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新冠肺炎疫情期间隔离人群的抑郁、焦虑和失眠症状的横断面研究。

A Cross-Sectional Study of Depression, Anxiety, and Insomnia Symptoms in People in Quarantine During the COVID-19 Epidemic.

机构信息

Department of General Medicine and Geriatrics, Shenzhen Qianhai Shekou Free Trade Zone Hospital, Shenzhen, China.

Department of Pediatrics, Shenzhen Qianhai Shekou Free Trade Zone Hospital, Shenzhen, China.

出版信息

Int J Public Health. 2022 Jul 20;67:1604723. doi: 10.3389/ijph.2022.1604723. eCollection 2022.

Abstract

To investigate the status and influential factors of depression, anxiety, and insomnia among people in quarantine during COVID-19. Data was collected from August 2020 to November 2021 through an online survey of 1,360 people in a quarantined hotel. The Patient Health Questionnaire-9 (PHQ-9), Generalized Anxiety Disorder-7 (GAD-7), and Insomnia Severity Index (ISI) were used to assess different mental symptoms. 19.9% ( = 270), 17.6% ( = 239) and 7.1% ( = 97) of participants had depression, anxiety and insomnia. Married (OR = 0.641, 95% CI = 0.450-0.915) was a protective factor for depression. Chronic disease (OR = 2.579, 95% CI = 1.416-4.698) was a risk factor for insomnia. No psychiatric medication history was a protective factor for depression (OR = 0.227, 95% CI = 0.068-0.757) and insomnia (OR = 0.240, 95%CI = 0.078-0.736). Female, history of mental illness, low moods at check-in, and partial/cannot understand the quarantine policies were risk factors for anxiety, depression, and insomnia. People in quarantine had problems with depression, anxiety, and insomnia. Female, low moods at check-in, and partial/cannot understand the quarantine policies had significant impacts. It is necessary to help quarantined people understand quarantine policies, reduce negative emotions and improve sleep quality.

摘要

调查 COVID-19 期间隔离人群的抑郁、焦虑和失眠状况及其影响因素。数据来自 2020 年 8 月至 2021 年 11 月间通过对隔离酒店内 1360 人进行的在线调查收集。采用患者健康问卷-9(PHQ-9)、广泛性焦虑障碍-7 (GAD-7)和失眠严重程度指数(ISI)评估不同的精神症状。19.9%(=270)、17.6%(=239)和 7.1%(=97)的参与者存在抑郁、焦虑和失眠。已婚(OR=0.641,95%CI=0.450-0.915)是抑郁的保护因素。慢性疾病(OR=2.579,95%CI=1.416-4.698)是失眠的危险因素。无精神科用药史是抑郁(OR=0.227,95%CI=0.068-0.757)和失眠(OR=0.240,95%CI=0.078-0.736)的保护因素。女性、精神病史、入住时情绪低落以及部分/无法理解隔离政策是焦虑、抑郁和失眠的危险因素。隔离人群存在抑郁、焦虑和失眠问题。女性、入住时情绪低落以及部分/无法理解隔离政策有显著影响。有必要帮助隔离人群理解隔离政策,减轻负面情绪,提高睡眠质量。

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