新冠肺炎流行对大学生抑郁、焦虑情绪的影响及相关因素分析

doi:10.3969/j.issn.1671-7171.2020.06.006

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摘要【目的】分析新冠肺炎(COVID-19)流行期间,针对COVID-19大学生的抑郁、焦虑情绪现状及其影响因素。【方法】采用抑郁自评量表(SDS)和焦虑自评量表(SAS)对本校611名在读本科生的焦虑、抑郁情绪进行评价:采用问卷调查方收集611名在读本科生的社会学资料;单因素方差分析大学生发生焦虑、抑郁情绪的相关因素;采用多因素logistic回归分析影响大学生焦虑、抑郁情绪的危险因素。【结果】根据中国常模结果,611名大学生COVID-19流行期间抑郁发生率为16.53%(101/611),其中轻度52例,中度40例,重度9例;焦虑发生率为14.08%(86/611),其中轻度57例,中度24例,重度5例;抑郁合并焦虑发生率为10.64%(65/611)。单因素方差分析显示:居住在湖北地区、家庭月收入5000元以下、大四学生、家庭中有新冠肺炎患者、性格内向、单身状态、疫情封闭式管理对自身影响程度、对疫情防控措施的态度均对大学生抑郁发生存在影响(P<0.05);居住在湖北地区、月收入5000以下、大四学生、家庭中有新冠肺炎患者、性格内向、疫情封闭式管理对自身影响程度、对疫情防控措施的态度均对大学生焦虑发生存在影响(P<0.05)。多因素logistic回归分析显示:居住在湖北地区(OR=5.024)、大四学生(OR=7.044)、家庭中有新冠肺炎患者(OR=4.898)、性格内向(OR=10.371)、疫情封闭式管理对自身影响程度越大(OR=8.768),是导致大学生抑郁的危险因素(P<0.05);居住在湖北地区(OR=6.629)、家庭月收入5000以下(OR=3.956)、大四学生(OR=5.233)、家庭中有新冠肺炎患者(OR=21.104)、疫情封闭式管理对自身影响程度越大(OR=5.895),是导致大学生焦虑的危险因素(P<0.05)。【结论】 COVID-19流行对大学生抑郁、焦虑情绪产生负面影响,积极的心理疏导、合理的防控措施有助于缓解大学生负性情绪。

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	刘诗茗
	袁源
	罗斌

关键词 ：冠状病毒, 肺炎, 抑郁, 焦虑

Abstract：【Objective】To analyze the current status and influential factors of depression and anxiety of college students during the epidemic of Corona Virus Disease 2019(COVID-19). 【Methods】 The self-rating depression scale (SDS) and self-rating anxiety scale (SAS) were used to evaluate the anxiety and depression of 611 undergraduate students in our school: the sociological data of 611 undergraduate students were collected by questionnaire; the factors related to anxiety and depression were analyzed by single factor variance analysis; and the risk factors affecting anxiety and depression were analyzed by multivariate logistic regression analysis.【Results】(1) The total score was (33.46±8.55), the standard score was (41.88±10.57), and the SAS score was (29.78±10.07). According to the results of Chinese norm, the incidence of depression in 611 college students during the prevalence of covid-19 was 16.53% (101/611), of which 52 were mild ,40 were moderate and 9 were severe; the incidence of anxiety was 14.08% (86/611), of which 57 were mild ,24 were moderate and 5 were severe; the incidence of depression with anxiety was 10.64% (65/611). (2) One-way ANOVA showed that: living in Hubei area, family income less than 5000 yuan, senior students, families with COVID-19 patients, introversion, single state, epidemic situation closed management on their own impact degree, attitude to epidemic prevention and control measures had an impact on college students depression (P<0.05); living in Hubei area, monthly income less than 5000, senior students, families with COVID-19 patients, introverted, epidemic situation closed management on their own impact degree, attitude to epidemic prevention and control measures had an impact on college students anxiety (P<0.05). (3) Multivariate logistic regression analysis showed that: living in Hubei (OR=5.024), senior students (OR=7.044), family patients with COVID-19 (OR=4.898), introversion (OR=10.371), closed management of epidemic situation had more influence on themselves (OR=8.768), were risk factors for depression of college students (P<0.05); living in Hubei (OR=6.629), family income below 5000 (OR=3.956),Senior students (OR=5.233), family patients with COVID-19 (OR=21.104), closed management of epidemic situation on their own greater impact (OR=5.895), were risk factors of anxiety for college students(P<0.05).【Conclusion】The prevalence of covid-19 has a negative impact on College Students' depression and anxiety. Positive psychological counseling and reasonable prevention and control measures can help to alleviate the negative emotions of college students.

Key words： Coronavirus Pneumonia Depression Anxiety

收稿日期: 2020-03-25

PACS:

R730.5

引用本文:

刘诗茗, 袁源, 罗斌. 新冠肺炎流行对大学生抑郁、焦虑情绪的影响及相关因素分析[J]. 医学临床研究, 2020, 37(6): 819-823.
LIU Shi-Ming, YUAN Yuan, LUO Bin. Influence of COVID-19 on Depression and Anxiety of College Students and Analysis of Related Factors. JOURNAL OF CLINICAL RESEARCH, 2020, 37(6): 819-823.

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http://journal07.magtech.org.cn/yxlcyj/CN/10.3969/j.issn.1671-7171.2020.06.006 或 http://journal07.magtech.org.cn/yxlcyj/CN/Y2020/V37/I6/819

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