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伊朗 COVID-19 大流行期间医护人员和一般人群中的焦虑和抑郁:一项横断面研究。

Anxiety and Depression in Health Workers and General Population During COVID-19 in IRAN: A Cross-Sectional Study.

机构信息

Faculty of Health, Mazandaran University of Medical Sciences, Sari, Iran.

Departman of psychology, Islamic Azad University Sari branch.

出版信息

Neuropsychopharmacol Rep. 2021 Mar;41(1):40-49. doi: 10.1002/npr2.12153. Epub 2020 Dec 25.


DOI:10.1002/npr2.12153
PMID:33369264
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8182959/
Abstract

BACKGROUND: The COVID-19 outbreak has exerted a great deal of psychological pressure on Iranian health workers and the general population. The aim of this study was to determine the effect of pandemic on anxiety and depression in Iranian population. METHODS: An online cross-sectional study was conducted for the general public and healthcare workers in Iran using a questionnaire comprised of demographic questions and Hospital Anxiety and Depression Scale. Chi-square test and univariate and multivariate logistic regression models were conducted. RESULTS: Of the 2045 participants, 1136 (65.6%) were considered to have moderate and severe anxiety symptoms, and 865 (42.3%) had moderate and severe depression symptoms. The prevalence of anxiety was higher in the females than in the males (OR = 1.4, 95% CI: 1.123-1.643, P = .002); the prevalence of anxiety was significantly higher in those aged 30-39 years than in other age-groups (OR = 1.6, 95% CI: 1.123-2.320, P = .001); furthermore, the prevalence of anxiety and depression was significantly higher in doctors and nurses compared with other occupations ((OR = 1.9, 95% CI: 1.367-2.491, P < .001) and (OR = 1.5, 95% CI: 1.154-2.021, P = .003)). In addition, the prevalence of anxiety symptoms in the likely infected COVID-19 group was higher than in the noninfected COVID-19 group (OR = 1.35, 95% CI: 1.093-1.654, P = .005). CONCLUSIONS: Regarding the high prevalence of anxiety and depression symptoms, especially among healthcare workers, appropriate psychological/psychiatric intervention necessitates.

摘要

背景:COVID-19 疫情给伊朗卫生工作者和普通民众带来了巨大的心理压力。本研究旨在确定疫情对伊朗人群焦虑和抑郁的影响。

方法:采用问卷调查的方式,对伊朗普通民众和医护人员进行了一项在线横断面研究,问卷内容包括人口统计学问题和医院焦虑抑郁量表。采用卡方检验和单变量及多变量逻辑回归模型进行分析。

结果:在 2045 名参与者中,有 1136 名(65.6%)被认为有中度和重度焦虑症状,865 名(42.3%)有中度和重度抑郁症状。女性的焦虑患病率高于男性(OR=1.4,95%CI:1.123-1.643,P=0.002);30-39 岁年龄组的焦虑患病率明显高于其他年龄组(OR=1.6,95%CI:1.123-2.320,P=0.001);此外,医生和护士的焦虑和抑郁患病率明显高于其他职业((OR=1.9,95%CI:1.367-2.491,P<0.001)和(OR=1.5,95%CI:1.154-2.021,P=0.003))。此外,COVID-19 感染可能性较大组的焦虑症状患病率高于 COVID-19 非感染组(OR=1.35,95%CI:1.093-1.654,P=0.005)。

结论:鉴于焦虑和抑郁症状的高患病率,尤其是在医护人员中,需要进行适当的心理/精神干预。

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引用本文的文献

[1]
Post-COVID-19 depression prevalence in Iranian nurses: a systematic review and meta-analysis.

BMJ Open. 2025-8-25

[2]
Associations between perceived stress profiles, social connection and work engagement in clinical registered nurses: a mediation analysis and generalized additive models.

BMC Nurs. 2025-8-21

[3]
The effect of COVID-19 on completed suicide rate in Iran: an Interrupted Time Series study (ITS).

Front Public Health. 2025-2-13

[4]
Evaluation of anxiety level and the factors Affecting Anxiety in health care workers in Shahid Dr. Gholipour Hospital, Bukan, Iran during COVID-19 pandemic.

PLoS One. 2024-12-13

[5]
Health anxiety during a global pandemic: a comparison of medical and non-medical students in Mashhad, Iran.

Front Psychiatry. 2024-11-28

[6]
Anxiety Evolution among Healthcare Workers-A Prospective Study Two Years after the Onset of the COVID-19 Pandemic Including Occupational and Psychoemotional Variables.

Medicina (Kaunas). 2024-7-29

[7]
Healthcare professionals' perceived stigmatization about direct care of COVID-19 Patients: development and validation of the discrimination about COVID-19 (DisCOV-19) instrument.

Afr Health Sci. 2023-12

[8]
Mental Health Status of Healthcare Workers During the Coronavirus Disease 2019 Pandemic: A Survey of Hospitals in Shiraz, Iran.

Galen Med J. 2023-2-17

[9]
The Relationship Between Psychological Conditions and Gastrointestinal Symptoms of Medical Students During the COVID-19 Pandemic.

Neuropsychiatr Dis Treat. 2024-5-8

[10]
Mental Health of Healthcare Workers During the Third Wave of the COVID-19 Pandemic: Did We Forget them after the First Wave?

Adv Biomed Res. 2023-11-29

本文引用的文献

[1]
Prevalence and severity of depression, anxiety, stress and perceived stress in hospitalized patients with COVID-19.

J Diabetes Metab Disord. 2020-10-29

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Asian J Psychiatr. 2020-4-10

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PLoS One. 2020-4-16

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