Jin Kun, Huang Jing, Teng Ziwei, Liu Fangtai, Li Sujuan, Qiu Yan, Wu Haishan, Chen Jindong, Xiang Hui, Yang Min, Xu Xuelei, Tang Hui, Shi Fangliu
Department of Psychiatry, National Clinical Research Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha, China.
Hunan Post and Telecommunication College, Changsha, China.
Front Psychiatry. 2022 Jul 28;13:765125. doi: 10.3389/fpsyt.2022.765125. eCollection 2022.
The study is based on a longitudinal evaluation of the public, during the initial COVID-19 outbreak in China and 8 months after. It aimed to explore the changes in the mental health of the public at the beginning of the pandemic and during the regular epidemic prevention and control. An online survey questionnaire was used to collect data during the initial COVID-19 outbreak (February 10, 2020-February 18, 2020; T1) and 8 months after the outbreak (October 21, 2020-December 29, 2020; T2). Psychological distress was assessed using the Patient Health Questionnaire-9 (PHQ-9), Self-rating Anxiety Scale (SAS), and Post-traumatic Stress Disorder Checklist (PCL-5). A chi-square test was used to compare the changes in the depression and anxiety scores at T1 and T2, and the correlation between symptoms was analyzed through Spearman's rank correlation. In T1, 1,200 people were recruited, while 168 people responded in T2. Depression (48.2-31.0%; p=0.001) and anxiety (17.9-9.5%; = 0.026) symptoms decreased over time; two participants developed post-traumatic stress disorder (PTSD) in T2. The scores of the PHQ-9 scale and the SAS scale were both positively correlated with the score of the PCL-5 scale and negatively correlated with sleep time. During the COVID-19 pandemic, part of the general population's anxiety and depression significantly reduced with time, and they rarely developed PTSD. PTSD occurrence was related to severe depression and anxiety.
该研究基于对中国新冠疫情初期及之后8个月公众的纵向评估。其目的是探索疫情初期及常态化疫情防控期间公众心理健康的变化。在新冠疫情初期（2020年2月10日至2020年2月18日；T1）和疫情爆发8个月后（2020年10月21日至2020年12月29日；T2），通过在线调查问卷收集数据。使用患者健康问卷-9（PHQ-9）、自评焦虑量表（SAS）和创伤后应激障碍检查表（PCL-5）评估心理困扰。采用卡方检验比较T1和T2时抑郁和焦虑评分的变化，并通过Spearman等级相关性分析症状之间的相关性。在T1时招募了1200人，而在T2时有168人做出回应。抑郁症状（48.2%-31.0%；p=0.001）和焦虑症状（17.9%-9.5%；p=0.026）随时间减少；两名参与者在T2时出现创伤后应激障碍（PTSD）。PHQ-9量表和SAS量表的评分均与PCL-5量表的评分呈正相关，与睡眠时间呈负相关。在新冠疫情期间，部分普通人群的焦虑和抑郁随时间显著减轻，且很少出现PTSD。PTSD的发生与严重抑郁和焦虑有关。
