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新冠肺炎大流行期间,隔离人群与普通人群的抑郁、焦虑和失眠症状:一项病例对照研究。

Depressive, anxiety, and insomnia symptoms between population in quarantine and general population during the COVID-19 pandemic: a case-controlled study.

机构信息

Department of Psychiatry, Shenzhen Longgang Center for Chronic Disease Control, Longgang, Shenzhen, China.

Department of Psychiatry, Shenzhen Nanshan Center for Chronic Disease Control, Nanshan, Shenzhen, China.

出版信息

BMC Psychiatry. 2021 Feb 16;21(1):99. doi: 10.1186/s12888-021-03108-2.

DOI:10.1186/s12888-021-03108-2
PMID:33593317
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7884871/
Abstract

BACKGROUND

The COVID-19 pandemic have caused mental and psychological problems on the general population, patients, and related workers. Our study is to determine the impact of mental and psychological symptoms among population in quarantine for 2 weeks during COVID-19 pandemic.

METHODS

A case-controlled study design have conducted at department of psychiatry of Shenzhen Longgang Center for Chronic Disease Control in Shenzhen, China mainland from 7th April to 15th June 2020.1674 participants (aged 18 to 65 years) in quarantine for 2 weeks and 1743 age-sex matched controls living in Shenzhen were recruited between 7th April 2020 and 15th June 2020. The assessment of depressive, anxiety, and insomnia symptoms were determined by self-reported questionnaires PHQ-9, GAD-7, and ISI, respectively.

RESULTS

A total of 1674 participants in quarantine for 2 weeks and 1743 age-sex matched controls (32.6 ± 9.3 years vs. 32.7 ± 10.7 years, 49.8% vs. 47.8% females) were recruited. Population in quarantine had higher score on PHQ-9 (6.1 ± 5.5 vs. 3.0 ± 3.7, p < 0.001), GAD-7 (4.2 ± 4.7 vs. 1.9 ± 3.7, p < 0·001), and ISI (5.5 ± 5.8 vs. 3.1 ± 5.0%, p < 0.001) compared to general population. Population in quarantine showed significantly higher risks of depression (OR: 4.55, 95% CI: 3.82-5.41), anxiety (OR: 2.92, 95% CI: 2.43-3.51), and insomnia (OR: 2.40, 95% CI: 2.02-2.89), when compared to the general population. Younger, more education, non-married and lower household income showed higher risks of mental health problems.

CONCLUSIONS

Population in quarantine had a higher level of depressive, anxiety, and insomnia symptoms than controls. Specifically, they were at a higher risk prevalence of depression, anxiety, and insomnia, especially the severity of depression, when compared to controls. Younger, more education, non-married, and lower income population in quarantine were at higher risks of mental health problems. Mental health professionals should pay attention to the mental and psychological symptoms for population in quarantine.

摘要

背景

COVID-19 大流行给普通人群、患者和相关工作人员带来了精神和心理问题。我们的研究旨在确定 COVID-19 大流行期间人群在隔离 2 周期间的精神和心理症状的影响。

方法

本病例对照研究于 2020 年 4 月 7 日至 6 月 15 日在中国内地深圳龙岗慢性病防治中心的精神病科进行。招募了 1674 名(18 至 65 岁)在隔离 2 周的参与者和 1743 名年龄和性别匹配的居住在深圳的对照组。通过自我报告问卷 PHQ-9、GAD-7 和 ISI 分别评估抑郁、焦虑和失眠症状。

结果

共招募了 1674 名隔离 2 周的参与者和 1743 名年龄和性别匹配的对照组(32.6±9.3 岁比 32.7±10.7 岁,49.8%比 47.8%女性)。与普通人群相比,隔离人群的 PHQ-9 评分更高(6.1±5.5 比 3.0±3.7,p<0.001),GAD-7 评分更高(4.2±4.7 比 1.9±3.7,p<0.001),ISI 评分更高(5.5±5.8 比 3.1±5.0%,p<0.001)。与普通人群相比,隔离人群的抑郁(OR:4.55,95%CI:3.82-5.41)、焦虑(OR:2.92,95%CI:2.43-3.51)和失眠(OR:2.40,95%CI:2.02-2.89)的风险显著更高。年轻、受教育程度更高、未婚和低收入家庭的人群心理健康问题的风险更高。

结论

与对照组相比,隔离人群的抑郁、焦虑和失眠症状水平更高。特别是与对照组相比,他们的抑郁、焦虑和失眠的严重程度更高。与对照组相比,年轻、受教育程度更高、未婚和低收入家庭的隔离人群心理健康问题的风险更高。心理健康专业人员应关注隔离人群的精神和心理症状。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/924a/7885469/e573cc7195b9/12888_2021_3108_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/924a/7885469/694604d33071/12888_2021_3108_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/924a/7885469/e573cc7195b9/12888_2021_3108_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/924a/7885469/694604d33071/12888_2021_3108_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/924a/7885469/e573cc7195b9/12888_2021_3108_Fig2_HTML.jpg

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