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严重急性呼吸综合征冠状病毒2大流行的爆发与波兰学生的福祉:新冠疫情封锁期间情绪困扰的风险因素

The Outbreak of SARS-CoV-2 Pandemic and the Well-Being of Polish Students: The Risk Factors of the Emotional Distress during COVID-19 Lockdown.

作者信息

Juchnowicz Dariusz, Baj Jacek, Forma Alicja, Karakuła Kaja, Sitarz Ryszard, Bogucki Jacek, Karakula-Juchnowicz Hanna

机构信息

Department of Psychiatric Nursing, Medical University of Lublin, 20-093 Lublin, Poland.

Chair and Department of Anatomy, Medical University of Lublin, 20-090 Lublin, Poland.

出版信息

J Clin Med. 2021 Mar 1;10(5):944. doi: 10.3390/jcm10050944.

Abstract

The coronavirus disease 2019 (COVID-19) pandemic has a significant impact on both physical and mental health. The aim of this cross-sectional study was to (1) evaluate depression, anxiety, and stress levels among students from Polish universities during the first weeks of the COVID-19 pandemic and (2) assess the risk factors of the higher intensity of emotional distress. We conducted an online survey using the Depression, Anxiety, and Stress Scale-21 (DASS-21) to assess well-being. The study included 2172 respondents (73% female, 27% male) with a mean age of 22.1 ± 2.2. Moderate to extremely severe scores of depression, anxiety, and stress were reported by 43.4%, 27.3%, and 41.0% of the respondents, respectively. Higher scores of DASS-21 were related to female sex (odds ratio (OR) = 3.01), studying sciences (OR = 2.04), co-residence with the roommates (OR = 1.25), suffering from a mental disorder (OR = 5.88), loneliness (OR = 293.30), the usage of psychiatric support before pandemic (OR = 8.06), poor economic situation (OR = 13.49), and the lower scores were found for being currently employed (OR = 0.4). This study highlights an urgent need for (1) crisis-oriented psychological and psychiatric support for students during the outbreak of the COVID-19 pandemic and (2) preparing appropriate psychological interventions to improve the mental health of students for a possible similar situation in the future.

摘要

2019年冠状病毒病(COVID-19)大流行对身心健康都有重大影响。这项横断面研究的目的是:(1)评估COVID-19大流行最初几周波兰大学生的抑郁、焦虑和压力水平;(2)评估情绪困扰强度较高的风险因素。我们使用抑郁、焦虑和压力量表-21(DASS-21)进行在线调查以评估幸福感。该研究纳入了2172名受访者(73%为女性,27%为男性),平均年龄为22.1±2.2岁。分别有43.4%、27.3%和41.0%的受访者报告有中度至极其严重的抑郁、焦虑和压力得分。DASS-21得分较高与女性性别(优势比(OR)=3.01)、学习理科(OR = 2.04)、与室友同住(OR = 1.25)、患有精神障碍(OR = 5.88)、孤独感(OR = 293.30)、大流行前使用精神科支持(OR = 8.06)、经济状况不佳(OR = 13.49)有关,而目前就业者得分较低(OR = 0.4)。这项研究凸显了迫切需要:(1)在COVID-19大流行爆发期间为学生提供以危机为导向的心理和精神科支持;(2)制定适当的心理干预措施,以便在未来可能出现的类似情况下改善学生的心理健康。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a666/7957694/ee884bb78770/jcm-10-00944-g001.jpg

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