Zheng Doudou, Yang Liqin, Li Meijuan, Qiu Yuying, Gao Ying, Li Jie
Tianjin Mental Health Institute, Tianjin Anding Hospital, Mental Health Center of Tianjin Medical University, Tianjin, People's Republic of China.
Psychol Res Behav Manag. 2023 Sep 5;16:3635-3646. doi: 10.2147/PRBM.S427226. eCollection 2023.
Sex differences in depression have been well recognized. However, sex differences in depression among Omicron-infected individuals have received little systematic study. This study compared sex differences in depression in infected individuals during the 2022 Omicron pandemic in China.
506 individuals infected with Omicron (males/females = 268/238) were recruited from Tianjin and Shanghai in China. Self-developed Scale of Demographics were used to collect demographic and clinical data, Zung Self-Rating Depression Scale (SDS), Zung Self-Rating Anxiety Scale (SAS), the Connor-Davidson Resilience Scale (CD-RISC), De Jong Gierveld Scale (DJGLS), and the Penn State Worry Questionnaire (PSWQ) were used to measure respondents' depression, anxiety, resilience, loneliness and worry, respectively.
The prevalence rate of depression in male patients was significantly higher than in female patients (42.2% versus 31.9%; = 5.64, = 0.018). Regression analysis showed that in female patients, depression was associated with anxiety [OR = 1.26, 95% CI (1.16-1.36), < 0.001], and resilience [OR = 0.98, 95% CI (0.96-1.00), < 0.05], while in male patients, depression was associated with anxiety [OR = 1.24, 95% CI (1.15-1.33), < 0.001].
This on-site study demonstrates that depression is more frequent in male than female Omicron-infected patients and suggests that sex differences should be considered in prevention and treatment strategies for depression during the Omicron pandemic.
抑郁症中的性别差异已得到充分认识。然而,感染奥密克戎的个体中抑郁症的性别差异很少受到系统研究。本研究比较了2022年中国奥密克戎疫情期间感染者抑郁症的性别差异。
从中国天津和上海招募了506名感染奥密克戎的个体(男性/女性=268/238)。使用自行编制的人口统计学量表收集人口统计学和临床数据,采用zung自评抑郁量表(SDS)、zung自评焦虑量表(SAS)、康纳-戴维森韧性量表(CD-RISC)、德容吉尔维尔德孤独量表(DJGLS)和宾夕法尼亚州立大学忧虑问卷(PSWQ)分别测量受访者的抑郁、焦虑、韧性、孤独和忧虑情况。
男性患者的抑郁症患病率显著高于女性患者(42.2%对31.9%;χ²=5.64,P=0.018)。回归分析显示,在女性患者中,抑郁与焦虑[比值比(OR)=1.26,95%置信区间(CI)(1.16-1.36),P<0.001]和韧性[OR=0.98,95%CI(0.96-1.00),P<0.05]相关,而在男性患者中,抑郁与焦虑[OR=1.24,95%CI(1.15-1.33),P<0.001]相关。
这项现场研究表明,感染奥密克戎的男性患者比女性患者更容易患抑郁症,并表明在奥密克戎疫情期间抑郁症的预防和治疗策略中应考虑性别差异。