Chen Juliet Honglei, Yu Eilo Wing-Yat, Su Xiaoyu, Tong Kwok Kit, Wu Anise M S
Department of Psychology, Faculty of Social Sciences, University of Macau, Macao, China.
Centre for Cognitive and Brain Sciences, University of Macau, Macao, China.
Curr Psychol. 2021;40(12):6282-6290. doi: 10.1007/s12144-021-01547-4. Epub 2021 Mar 3.
In order to propose better mental health interventions under the pandemic threat, the present study aimed to investigate whether depression and anxiety are associated to Chinese adults' perceptions of government's pandemic responses and the personal lifestyle changes imposed by those responses during the COVID-19 pandemic. We used a telephone survey with random sampling and obtained a probability community sample of 616 adults (39.1% men; = 41.7, = 16.3) in Macao, China in April 2020. The prevalence of 8.8% probable depression and 12.0% probable anxiety was observed in this sample. Positive perceptions toward government's pandemic responses were found to be negatively associated with probable depression and probable anxiety (ORu = .36 and .41, < .05). Three lifestyle-changing stressors (i.e., increased family conflict, friendship deterioration, and weight gain), were commonly reported (29.9, 27.5, and 43.0% respectively), and displayed positive associations with probable depression (ORu = 1.67 to 1.87, < .05) and probable anxiety (ORu = 1.54 to 2.10, < .05). Our findings suggest protective effects of perceived trust and satisfaction regarding government's pandemic responses against mental distress and the potential mental health threats from three pandemic-specific lifestyle-changing stressors. These findings can inform clinicians and policymakers to better prepare for the mental health impacts of the current and future pandemics.
为了在疫情威胁下提出更好的心理健康干预措施，本研究旨在调查在新冠疫情期间，抑郁和焦虑是否与中国成年人对政府疫情应对措施的认知以及这些措施所带来的个人生活方式改变有关。我们采用随机抽样的电话调查方式，于2020年4月在中国澳门获得了一个包含616名成年人（男性占39.1%；平均年龄41.7岁，标准差16.3）的概率性社区样本。在这个样本中，观察到可能患有抑郁症的比例为8.8%，可能患有焦虑症的比例为12.0%。对政府疫情应对措施的积极认知与可能的抑郁和可能的焦虑呈负相关（未调整比值比分别为0.36和0.41，P<0.05）。三种改变生活方式的压力源（即家庭冲突增加、友谊恶化和体重增加）被普遍报告（分别为29.9%、27.5%和43.0%），并且与可能的抑郁（未调整比值比为1.67至1.87，P<0.05）和可能的焦虑（未调整比值比为1.54至2.10，P<0.05）呈正相关。我们的研究结果表明，对政府疫情应对措施的信任和满意度对心理困扰具有保护作用，以及三种特定于疫情的改变生活方式的压力源对心理健康的潜在威胁。这些研究结果可以为临床医生和政策制定者提供参考，以便更好地应对当前和未来疫情对心理健康的影响。
