The Psychological Impact of 'Mild Lockdown' in Japan during the COVID-19 Pandemic: A Nationwide Survey under a Declared State of Emergency.
The Psychological Impact of 'Mild Lockdown' in Japan during the COVID-19 Pandemic: A Nationwide Survey under a Declared State of Emergency.
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DOI：
10.3390/ijerph17249382
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发表时间：
2020-12-15
影响因子：
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通讯作者：
Murillo-Rodriguez E
中科院分区：
文献类型：
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作者：
Yamamoto T;Uchiumi C;Suzuki N;Yoshimoto J;Murillo-Rodriguez E
这项研究考察了日本非强制封锁(温和封锁)造成的心理困扰。在新冠肺炎感染最严重的7个县，在轻度封锁期间，对11,333人进行了在线调查，其中女性占52.4%，平均年龄为46.3±14.6岁，范围为18-89岁。超过三分之一(36.6%)的参与者经历了轻到中度的心理痛苦(凯斯勒心理痛苦量表[K6]评分5-12)，而11.5%的参与者报告了严重的心理痛苦(K6评分≥13)。抑郁症的估计患病率(患者健康问卷-9分≥10)为17.9%。在K6得分的分布上，与2010年、2013年、2016年和2019年的全国调查数据相比，本研究中有心理苦恼的人所占比例显著增加。医护人员、有精神疾病治疗史的人和较年轻的参与者(18-19岁或20-39岁)表现出特别高的心理痛苦水平。心理困扰严重程度受高孤独感、人际关系差、新冠肺炎相关失眠和焦虑、家庭经济状况恶化、工作和学习困难等危险因素的特定交互作用结构的影响。即使实施了非强制封锁，人们的心理健康也应该得到考虑，需要制定防止心理健康恶化的政策。为每个人的问题结构量身定做的跨学科公共-私营部门努力对于解决因封锁而产生的精神健康问题非常重要。
This study examined the psychological distress caused by non-coercive lockdown (mild lockdown) in Japan. An online survey was conducted with 11,333 people (52.4% females; mean age = 46.3 ± 14.6 years, range = 18–89 years) during the mild lockdown in the seven prefectures most affected by COVID-19 infection. Over one-third (36.6%) of participants experienced mild-to-moderate psychological distress (Kessler Psychological Distress Scale [K6] score 5–12), while 11.5% reported serious psychological distress (K6 score ≥ 13). The estimated prevalence of depression (Patient Health Questionnaire-9 score ≥ 10) was 17.9%. Regarding the distribution of K6 scores, the proportion of those with psychological distress in this study was significantly higher when compared with the previous national survey data from 2010, 2013, 2016, and 2019. Healthcare workers, those with a history of treatment for mental illness, and younger participants (aged 18–19 or 20–39 years) showed particularly high levels of psychological distress. Psychological distress severity was influenced by specific interactional structures of risk factors: high loneliness, poor interpersonal relationships, COVID-19-related sleeplessness and anxiety, deterioration of household economy, and work and academic difficulties. Even when non-coercive lockdowns are implemented, people’s mental health should be considered, and policies to prevent mental health deterioration are needed. Cross-disciplinary public–private sector efforts tailored to each individual’s problem structure are important to address the mental health issues arising from lockdown.