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2019年冠状病毒病大流行期间卫生专业人员焦虑症状与躯体症状的关系

The Relationship Between Symptoms of Anxiety and Somatic Symptoms in Health Professionals During the Coronavirus Disease 2019 Pandemic.

作者信息

Li Hehua, Zhang Yaping, Wang Honggang, Liang Jing, Zhou Yongjie, Huang Yuanyuan, Zhai Tianyi, Yang Qiong, Yang Mingzhe, Ning Yuping, He Hongbo, Wu Kai, Chen Fengjuan, Wu Fengchun, Zhang Xiangyang

机构信息

Department of Psychiatry, The Affiliated Brain Hospital of Guangzhou Medical University, Guangzhou, People's Republic of China.

Research Center for Psychological and Health Sciences, China University of Geosciences, Wuhan, People's Republic of China.

出版信息

Neuropsychiatr Dis Treat. 2020 Dec 18;16:3153-3161. doi: 10.2147/NDT.S282124. eCollection 2020.

Abstract

BACKGROUND

The pandemic of coronavirus disease 2019 (COVID-19) has posed a threat to global health. Increasing studies have shown that the mental health status of health professionals is very poor during the COVID-19 epidemic. At present, the relationship between somatic symptoms and symptoms of anxiety of health professionals during the COVID-19 has not been reported. The purpose of this study was to explore the frequency of somatic symptoms and its related factors in health professionals with symptoms of anxiety during COVID-19 in China.

METHODS

A total of 606 health professionals were assessed online with the Chinese version of the 7-item Generalized Anxiety Disorder (GAD-7) scale, 7-item Insomnia Severity Index (ISI) and the somatization subscale of Symptom Checklist 90 (SCL-90).

RESULTS

The percentage of symptoms of anxiety, somatic symptoms and insomnia in all health professionals was 45.4%, 12.0%, and 32%, respectively. The frequency of somatic symptoms in health professionals with symptoms of anxiety was 22.9%. The SCL-90 somatization subscale score was significantly positively correlated with history of somatic diseases, GAD-7 score and ISI score in participants with symptoms of anxiety.

CONCLUSION

During the COVID-19, symptoms of anxiety, insomnia, and somatic symptoms are commonly observed in health professionals. Insomnia and symptoms of anxiety are independently associated with somatic symptoms of health professionals with symptoms of anxiety.

摘要

背景

2019冠状病毒病(COVID-19)大流行对全球健康构成了威胁。越来越多的研究表明,在COVID-19疫情期间,医护人员的心理健康状况很差。目前,COVID-19期间医护人员的躯体症状与焦虑症状之间的关系尚未见报道。本研究的目的是探讨中国COVID-19期间有焦虑症状的医护人员躯体症状的发生频率及其相关因素。

方法

共有606名医护人员通过在线方式接受中文版7项广泛性焦虑障碍(GAD-7)量表、7项失眠严重程度指数(ISI)和症状自评量表90(SCL-90)的躯体化分量表评估。

结果

所有医护人员中焦虑症状、躯体症状和失眠症状的发生率分别为45.4%、12.0%和32%。有焦虑症状的医护人员躯体症状的发生率为22.9%。在有焦虑症状的参与者中,SCL-90躯体化分量表得分与躯体疾病史、GAD-7得分和ISI得分显著正相关。

结论

在COVID-19期间,医护人员中常见焦虑症状、失眠症状和躯体症状。失眠和焦虑症状与有焦虑症状的医护人员的躯体症状独立相关。

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