中国动态清零政策结束后，中国心理健康专业人员的 COVID-19 恐惧流行率及其与生活质量和网络结构的关系：一项全国性调查。
Prevalence of COVID-19 fear and its association with quality of life and network structure among Chinese mental health professionals after ending China's dynamic zero-COVID policy: a national survey.
机构信息
Unit of Psychiatry, Department of Public Health and Medicinal Administration, Institute of Translational Medicine, Faculty of Health Sciences, University of Macau, Macao, Macao SAR, China.
Kiang Wu Nursing College of Macau, Macao, Macao SAR, China.
出版信息
Front Public Health. 2023 Oct 30;11:1280688. doi: 10.3389/fpubh.2023.1280688. eCollection 2023.
BACKGROUND
China recorded a massive COVID-19 pandemic wave after ending its Dynamic Zero-COVID Policy on January 8, 2023. As a result, mental health professionals (MHPs) experienced negative mental health consequences, including an increased level of fear related to COVID-19. This study aimed to explore the prevalence and correlates of COVID-19 fear among MHPs following the end of the Policy, and its association with quality of life (QoL) from a network analysis perspective.
METHODS
A cross-sectional national study was conducted across China. The correlates of COVID-19 fear were examined using both univariate and multivariate analyses. An analysis of covariance (ANCOVA) was conducted to determine the relationship between fear of COVID-19 and QoL. Central symptoms were identified using network analysis through the "Expected Influence" of the network model while specific symptoms directly correlated with QoL were identified through the "flow function."
RESULTS
A total of 10,647 Chinese MHPs were included. The overall prevalence of COVID-19 fear (FCV-19S total score ≥ 16) was 60.8% (95% CI = 59.9-61.8%). The binary logistic regression analysis found that MHPs with fear of COVID-19 were more likely to be married (OR = 1.198; < 0.001) and having COVID-19 infection (OR = 1.235; = 0.005) and quarantine experience (OR = 1.189; < 0.001). Having better economic status (good vs. poor: OR = 0.479; < 0.001; fair vs. poor: OR = 0.646; < 0.001) and health status (good vs. poor: OR = 0.410; < 0.001; fair vs. poor: OR = 0.617; < 0.001) were significantly associated with a lower risk of COVID-19 fear. The ANCOVA showed that MHPs with fear of COVID-19 had lower QoL [ = 228.0, < 0.001]. "Palpitation when thinking about COVID-19" was the most central symptom in the COVID-19 fear network model, while "Uncomfortable thinking about COVID-19" had the strongest negative association with QoL (average edge weight = -0.048).
CONCLUSION
This study found a high prevalence of COVID-19 fear among Chinese MHPs following the end of China's Dynamic Zero-COVID Policy. Developing effective prevention and intervention measures that target the central symptoms as well as symptoms correlated with QoL in our network structure would be important to address COVID-19 fear and improve QoL.
背景
中国于 2023 年 1 月 8 日结束动态清零政策后，迎来了一波大规模的新冠疫情。因此，心理健康专业人员（MHPs）经历了负面的心理健康后果，包括对新冠病毒的恐惧程度增加。本研究旨在探索政策结束后，MHPs 中新冠恐惧的流行率和相关因素，并从网络分析的角度探讨其与生活质量（QoL）的关系。
方法
本研究在中国进行了一项横断面全国性研究。使用单变量和多变量分析来检查新冠恐惧的相关因素。采用协方差分析（ANCOVA）来确定对新冠病毒的恐惧与 QoL 之间的关系。通过网络模型的“预期影响”识别中心症状，同时通过“流函数”识别与 QoL 直接相关的特定症状。
结果
共纳入 10647 名中国 MHPs。新冠恐惧的总体流行率（FCV-19S 总分≥16）为 60.8%（95%CI=59.9-61.8%）。二元逻辑回归分析发现，有新冠恐惧的 MHPs 更有可能已婚（OR=1.198；<0.001），有新冠病毒感染（OR=1.235；=0.005）和隔离经历（OR=1.189；<0.001）。经济状况较好（好与差：OR=0.479；<0.001；中与差：OR=0.646；<0.001）和健康状况较好（好与差：OR=0.410；<0.001；中与差：OR=0.617；<0.001）与新冠恐惧的风险较低显著相关。ANCOVA 显示，有新冠恐惧的 MHPs 的生活质量较低[=228.0，<0.001]。“一想到新冠病毒就心悸”是新冠恐惧网络模型中最中心的症状，而“一想到新冠病毒就感到不适”与 QoL 的负相关最强（平均边缘权重=-0.048）。
结论
本研究发现，中国动态清零政策结束后，中国 MHPs 中新冠恐惧的流行率较高。针对我们网络结构中的中心症状以及与 QoL 相关的症状，制定有效的预防和干预措施，对于解决新冠恐惧和提高 QoL 至关重要。
Zotero 插件