Increases in Anxiety and Depression During COVID-19: A Large Longitudinal Study From China.
Increases in Anxiety and Depression During COVID-19: A Large Longitudinal Study From China.
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DOI：
10.3389/fpsyg.2021.706601
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发表时间：
2021
影响因子：
3.8
通讯作者：
Cui X
中科院分区：
文献类型：
--
作者：
Wu S;Zhang K;Parks-Stamm EJ;Hu Z;Ji Y;Cui X
尽管越来越多的证据表明，COVID-19大流行与心理健康成本有关，但学生心理健康的发展，包括从以前的抑郁和焦虑水平的变化以及与这种变化相关的因素，尚未得到充分研究。本研究调查了从大流行之前到封锁期间学生焦虑和抑郁的变化，并确定了与这些变化相关的因素。14769名大学生参加了一项纵向研究，有两个时间点，间隔6个月。学生在COVID-19爆发前（2020年10月，时间1）完成了症状检查表90 （SCL-90）的焦虑和抑郁子量表，在大流行期间（2020年4月，时间2）完成了焦虑自评量表（SAS）和抑郁自评量表（SDS）。时间1时焦虑和抑郁症状的患病率分别为1.44%和1.46%，时间2时分别为4.06和22.09%，其中焦虑增加181.94%，抑郁增加1413.01%。此外，学生的焦虑和抑郁程度较大流行前的水平有所增加，这与他们所在省份的性别和大流行的严重程度有关。这项研究有助于了解学生在应对大流行时心理健康的变化以及当地因素在这些变化中的作用。讨论了性别和台风眼效应的影响。
Although accumulating evidence suggests the COVID-19 pandemic is associated with costs in mental health, the development of students' mental health, including the change from their previous levels of depression and anxiety and the factors associated with this change, has not been well-studied. The present study investigates changes in students' anxiety and depression from before the pandemic to during the lockdown and identifies factors that are associated with these changes. 14,769 university students participated in a longitudinal study with two time points with a 6-month interval. Students completed the Anxiety and Depression subscales of the Symptom Checklist 90 (SCL-90) before the COVID-19 outbreak (October 2020, Time 1), and the Self-rating Anxiety Scale (SAS) and Self-rating Depression Scale (SDS) during the pandemic (April 2020, Time 2). The prevalence of anxiety and depression symptoms were 1.44 and 1.46% at Time 1, and 4.06 and 22.09% at Time 2, respectively, showing a 181.94% increase in anxiety and a 1413.01% increase in depression. Furthermore, the increases in anxiety and depression from pre-pandemic levels were associated with students' gender and the severity of the pandemic in the province where they resided. This study contributes to the gap in knowledge regarding changes in students' mental health in response to the pandemic and the role of local factors in these changes. Implications for gender and the Typhoon Eye effect are discussed.
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