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冠状病毒病大流行对韩国当地居民心理健康的影响:一项横断面研究。

Impact of the Coronavirus Disease Pandemic on Mental Health among Local Residents in Korea: a Cross Sectional Study.

机构信息

Department of Psychiatry, Korea University Guro Hospital, Seoul, Korea.

Gwangmyeong City Health Center, Gwangmyeong, Korea.

出版信息

J Korean Med Sci. 2021 Nov 29;36(46):e322. doi: 10.3346/jkms.2021.36.e322.

Abstract

BACKGROUND

This study aimed to evaluate traumatic stress and mental health problems associated with the prolonged coronavirus disease pandemic and to determine the differences across different age groups.

METHODS

A total of 1,151 individuals who visited Gwangmyeong City Mental Health Welfare Center, South Korea, or accessed the website from September 1 to December 31, 2020, were included in the study. Mental health problems such as traumatic stress (Primary Care Posttraumatic Stress Disorder Screen for the Diagnostic and Statistical Manual of Mental Disorder-5); depression (Patient Health Questionnaire-9 and Children's Depression Inventory); anxiety (Generalized Anxiety Disorder-7 and Penn State Worry Questionnaire for Children); suicide risk (P4 Screener); and demographic information were evaluated. The participants were divided into three groups based on age group: children and adolescents, adults, and the elderly.

RESULTS

The results showed that 24.7%, 20.9%, 16.8%, and 20.5% of the participants were at high-risk for traumatic stress, depression, anxiety, and suicide, respectively. The difference in the proportion of high-risk groups by age of all participants was significant for traumatic stress, depression, anxiety, and suicide risk. In particular, the percentage of high-risk groups in all areas was the highest in the adult group. Also, in most areas, the ratio of the high-risk groups for children and adolescent group was the lowest, but the suicide risk-related ratio was not (adolescent group: 20.9%, adult group: 25%, elderly group 9.3%).

CONCLUSION

These results suggest that there is a need for continued interest in the mental health of the general population even after the initial period of coronavirus disease. Additionally, this study may be helpful when considering the resilience or risk factors of mental health in a prolonged disaster situation.

摘要

背景

本研究旨在评估与长期新冠疫情相关的创伤后应激和心理健康问题,并确定不同年龄组之间的差异。

方法

共有 1151 名于 2020 年 9 月 1 日至 12 月 31 日期间访问韩国光明市心理健康福利中心或访问该中心网站的个体被纳入本研究。使用创伤后应激(DSM-5 初级保健创伤后应激障碍筛查)、抑郁(患者健康问卷-9 和儿童抑郁量表)、焦虑(广泛性焦虑障碍-7 和宾夕法尼亚州儿童担忧问卷)、自杀风险(P4 筛查器)等评估心理健康问题以及人口统计学信息。参与者根据年龄组分为三组:儿童和青少年、成年人和老年人。

结果

结果显示,24.7%、20.9%、16.8%和 20.5%的参与者分别处于创伤后应激、抑郁、焦虑和自杀高风险状态。所有参与者的年龄组之间高风险组的比例差异在创伤后应激、抑郁、焦虑和自杀风险方面均具有统计学意义。特别是,所有领域的高风险组比例在成年组中最高。此外,在大多数领域,儿童和青少年组的高风险组比例最低,但自杀风险相关比例并非如此(青少年组:20.9%,成年组:25%,老年组:9.3%)。

结论

这些结果表明,即使在新冠疫情的初始阶段之后,仍需要持续关注普通人群的心理健康。此外,当考虑长期灾害情况下心理健康的适应能力或风险因素时,本研究可能会有所帮助。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab13/8629714/a15b88772710/jkms-36-e322-g001.jpg

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