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检疫隔离前人群焦虑、抑郁状况调查及影响因素分析

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目的 了解集中检疫隔离前成年隔离人群焦虑、抑郁发生情况,并分析其焦虑、抑郁的相关影响因素。方法 回顾性分析深圳市龙岗区2020年4月—2022年1月成年隔离人群隔离开始前的心理健康问卷,分析广泛性焦虑量表和健康问卷抑郁量表测评得分,比较不同特征人群焦虑、抑郁的发生情况,用多元线性回归法分析焦虑、抑郁状况的影响因素。结果 调查的34253人中,男性18 857人(55。1%),女性15 396人(44。9%),焦虑、抑郁的检出率分别为19。0%、19。5%;不同性别、年龄、婚姻状况、经济情况以及对隔离政策理解的隔离人员焦虑、抑郁检出率差异有统计学意义(P<0。01);多元 Logistic 回归分析显示,女性(OR=1。716,95%CI:1。620~1。816;OR=1。1550,95%CI:1。464~1。640)、45~60 岁(OR=1。157,95%CI:1。029~1。300;OR=1。137,95%CI:1。012~1。277)、经济状况中等及以上(OR=2。879,1。281,3。036,1。327;95%CI:2。596~3。194,1。175~1。396,2。737~3。368,1。216~1。448)、部分或完全理解隔离政策(OR=2。370,2。757,2。582,2。896;95%CI:2。041~2。753,2。591~2。934,2。229~2。992,2。723~3。080)是隔离人员出现焦虑、抑郁的风险因素;已婚(OR=0。877,95%CI:0。782~0。983;OR=1。044,95%CI:0。932~1。170)、高中及以上文化(OR=0。650,0。779,0。713,0。881;95%CI:0。601~0。703,0。726~0。836,0。659~0。771,0。822~0。944)是隔离人员不出现焦虑、抑郁的保护因素。结论 成年隔离人员在集中隔离前存在一定程度的焦虑、抑郁表现,性别、婚姻状况、经济情况以及对隔离政策的理解程度是焦虑、抑郁的影响因素,需对该群体心理卫生状况加强关注。
Investigation and influencing factor analysis of anxiety and depression in the population before quarantine
Objective To understand the occurrence of anxiety and depression in the population before centralized quarantine,and to analyze the related influencing factors of anxiety and depression.Methods A retrospective analysis was made on the mental health questionnaire of the isolated adult population in Longgang District,Shenzhen from April 2020 to January 2022.The scores of the generalized anxiety scale and the depression scale of the patients'health questionnaire were analyzed,and the incidence of anxiety and depression among people with different characteristics was compared.The influencing factors of anxiety and depression were analyzed by multiple linear regression.Results Among the 34,253 questionnaires,there were 18,857 men(55.1%)and 15,396 women(44.9%),and the detection rates of anxiety and depression were 19.0%and 19.5%,respectively.There were differences in the detection rates of economic conditions and isolationist anxiety,depression,and the differences were statistically significant(P<0.01).Multiple Logistic regression analysis showed that female(OR=1.716,95%C/:1.620-1.816;OR=1.1550,95%C/:1.464-1.640),45-60 years old(OR=1.157,95%C/:1.029~1.300;OR=1.137,95%C/:1.012~1.277),moderate economic status and above(OR=2.879,1.281,3.036,1.327;95%CI:2.596~3.194,1.175~1.396,2.737~3.368,1.216~1.448),partial or complete understanding of the quarantine policy(OR=2.370,2.757,2.582,2.896;95%CI:2.041~2.753,2.591~2.934,2.229~2.992,2.723~3.080)was the occurrence of anxiety and depression in isolation risk factors,married(OR=0.877,95%CI:0.782-0.983;OR=1.044,95%C/:0.932-1.170),high school education and above(OR=0.650,0.779,0.713,0.881;95%C/:0.601~0.703,0.726~0.836,0.659~0.771,0.822~0.944),which was a protective factor against anxiety and depression in quarantined persons.Conclusion Adults had a certain degree of anxiety and depression before centralized quarantine.Gender,marital status,economic situation and understanding of isolation policies are the influencing factors of anxiety and depression,and it is necessary to pay more attention to the mental health status of this group.

QuarantineAdultAnxietyDepression

崔洪雨、王承敏

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哈尔滨医科大学附属第一临床医院精神科,黑龙江哈尔滨 150000

深圳市龙岗区慢性病防治院

检疫隔离 成年人 焦虑 抑郁

深圳市龙岗区科技发展专项资金医疗卫生科技计划项目

LGWJ2021-123

2024

中国国境卫生检疫杂志
中国质检报刊社

中国国境卫生检疫杂志

CSTPCD
影响因子:0.415
ISSN:1004-9770
年,卷(期):2024.47(1)
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