Changes in Psychological Distress During the COVID-19 Pandemic in Japan: A Longitudinal Study.
Changes in Psychological Distress During the COVID-19 Pandemic in Japan: A Longitudinal Study.
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DOI：
10.2188/jea.je20200271
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发表时间：
2020-11-05
影响因子：
4.7
通讯作者：
Inoue S
中科院分区：
文献类型：
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作者：
Kikuchi H;Machida M;Nakamura I;Saito R;Odagiri Y;Kojima T;Watanabe H;Fukui K;Inoue S
这项纵向研究旨在考察从 COVID-19 大流行早期到社区传播阶段公众心理困扰的变化，并调查与这些变化相关的因素。对2,400名日本人进行的网络调查分两个阶段进行：早期阶段（基线调查：2020年2月25日至27日）和社区传播阶段（后续调查：2020年4月1日至6日）。使用凯斯勒六量表心理困扰量表来衡量是否存在严重心理困扰（SPD）。检查了两相之间 SPD 百分比的差异。进行混合效应序数逻辑回归分析来评估与两个阶段之间 SPD 状态变化相关的因素。两个阶段的调查共有 2,078 名有效受访者（49.3% 为男性；平均年龄为 50.3 岁）。在两项调查中，患有 SPD 的个体分别为 9.3% 和 11.3%，表明两个阶段之间显着增加（P = 0.005）。低收入群体（即 18,600-37,200 美元 [USD]，比值比 [OR] 1.95；95% 置信区间 [CI]，1.10-3.46）和最低收入群体（即 <18,600 美元，OR 2.12；95% CI，1.16-3.86）患 SPD 的可能性显着较高。此外，患有呼吸系统疾病的人更有可能患上 SPD（OR 2.56；95% CI，1.51–4.34）。从 COVID-19 的早期到社区传播阶段，日本人的心理困扰有所增加。建议包括实施心理健康措施以及针对 COVID-19 感染的保护措施，优先考虑低收入人群和患有基础疾病的人。
This longitudinal study aimed to examine the changes in psychological distress of the general public from the early to community-transmission phases of the COVID-19 pandemic and to investigate the factors related to these changes. An internet-based survey of 2,400 Japanese people was conducted in two phases: early phase (baseline survey: February 25–27, 2020) and community-transmission phase (follow-up survey: April 1–6, 2020). The presence of severe psychological distress (SPD) was measured using the Kessler’s Six-scale Psychological Distress Scale. The difference of SPD percentages between the two phases was examined. Mixed-effects ordinal logistic regression analysis was performed to assess the factors associated with the change of SPD status between the two phases. Surveys for both phases had 2,078 valid respondents (49.3% men; average age, 50.3 years). In the two surveys, individuals with SPD were 9.3% and 11.3%, respectively, demonstrating a significant increase between the two phases (P = 0.005). Significantly higher likelihood to develop SPD were observed among those in lower (ie, 18,600–37,200 United States dollars [USD], odds ratio [OR] 1.95; 95% confidence interval [CI], 1.10–3.46) and the lowest income category (ie, <18,600 USD, OR 2.12; 95% CI, 1.16–3.86). Furthermore, those with respiratory diseases were more likely to develop SPD (OR 2.56; 95% CI, 1.51–4.34). From the early to community-transmission phases of COVID-19, psychological distress increased among the Japanese. Recommendations include implementing mental health measures together with protective measures against COVID-19 infection, prioritizing low-income people and those with underlying diseases.