Comparison of Prevalence and Associated Factors of Anxiety and Depression Among People Affected by versus People Unaffected by Quarantine During the COVID-9 Epidemic in Southwestern China

Comparison of Prevalence and Associated Factors of Anxiety and Depression Among People Affected by versus People Unaffected by Quarantine During the COVID-9 Epidemic in Southwestern China
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DOI:
10.12659/msm.924609
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发表时间:
2020-04-26
影响因子:
3.1
通讯作者:
Xu, Min
Xu, Min
中科院分区:
医学4区
文献类型:
--
作者:
Lei, Lei;Huang, Xiaoming;Xu, Min

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背景:2019年底,新冠肺炎疫情从中国湖北省武汉市开始,在1个月内迅速向全国蔓延。这种新的流行病在公众中引起了巨大的心理反应。本研究旨在评估和比较2020年2月初中国西南地区新冠肺炎疫情期间受隔离影响的公众和未受隔离影响的公众焦虑和抑郁的患病率及相关因素。资料/方法:采用焦虑自评量表(SAS)和抑郁自评量表(SDS)对1593名18岁及以上的被调查者进行数据收集。根据受访者或其家人/同事/同学/邻居是否被隔离,将受访者分为“受影响组”和“未受影响组”。结果:在1593名参与者中,焦虑和抑郁的患病率分别约为8.3%和14.6%,受影响组的患病率(12.9%,22.4%)显著高于未受影响组(6.7%,11.9%)。家庭平均收入较低、受教育程度较低、自我评价知识水平较高、更担心感染、没有心理支持、财产损失较大、自我感觉健康状况较差与SAS和SDS得分较高显著相关。重庆人的SAS和SDS得分高于云南人。结论:2020年2月初西南地区新冠肺炎疫情期间,感染人群焦虑抑郁患病率高于未感染人群。政府应该更加注重提供经济和医疗支持,以改善普通民众的精神状态。
Background: At the end of 2019, the COVID-19 outbreak began in Wuhan, Hubei, China, and spread rapidly to the whole country within 1 month. This new epidemic caused a great mental reaction among the public. This study aimed to assess and compare the prevalence and associated factors of anxiety and depression among the public affected by quarantine and those unaffected during the COVID-19 outbreak in southwestern China in early Feb. 2020.Material/Methods: Data were collected using the self-rating anxiety scale (SAS) and the self-rating depression scale (SDS) administered to 1593 respondents aged 18 years and above. The respondents were grouped as 'affected group' and 'unaffected group' on the basis of whether they or their families/colleagues/classmates/neighbors had been quarantined.Results: Among 1593 participants, the prevalence of anxiety and depression was approximately 8.3% and 14.6%, respectively, and the prevalence in the affected group (12.9%, 22.4%) was significantly higher than that in the unaffected group (6.7%, 11.9%). Lower average household income, lower education level, having a higher self-evaluated level of knowledge, being more worried about being infected, having no psychological support, greater property damage, and lower self-perceived health condition were significant associated with higher scores on the SAS and SDS. People living in Chongqing had higher SAS and SDS scores than those living in Yunnan Province.Conclusions: The prevalence of anxiety and depression of the affected group are higher than in the unaffected group during the COVID-19 outbreak in southwestern China in early Feb. 2020. The government should focus more on providing economic and medical support to improve the general population's mental state.