Zhang Zeng, Zhai Ailing, Yang Mingchuan, Zhang Junqing, Zhou Haotian, Yang Chuanming, Duan Shanshan, Zhou Cong
Jining Psychiatric Hospital, Jining, China.
Jining Yucai High School, Jining, China.
Front Psychiatry. 2020 Dec 21;11:570096. doi: 10.3389/fpsyt.2020.570096. eCollection 2020.
The coronavirus disease 2019 (covid-19) has brought physical risks as well as psychological challenges to the whole world. High school students are a special group suffering from both the academic pressure and the threat of the epidemic. The present study aims to conduct an online survey to investigate the psychological status of high school students in Shandong Province. Using a web-based cross-sectional survey, data was collected from 1,018 voluntary high school students assessed with demographic information, the Patient Health Questionnaire-9 (PHQ-9), the Generalized Anxiety Disorder-7 (GAD-7) and a self-designed online-study effect survey. Correlation analysis was performed to explore the relationships between depression symptoms, anxiety symptoms, and study effect. The prevalence of depressive symptoms, anxiety symptoms, and a combination of depressive and anxiety symptoms was 52.4, 31.4, and 26.8%, respectively, among high school students in Shandong Province during the COVID-19 epidemic. And from moderate to severe severity level, the rates of depressive symptoms and anxious symptoms were 17.6 and 4.6%. Female students exhibited a higher rate and severity of mental symptoms than male, and grade one senior high school students got a higher rate and severity of mental symptoms than the other two grades. Nearly half of the students were not satisfied with their online-study effect. The PHQ-9 score had a strong positive correlation with the GAD-7 score. Both the PHQ-9 score the GAD-7 score had a negative correlation with the study-effect survey score. Quite a number of high school students suffered from depression and anxiety symptoms during the COVID-19 epidemic. Sufficient attentions should be paid, and necessary supports should be provided, to protect the mental health of this special group.
2019年冠状病毒病（COVID-19）给全世界带来了身体风险以及心理挑战。高中生是一个特殊群体，既承受着学业压力，又面临着疫情的威胁。本研究旨在通过在线调查来探究山东省高中生的心理状况。采用基于网络的横断面调查，收集了1018名自愿参与的高中生的数据，这些学生接受了人口统计学信息、患者健康问卷-9（PHQ-9）、广泛性焦虑障碍量表-7（GAD-7）以及一项自行设计的在线学习效果调查的评估。进行相关性分析以探究抑郁症状、焦虑症状与学习效果之间的关系。在COVID-19疫情期间，山东省高中生中抑郁症状、焦虑症状以及抑郁和焦虑症状合并出现的患病率分别为52.4%、31.4%和26.8%。从中度到重度严重程度级别，抑郁症状和焦虑症状的发生率分别为17.6%和4.6%。女生的精神症状发生率和严重程度高于男生，高一年级学生的精神症状发生率和严重程度高于其他两个年级。近一半的学生对其在线学习效果不满意。PHQ-9得分与GAD-7得分呈强正相关。PHQ-9得分和GAD-7得分均与学习效果调查得分呈负相关。在COVID-19疫情期间，相当多的高中生患有抑郁和焦虑症状。应给予充分关注，并提供必要支持，以保护这一特殊群体的心理健康。
