疫情期间的压力与应对:一项在线调查的结果

Stress and coping during COVID-19 pandemic: Result of an online survey.

作者信息

Kar Nilamadhab, Kar Brajaballav, Kar Shreyan

机构信息

Black Country Healthcare NHS Foundation Trust, Wolverhampton, UK.

School of Management, Kalinga Institute of Industrial Technology, Bhubaneshwar, Odisha, India.

出版信息

Psychiatry Res. 2021 Jan;295:113598. doi: 10.1016/j.psychres.2020.113598. Epub 2020 Nov 26.

Abstract

We intended to assess stress, anxiety, depression and coping strategies during COVID-19 pandemic. Through an online survey, we used primary care posttraumatic stress disorder (PTSD) screen for DSM 5 (PC-PTSD-5), Generalised Anxiety Disorder (GAD)-7 and Patient Health Questionnaire (PHQ)-9, along with coping methods. Of the respondents (n=733), a considerable proportion had moderate to severe anxiety (21.2%) and depression (15%). Stress symptoms, above the cut-off point of 3 in PC-PTSD-5 suggestive of probable PTSD, were present in 34.1%. Mental health problems were significantly associated with students, 20 to 30 year olds, those who are single, and university educated. Considerable proportions of healthcare workers presented with stress symptoms (21.4%), anxiety (5.6%) and depression (5.6%), however, the proportions were significantly less in comparison with others. Various coping strategies were reported; respondents who avoided thinking about the pandemic or seemed unsure of coping strategies and those struggling to cope had significantly greater anxiety and depression. As large proportions of people have anxiety, depression, and stress symptoms in relation to COVID-19, there is a need to establish a mental health support system that can address the need of the general population. Public education on coping strategies and stress management may be helpful.

摘要

我们旨在评估新冠疫情期间的压力、焦虑、抑郁及应对策略。通过在线调查,我们使用了针对《精神疾病诊断与统计手册》第5版(DSM-5)的初级保健创伤后应激障碍(PTSD)筛查量表(PC-PTSD-5)、广泛性焦虑障碍(GAD)-7量表和患者健康问卷(PHQ)-9量表,以及应对方式问卷。在733名受访者中,相当一部分人有中度至重度焦虑(21.2%)和抑郁(15%)。PC-PTSD-5量表得分高于3分(提示可能患有PTSD)的应激症状在34.1%的受访者中存在。心理健康问题与学生、20至30岁的人群、单身人群以及受过大学教育的人显著相关。相当比例的医护人员有应激症状(21.4%)、焦虑(5.6%)和抑郁(5.6%),然而,与其他人相比,这些比例明显较低。报告了各种应对策略;那些避免思考疫情或似乎不确定应对策略以及难以应对的受访者有明显更高的焦虑和抑郁。由于相当大比例的人在新冠疫情方面有焦虑、抑郁和应激症状,因此有必要建立一个能够满足普通人群需求的心理健康支持系统。关于应对策略和压力管理的公众教育可能会有所帮助。

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