新型冠状病毒肺炎患者心理健康状况调查

Qian Zhao, Caihong Hu, Renjie Feng, Yuan Yang
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引用次数: 27

摘要

目的了解新冠肺炎患者隔离治疗期间的心理健康状况及影响因素。方法于2020年2月2日至16日对106例新冠肺炎患者进行匿名心理健康状况调查,采用在线问卷(患者健康问卷-9、广泛性焦虑障碍量表-7、患者健康问卷-15)。患者均来自华中科技大学同济医学院附属同济医院。数据处理后,采用SPSS19.0进行统计分析。结果106例新冠肺炎患者中,男性46例,女性60例,年龄(35.90±11.92)岁。抑郁、焦虑和躯体症状检出率分别为49.06%(52/106)、56.60%(60/106)和69.81%(74/106)。重度抑郁(量表评分大于19)、焦虑(量表评分大于14)和躯体症状(量表评分大于14)分别占9.43%(10/106)、15.09%(16/106)和20.75%(22/106)。此外,67.92%(72/106)的患者有睡眠问题,24.53%(26/106)的患者有自残或自杀念头,28.30%(30/106)的患者需要心理咨询,均显著高于普通人群。只有39.62%(42/106)的患者无抑郁和焦虑。采用秩转换的非参数检验进行分析,结果显示已婚患者和核酸阳性患者有更严重的抑郁,已婚患者和缺氧患者有更严重的躯体症状。结论本次心理健康评估结果显示,新冠肺炎患者存在抑郁、焦虑和多种躯体症状,应及早发现和干预,避免出现自残、冲动自杀等极端事件,尤其应重视已婚患者和症状严重的患者。关键词:COVID-19;抑郁症;焦虑;躯体症状
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Investigation of the mental health of patients with novel coronavirus pneumonia/ 中华神经科杂志
Objective To evaluate the status and influencing factors of the mental health of patients with COVID-19 during isolation treatment. Methods From February 2nd to 16th, 2020, 106 COVID-19 patients were anonymously investigated for their mental health status using onlinequestionnaires (including Patient Health Questionnaire-9, Generalized Anxiety Disorder Scale-7, Patient Health Questionnaire-15 scales). The patients were from Tongji Hospital Affiliated to Tongji Medical College ofHuazhong University of Science and Technology. After data processing, SPSS19.0 was used for statistical analysis. Results Of the 106 COVID-19 patients, 46 were male and 60 were female, with an age of (35.90±11.92) years. The detection rates of depression, anxiety and somatic symptoms in those patients were 49.06% (52/106) , 56.60% (60/106) and 69.81% (74/106) respectively. The severe cases of depression (scale score greater than 19) , anxiety (scale score greater than 14) and somatic symptoms (scale score greater than 14) accounted for 9.43% (10/106) , 15.09% (16/106) and 20.75% (22/106) respectively. In addition, 67.92% (72/106) of the patients had sleep problems, 24.53% (26/106) had self-mutilating or suicidal thoughts, and 28.30% (30/106) required psychological counseling—all of which were at significantly higher percentages than those of the general population. Only 39.62% (42/106) of the examined patients had neither deression nor anxiety. By using the non-parametric test of rank conversion for analysis, and the results showed that both married patients and nucleic-acid-positive patients had more severe depressions, and both married patients and anoxemicpatients had more severe somatic symptoms. Conclusion This mental health assessment showed that depression, anxiety, and various somatic symptoms exist among the COVID-19 patients, and therefore early identification and intervention should be conducted to avoid extreme events such asself-mutilating or suicidal impulsivity, with a greater focus on both married patients and patients with severe symptoms. Key words: COVID-19; Depression; Anxiety; Somatic symptoms
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中华神经科杂志
中华神经科杂志 Medicine-Neurology (clinical)
CiteScore
0.70
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6868
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