Prevalence and correlates of PTSD and depressive symptoms one month after the outbreak of the COVID-19 epidemic in a sample of home-quarantined Chinese university students
Prevalence and correlates of PTSD and depressive symptoms one month after the outbreak of the COVID-19 epidemic in a sample of home-quarantined Chinese university students
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DOI：
10.1016/j.jad.2020.05.009
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发表时间：
2020-09-01
影响因子：
6.6
通讯作者：
Xu, Jiuping
中科院分区：
文献类型：
--
作者：
Tang, Wanjie;Hu, Tao;Xu, Jiuping
背景资料：2019年末，当新冠肺炎在中国出现时，大多数市民都进行了居家隔离，以防止病毒传播。本研究以居家隔离的大学生为样本，探讨创伤后应激障碍(PTSD)和抑郁的患病率，以确定心理困扰的危险因素。方法：采用网络版创伤后应激障碍检查表(PTSD Checklist)和9题患者健康问卷(PHQ-9)对来自6所高校的2485名受试者进行创伤后应激障碍和抑郁症状的调查，并收集睡眠时间、暴露时间、居家隔离时间和社会人口学变量等数据。结果：创伤后应激障碍和抑郁的患病率分别为2.7%和9.0%。主观上，极度恐惧是心理困扰最显著的危险因素，其次是睡眠时间短、大学四年级、生活在贫困地区。睡眠时间是暴露与心理健康问题之间的中介变量。结论：结果表明新冠肺炎的心理后果可能是严重的。需要为居家隔离的大学生提供减少恐惧和改善睡眠持续时间的心理干预，并优先关注应届毕业生和受灾最严重地区的学生。
Background: When COVID-19 emerged in China in late 2019, most citizens were home-quarantined to prevent the spread of the virus. This study explored the prevalence of post-traumatic stress disorder (PTSD) and de-pression in a sample of home-quarantined college students to identify the psychological distress risk factors. Method: The PTSD and depressive symptoms in the 2485 participants from 6 universities were investigated using online survey versions of the PTSD Checklist Civilian Version and the 9-question Patient Health Questionnaires (PHQ-9), and data on sleep durations, exposure, home-quarantine time and socio-demographic variables were also collected. Results: The PTSD and depression prevalence were found to be 2.7% and 9.0%. Subjectively, feeling extreme fear was the most signi ficant risk factor for psychological distress, followed by short sleep durations, being in their graduating year (4 th year) and living in severely a fflicted areas. Sleep durations was a mediator between ex-posures and mental health problems. Conclusions: The results suggested that the psychological consequences of the COVID-19 could be serious. Psychological interventions that reduce fear and improve sleep durations need to be made available to the home-quarantined university students, and graduating students and those in the worst-hit areas should be given priority focus.