Deterioration of mental health despite successful control of the COVID-19 pandemic in South Korea.
Deterioration of mental health despite successful control of the COVID-19 pandemic in South Korea.
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DOI：
10.1016/j.psychres.2020.113570
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发表时间：
2021-01
影响因子：
11.3
通讯作者：
Park S
中科院分区：
文献类型：
--
作者：
Lee HS;Dean D;Baxter T;Griffith T;Park S
我们研究了COVID-19大流行对韩国普通民众的心理影响，该病毒的传播已得到控制，但有迹象表明全民都感到痛苦。本研究以400位南韩居民为对象，探讨心理健康、社会因素与人口统计变数之间的关系。45%的受访者报告了抑郁、焦虑或压力的临床水平。12.8%的患者存在精神病风险升高。这些数字比大流行病前的基本比率大幅增加。孤独，而不是社交网络的规模导致心理健康恶化。尽管成功地减轻了这一流行病的影响，但普通民众的心理痛苦程度令人不安。迫切需要为不久的将来可能出现的精神疾病流行病做好准备。韩国成功控制COVID-19的传播，而无需全国性封锁或采取严厉的社交距离措施，但公众对疫情相关的心理后果仍不清楚。2020年3月至6月，400名韩国居民参加了一项关于抑郁、焦虑、压力、精神病风险和孤独感以及社交网络、身体健康和人口统计学指数的在线研究。45%的受访者报告了抑郁、焦虑或压力的临床水平，12.8%的受访者存在精神病风险;这一比例比大流行之前在韩国进行的研究报告的基本比例大幅增加。主观感觉孤独，但不占社会网络的大小，心理健康状况不佳。妇女尤其面临更大的心理健康问题风险。因此，尽管有效地缓解了这一流行病，但心理健康状况显著恶化。随着持续大流行的心理负担不断加重，即将发生心理健康危机的可能性正在增加，特别是在感染率和死亡率高于韩国的国家。迫切需要作出全面努力，处理这一流行病造成的心理后果。
We examined psychological impact of the COVID-19 pandemic on the general population in south korea where the spread of the virus has been controlled but there have been signs of population-wide distress. An online study was conducted to investigate the relationship between mental health, social factors and demographic variables in 400 south korean residents. Clinical levels of depression, anxiety or stress were reported by 45% of the respondents. Elevated psychosis-risk was present in 12.8%. These represent a drastic increase above the base rate prior to the pandemic. Loneliness, but not social network size contributed to deteriorating mental health. The extent of the psychological distress in the general population despite successful mitigation of the pandemic is disconcerting. There is an urgent need to prepare for a potential mental illness epidemic in the near future. South Korea was able to successfully control the spread of COVID-19 without nationwide lockdowns or drastic social distancing efforts, but pandemic-related psychological outcome of the general population remains unknown. Between March and June 2020, 400 South Korean residents participated in an online study of depression, anxiety, stress, psychosis-risk and loneliness, as well as indices of social network, physical health and demographics. Clinical levels of depression, anxiety or stress were reported by 45% of the respondents, and psychosis-risk was present in 12.8%; a drastic increase above the base rate reported by previous studies conducted in South Korea prior to the pandemic. Subjective feelings of loneliness, but not the size of the social network accounted for poor mental health. Women were especially at increased risk for mental health problems. Thus, despite effective mitigation of the pandemic, there was a striking deterioration of mental health. As the psychological burden of the continuing pandemic accrues, the probability of an impending mental health crisis is increasing, especially in countries with greater infection and death rates than South Korea. Comprehensive efforts to address the psychological aftermath of the pandemic are urgently needed.
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