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新冠疫情期间的心理健康问题及对数字疗法的态度

Mental Health Problems During COVID-19 and Attitudes Toward Digital Therapeutics.

作者信息

Kwon Manjae, Jung Young-Chul, Lee Deokjong, Ahn Jaeun

机构信息

Institute of Behavioral Science in Medicine, Yonsei University College of Medicine, Seoul, Republic of Korea.

Department of Psychiatry, Yonsei University College of Medicine, Seoul, Republic of Korea.

出版信息

Psychiatry Investig. 2023 Jan;20(1):52-61. doi: 10.30773/pi.2022.0150. Epub 2023 Jan 25.

Abstract

OBJECTIVE

We aimed to elucidate public mental health problems and associated factors during the coronavirus disease-2019 (COVID-19). Furthermore, we evaluated people's attitudes toward digital therapeutics during the pandemic.

METHODS

Data was collected online from participants, aged between 20-50 without any history of mental illness, from June 1st to June 30th 2021. The survey consisted of questions regarding demographics, changes during pandemic and attitude towards digital therapeutics, and mental health measures.

RESULTS

Among the total of 445 participants, 49.2% reported significant level of stress and 13.5% and 7.0% met the screening criteria for major depressive disorder and generalized anxiety disorder, respectively. Significant predictive factors for mental health problems were-younger age group, female sex, currently being treated for medical or surgical disease, change in the amount of time spent on mobile device or computer after pandemic, change in household income, and change in work environment due to pandemic. Furthermore, 35.1% of participants, considered psychiatric consultation, at least slightly, but were hesitant to receive it due to the fear of contacting COVID-19 at the clinics. Instead, 54.4% of them preferred using digital therapeutics as an alternative to visiting offline clinics.

CONCLUSION

We demonstrated that COVID-19 increased mental health problems along with access problems and identified their predictive factors. Digital therapeutics emerged as a viable solution to mental health problems and it was well-received by those in need of psychiatric consultation. Therefore, development and implementation of digital therapeutics should be considered to improve the mental health of people.

摘要

目的

我们旨在阐明2019年冠状病毒病(COVID-19)期间的公众心理健康问题及相关因素。此外,我们评估了疫情期间人们对数字疗法的态度。

方法

2021年6月1日至6月30日,从年龄在20至50岁之间且无任何精神疾病史的参与者中在线收集数据。该调查包括有关人口统计学、疫情期间的变化、对数字疗法的态度以及心理健康测量的问题。

结果

在总共445名参与者中,49.2%报告有显著程度的压力,分别有13.5%和7.0%符合重度抑郁症和广泛性焦虑症的筛查标准。心理健康问题的显著预测因素包括:较年轻的年龄组、女性、目前正在接受内科或外科疾病治疗、疫情后在移动设备或电脑上花费的时间量变化、家庭收入变化以及因疫情导致的工作环境变化。此外,35.1%的参与者至少有点考虑过精神科咨询,但由于担心在诊所感染COVID-19而犹豫不决。相反,54.4%的参与者更愿意使用数字疗法作为线下就诊的替代方式。

结论

我们证明了COVID-19增加了心理健康问题以及就诊问题,并确定了其预测因素。数字疗法成为解决心理健康问题的可行方案,且受到需要精神科咨询的人群的欢迎。因此,应考虑开发和实施数字疗法以改善人们的心理健康。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec12/9890043/ce754036f654/pi-2022-0150f1.jpg

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