Gao Haiyan, Chen Xi, Zou Yuchun
The faculty of Humanities and Social Sciences, Beijing University of Technology, Beijing, China.
The Jockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China.
Glob Ment Health (Camb). 2022 Mar 11;9:193-201. doi: 10.1017/gmh.2022.18. eCollection 2022.
The COVID-19 pandemic caused significant psychological consequences among the public, especially for people in the epicenter. This study examined the 'bull's eye' model by comparing the level of psychological distress and the effect of different stressors in Wuhan (the original epicenter) with that in the surrounding areas in Hubei Province during the pandemic. Data were obtained from a cross-national survey of 10 478 respondents between the ages of 18 and 80 years in Hubei Province during the peak of the pandemic. Results of the ordinary least squares regression models showed that Wuhan residents experienced more psychological distress than those in the surrounding areas. Social and economic problems caused by the pandemic, risk exposure, perceived discrimination, and information-seeking behaviors were positively associated with distress. Social assistance was negatively associated with distress. Findings were consistent with the bull's eye model by revealing both a higher level of psychological distress and a stronger effect of stressors among the Wuhan residents than with those in low-risk areas. Thus, policymakers and psychological workers should provide adequate psychological services in high-risk areas. Lowering risk exposure, reducing discrimination against people in the epicenter, and improving information quality are essential to alleviate their psychological distress.
新冠疫情给公众带来了严重的心理影响，尤其是对疫情中心地区的人们。本研究通过比较疫情期间武汉（最初的疫情中心）与湖北省周边地区的心理困扰程度以及不同压力源的影响，对“靶心”模型进行了检验。数据来自疫情高峰期对湖北省10478名年龄在18至80岁之间的受访者进行的一项跨国调查。普通最小二乘法回归模型的结果显示，武汉居民比周边地区居民经历了更多的心理困扰。疫情引发的社会和经济问题、风险暴露、感知到的歧视以及信息寻求行为与困扰呈正相关。社会援助与困扰呈负相关。研究结果与“靶心”模型一致，表明武汉居民的心理困扰程度更高，压力源的影响也比低风险地区的居民更强。因此，政策制定者和心理工作者应在高风险地区提供充分的心理服务。降低风险暴露、减少对疫情中心地区人们的歧视以及提高信息质量对于缓解他们的心理困扰至关重要。
