Hou Wai Kai, Li Tsz Wai, Liang Li, Liu Huinan, Ettman Catherine K, Hobfoll Stevan E, Lee Tatia Mei-Chun, Galea Sandro
Department of Psychology, The Education University of Hong Kong, Hong Kong SAR, China; Centre for Psychosocial Health, The Education University of Hong Kong, Hong Kong SAR, China.
Centre for Psychosocial Health, The Education University of Hong Kong, Hong Kong SAR, China.
J Psychiatr Res. 2021 Nov 23;145:77-84. doi: 10.1016/j.jpsychires.2021.11.037.
Both COVID-19 and unrest are posing a significant threat to population mental health across the globe. This study examined trends of probable depression and anxiety during a time of civil unrest and concurrent COVID-19 in Hong Kong. Four random digit dialing telephone surveys were conducted in July 2019 (n = 1112), February-March 2020 (n = 2003), April-May 2020 (n = 2008), and July-August 2020 (n = 2034). The prevalence of probable depression increased from 25.7% (95% CI: 23.2-28.3) in July 2019 to 28.2% (95% CI: 26.2-30.1) in February-March 2020, and then decreased to 15.3% (95% CI: 14.0-17.0) in April-May 2020 and 13.7% (95% CI: 12.2-15.2) in July-August 2020. The prevalence of probable anxiety was 19.2% (95% CI: 17.5-20.9) in February-March 2020 and then stabilized in April-May 2020 and July-August 2020 (14.1%, 95% CI: 12.0-15.8). Probable depression and anxiety were more prevalent among persons with high relative to low daily routine disruptions. Combined high unrest-COVID-19 stress was associated with probable depression and anxiety across all persons; high unrest stress alone was associated with probable mental disorders at high daily routine disruptions. Civil unrest and COVID-19 are jointly associated with depression and anxiety among Hong Kong citizens. While population mental health improved, daily routine disruptions is a risk factor of mental disorders at every time-point.
新冠疫情和社会动荡都对全球民众的心理健康构成了重大威胁。本研究调查了香港社会动荡期间以及同时期新冠疫情期间可能出现的抑郁和焦虑趋势。于2019年7月（n = 1112）、2020年2月至3月（n = 2003）、2020年4月至5月（n = 2008）以及2020年7月至8月（n = 2034）进行了四次随机数字拨号电话调查。可能出现的抑郁患病率从2019年7月的25.7%（95%置信区间：23.2 - 28.3）升至2020年2月至3月的28.2%（95%置信区间：26.2 - 30.1），随后在2020年4月至5月降至15.3%（95%置信区间：14.0 - 17.0），并在2020年7月至8月降至13.7%（95%置信区间：12.2 - 15.2）。可能出现的焦虑患病率在2020年2月至3月为19.2%（95%置信区间：17.5 - 20.9），随后在2020年4月至5月以及2020年7月至8月稳定在14.1%（95%置信区间：12.0 - 15.8）。与日常活动干扰程度低的人群相比，日常活动干扰程度高的人群中可能出现的抑郁和焦虑更为普遍。在所有人群中，高度的社会动荡和新冠疫情压力共同作用与可能出现的抑郁和焦虑相关；仅高度的社会动荡压力在日常活动干扰程度高时与可能出现的精神障碍相关。社会动荡和新冠疫情共同导致了香港市民的抑郁和焦虑。虽然民众心理健康状况有所改善，但日常活动干扰在每个时间点都是精神障碍的一个风险因素。
