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中国新冠疫情前后新生的心理健康状况。

Mental health of new undergraduate students before and after COVID-19 in China.

机构信息

School of Public Health and Management, Binzhou Medical University, Yantai, Shandong, China.

Department of Epidemiology and Statistics, School of Public Health, Hebei Medical University, Hebei Key Laboratory of Environment and Human Health, Shijiazhuang, China.

出版信息

Sci Rep. 2021 Sep 22;11(1):18783. doi: 10.1038/s41598-021-98140-3.

Abstract

The purpose of this study was to examine the changes in severity of anxiety and depression symptoms, stress and sleeping quality after three months of mass quarantine for COVID-19 among undergraduate fresh students compared to their pre-COVID-19 measures. We used participants from the Chinese Undergraduate Cohort (CUC), a national prospective longitudinal study to examine the changes in anxiety and depression symptoms severity, stress and sleep quality after being under mass quarantine for three months. Wilcoxon matched pair signed-rank test was used to compare the lifestyle indicators. Severity of anxiety, depression symptoms, stress and sleep quality were compared with Wilcoxon signed-rank test. We used generalized estimating equation (GEE) to further quantify the change in mental health indicators and sleep quality after the COVID-19 mass quarantine compared to baseline. This study found that there was no deterioration in mental health status among Chinese new undergraduate students in 2020 after COVID-19 mass quarantine compared with the baseline measures in 2019. There was an improvement in sleep quality and anxiety symptoms. After adjusting for age, sex, exercise habit, time spent on mobile gadgets, and time spent outdoors, year 2020 was significantly associated with severity of depression symptoms in males (OR:1.52. 95%CI:1.05-2.20, p-value = 0.027). Year 2020 was significantly associated with the improvement of sleeping quality in total (OR:0.45, 95%CI:0.38-0.52, p < 0.001) and in all the subgroups. This longitudinal study found no deterioration in mental health status among Chinese new undergraduate students after three months of mass quarantine for COVID-19.

摘要

本研究旨在探讨与 COVID-19 大流行前相比,本科新生在 COVID-19 大流行期间进行三个月的大规模隔离后,焦虑和抑郁症状严重程度、压力和睡眠质量的变化。我们使用了中国本科生队列(CUC)的参与者,这是一项全国性的前瞻性纵向研究,以检查在被大规模隔离三个月后,焦虑和抑郁症状严重程度、压力和睡眠质量的变化。Wilcoxon 匹配对符号秩检验用于比较生活方式指标。使用 Wilcoxon 符号秩检验比较焦虑、抑郁症状严重程度、压力和睡眠质量。我们使用广义估计方程(GEE)进一步量化 COVID-19 大流行后与基线相比心理健康指标和睡眠质量的变化。本研究发现,与 2019 年基线相比,2020 年 COVID-19 大规模隔离后,中国本科新生的心理健康状况没有恶化。睡眠质量和焦虑症状有所改善。在调整年龄、性别、运动习惯、使用移动设备的时间和户外活动时间后,2020 年与男性抑郁症状严重程度显著相关(OR:1.52,95%CI:1.05-2.20,p 值=0.027)。2020 年与总睡眠质量的改善显著相关(OR:0.45,95%CI:0.38-0.52,p<0.001),也与所有亚组显著相关。这项纵向研究发现,中国本科新生在 COVID-19 大规模隔离三个月后,心理健康状况没有恶化。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2528/8458482/a09ccea5c236/41598_2021_98140_Fig1_HTML.jpg

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