Mental Health Disorders and Associated Risk Factors in Quarantined Adults During the COVID-19 Outbreak in China: Cross-Sectional Study
Mental Health Disorders and Associated Risk Factors in Quarantined Adults During the COVID-19 Outbreak in China: Cross-Sectional Study
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DOI：
10.2196/20328
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发表时间：
2020-08-06
影响因子：
7.4
通讯作者：
Wu, Shaomin
中科院分区：
文献类型：
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作者：
Guo, Yan;Cheng, Chao;Wu, Shaomin
背景：在冠状病毒病（COVID-19）爆发期间，接受大规模家庭和社区隔离的人容易受到精神健康障碍的影响，但很少有研究评估相关的心理社会因素。目的：本研究旨在估计冠状病毒病（COVID-19）大流行隔离期间中国普通人群中焦虑和抑郁症状的患病率，并确定相关的人口和心理社会因素。方法：2月26日至29日，采用滚雪球抽样的方式招募18岁或以上的参与者，进行一项横断面在线调查。 2020 年。调查包括人口统计、家庭关系、慢性病、隔离条件、生活方式、COVID-19 感染以及焦虑和抑郁症状等问题。进行逻辑回归分析以确定与焦虑或抑郁症状加剧相关的因素。结果：在 2331 名参与者中，762 人 (32.7%) 经历了焦虑或抑郁症状加剧。与焦虑或抑郁症状相关的九个危险因素包括年龄较小、收入减少、患有癌症或其他慢性疾病、家庭成员患有癌症、对自己或家庭成员感染 COVID-19 的担忧、独居、家庭冲突、每天久坐 8 小时以及睡眠质量恶化。结论：研究结果强调，在 COVID-19 大流行期间，焦虑或抑郁症状高危人群迫切需要心理支持。
Background: People undergoing mass home- and community-based quarantine are vulnerable to mental health disorders during outbreaks of coronavirus disease (COVID-19), but few studies have evaluated the associated psychosocial factors.Objective: This study aimed to estimate the prevalence of anxiety and depressive symptoms and identify associated demographic and psychosocial factors in the general Chinese population during the COVID-19 pandemic quarantine period.Methods: Participants aged 18 years or above were recruited in a cross-sectional online survey using snowball sampling from February 26-29, 2020. The survey included questions on demographics, family relationships, chronic diseases, quarantine conditions, lifestyle, COVID-19 infection, and anxiety and depressive symptoms. Logistic regression analyses were conducted to identify factors associated with elevated anxiety or depressive symptoms.Results: Out of 2331 participants, 762 (32.7%) experienced elevated anxiety or depressive symptoms. Nine risk factors associated with anxiety or depressive symptoms included younger age, reduced income, having cancer or other chronic diseases, having family members living with cancer, concerns related to COVID-19 infection for themselves or family members, living alone, having family conflicts, having 8 hours of sedentary time per day, and worsened sleep quality.Conclusions: The findings highlight an urgent need for psychological support for populations at high risk for elevated anxiety or depressive symptoms during the COVID-19 pandemic.