Department of Social Medicine and Health Management, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China.
Cancer Center, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China.
Int J Soc Psychiatry. 2022 Feb;68(1):34-43. doi: 10.1177/0020764020980779. Epub 2020 Dec 10.
Since December 2019, over 4,600 deaths and 84,000 confirmed cases were reported in China because of the coronavirus disease 2019 (COVID-19) pandemic. However, there is a dearth of studies on the psychological resilience in residents.
This study aims to measure the psychological resilience of Chinese residents to reflect their psychological status as well as influencing factors during the pandemic.
We conducted a combination of stratified sampling and snowball sampling to select survey subjects. We employed the psychological resilience and influencing factor questionnaire based on the 10-item Connor and Davidson Resilience Scale (CD-RISC10) for survey. We collected data from 3,398 residents in China between 31 January and 29 February 2020. Multivariable linear stepwise regression analysis was used to determine factors associated with psychological resilience in residents.
The mean score of psychological resilience among Chinese residents was 27.11 ± 8.45 ( = 7.98). There were some factors significantly associated with psychological status among the Chinese residents during the COVID-19 outbreak. Residents with lower financial status, living in rural areas, unmarried, lacking fixed employment or retirement guarantees, and lacking knowledge of policies were more likely to report a lower level of psychological resilience.
Health service policy makers in many countries should adopt relevant measures to improve the psychological resilience of residents during the pandemic. This includes short-term aggressive treatment, strengthening health education, and improving the awareness of residents with respect to emergency health policies. In addition, the financial status, health levels, and risk management capabilities of residents should be increased over the long term.
自 2019 年 12 月以来，由于 2019 年冠状病毒病（COVID-19）大流行，中国报告了超过 4600 例死亡和 84000 例确诊病例。然而，关于居民心理弹性的研究却很少。
本研究旨在测量中国居民的心理弹性，以反映他们在大流行期间的心理状态及其影响因素。
我们采用分层抽样和雪球抽样相结合的方法选择调查对象。我们采用基于 10 项 Connor-Davidson 韧性量表（CD-RISC10）的心理韧性及影响因素问卷进行调查。我们于 2020 年 1 月 31 日至 2 月 29 日期间在中国收集了 3398 名居民的数据。采用多元线性逐步回归分析确定与居民心理弹性相关的因素。
中国居民心理弹性平均得分为 27.11±8.45（均数=7.98）。在 COVID-19 爆发期间，有一些因素与中国居民的心理状态显著相关。经济状况较差、居住在农村地区、未婚、无固定就业或退休保障以及缺乏政策知识的居民更有可能报告心理弹性较低。
许多国家的卫生服务政策制定者应采取相关措施，在大流行期间提高居民的心理弹性。这包括短期积极治疗、加强健康教育以及提高居民对紧急卫生政策的认识。此外，还应长期提高居民的经济状况、健康水平和风险管理能力。
