台湾地区2019冠状病毒病感染史士兵心理健康状况与非感染士兵的比较研究

Hao-Ming Yang, Y. Tai, Szu-Tung Yang
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摘要

目的:最新冠状病毒病2019 (COVID-19)对心理健康的影响研究显示,社区人群的心理影响显著,而军队人群的心理影响不明显。在这项研究中,我们打算检查有COVID-19病史的士兵的心理健康状况和自杀念头,并将其与未感染的对照组进行比较。方法:对193名台湾北部现役军人进行问卷调查,收集其抑郁问卷、焦虑问卷、创伤后应激障碍(PTSD)症状量表、睡眠障碍与睡眠不满意匹兹堡睡眠质量指数、自杀意念五项简要症状评定量表。结果:58.5%(113/193)的样本报告了至少一次COVID-19感染史(感染组)。超过85%的人接种了两剂以上的疫苗。感染组对生活的影响程度(1.92±0.54)明显高于未感染对照组(1.72±0.66,p < 0.05)。感染组与未感染组之间的生命影响差异在男性士兵中显著高于女性(p < 0.05)。在男性士兵中,未感染组的大多数心理健康状况高于感染组,但不显著。结论:本研究揭示了台湾地区新型冠状病毒感染与未感染军人心理健康状况及自杀意念的共性与差异,以及性别差异。与目前的研究结果一致,我们的研究结果显示,在军人人群中,男性和女性群体之间差异不显著,而在社区人群中差异显著。需要更大样本量和更多细节的进一步研究来证实我们的假设。
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Mental health states of soldiers with histories of corona virus disease 2019 infection in Taiwan: A comparison study with non-infected soldiers
Objectives: According to the most recent studies on the mental health impacts of coronavirus disease 2019 (COVID-19), psychological effects are salient in the community, but they are not obvious in the military population. In the study, we intended to examine mental health state and suicide ideation among soldiers with past histories of COVID-19 and to compare them with non-infected controls. Methods: We recruited 193 active-duty military personnel from northern Taiwan and collected their responses of a series of copies of the questionnaire, i.e., Beck's Depression Inventory for depression, Beck's Anxiety Inventory for anxiety, Davidson Trauma Scale for symptoms of posttramatic stress disorder (PTSD), Pittsburgh Sleep Quality Index for sleep disturbance and sleep dissatisfaction, and Five-item Brief Symptom Rating Scale for suicide ideation. Results: Among our samples, about 58.5% (113/193) reported a past history of COVID-19 infection (infected group) at least once. More than 85% had vaccinated in more than two doses. The infected soldier group presented themselves significantly higher magnitude (1.92 ± 0.54) of impacts on their lives than noninfected control group (1.72 ± 0.66, p < 0.05). The discrepancy in life impact between infected and non-infected groups was significantly more salient in male soldiers (p < 0.05) comparing with female. In male soldiers, most mental health states were higher in the non-infected group than the infected group but nonsignificant. Conclusion: This study shows the common and differences in mental health states and suicide ideation between COVID-19 infected and non-infected soldiers in Taiwan and genders. In line with the findings of current studies, our results showed nonsignificant differences between male and female groups in the military population although significant differences among the community population. Further studies with larger sample sizes and more details are needed to confirm our assumption.
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