The Psychological Impact of the COVID-19 Epidemic on Guangdong College Students: The Difference Between Seeking and Not Seeking Psychological Help
The Psychological Impact of the COVID-19 Epidemic on Guangdong College Students: The Difference Between Seeking and Not Seeking Psychological Help
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DOI：
10.3389/fpsyg.2020.02231
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发表时间：
2020-09-04
影响因子：
3.8
通讯作者：
Zhao, Jing-Bo
中科院分区：
文献类型：
--
作者：
Liang, Shun-Wei;Chen, Rong-Ning;Zhao, Jing-Bo
背景：冠状病毒病2019(新冠肺炎)对中国大学生的心理影响很大。在疫情爆发期间，为大学生广泛实施了几种类型的在线心理健康服务。本研究考察了大学生心理健康状况与心理求助行为的关系，检验了阶段性决策模型。方法采用横断面调查方法，利用网络平台对广东省在校大学生进行调查。总共有4,164名学生根据他们是否因新冠肺炎疫情而寻求心理帮助而被分配到“辅导组”或“非辅导组”；这些组根据年龄、性别和年级进行匹配。记录人口统计学数据、感知的心理健康状况以及寻求心理帮助的经历。采用新冠肺炎恐惧筛查量表、患者健康问卷和事件影响量表-6评定恐惧、抑郁和创伤。结果心理咨询组的恐惧、抑郁、创伤因子分显著高于非心理咨询组(P-S，0.001)。恐惧(OR=1.27p<；0.001)、抑郁(OR=1.02p<；0.032)、创伤(OR=1.08p<；0.001)、自感心理健康状况差(OR=3.61p=0.001)和寻求心理帮助的经历(OR=7.06p<；0.001)增加了寻求心理帮助的几率。结论新冠肺炎疫情期间，大学生心理求助比例仍然较低，心理状况较差的大学生寻求心理咨询的比例较高。恐惧、抑郁、创伤、寻求心理帮助的经历、自感心理健康对心理求助行为有较好的预测作用。这些发现强调了密切监测大学生的心理状况，提供心理干预，提高寻求心理帮助的概率的重要性。
Background Coronavirus disease 2019 (COVID-19) has considerably psychologically impacted Chinese college students. Several types of online mental health services were widely implemented for college students during the outbreak. This study investigated the relationship between college students' mental health status and psychological help-seeking behavior to test the phases-decision-making model (PDM). Methods A cross-sectional survey was conducted among college students in Guangdong Province using an online platform. In total, 4,164 students were assigned to the "counseling group" or "non-counseling group" according to whether they had sought psychological help because of the COVID-19 outbreak; the groups were matched based on age, sex, and grade. Demographics, perceived mental health, and experience with seeking psychological help were recorded. Fear, depression, and trauma were assessed by the COVID-19 Fear Screening Scale, Patient Health Questionnaire, and Impact of Event Scale-6. Results The fear, depression, and trauma scores were significantly higher in the counseling group than in the non-counseling group (P-s< 0.001). Fear (OR = 1.27,p< 0.001), depression (OR = 1.02,p= 0.032), trauma (OR = 1.08,p< 0.001), poor perceived mental health status (OR = 3.61,p= 0.001), and experience with seeking psychological help (OR = 7.06,p< 0.001) increased the odds of seeking psychological help. Conclusion During the COVID-19 epidemic, the rate of psychological help-seeking was still low, and college students in poor psychological condition sought psychological counseling more. Fear, depression, trauma, experience with seeking psychological help, and perceived mental health can effectively predict psychological help-seeking behavior. These findings emphasized the importance of closely monitoring college students' psychological status, providing psychological intervention, and improving the probability of seeking psychological help.