摘要
目的:2019冠状病毒病(coronavirus disease 2019,COVID-19)疫情给社会公众,特别是确诊患者造成心理应激。本研究旨在探讨长沙地区COVID-19患者的心理健康状况。方法:通过调查问卷对112名COVID-19患者心理健康进行横断面调查。采用曼-惠特尼U检验、χ^2检验和Fisher确切概率法比较轻型-普通型患者与重型患者的一般资料和临床资料。采用单样本t检验比较COVID-19患者症状自评量表(Symptom Check-List 90,SCL-90)因子分与2015年常模和严重急性呼吸综合征(severe acute respiratory syndrome,SARS)患者的差异。结果:长沙地区COVID-19患者SCL-90中阳性症状检出最高的为强迫症状、抑郁、睡眠和饮食障碍,患者的躯体化、抑郁、焦虑、恐怖、睡眠和饮食障碍因子得分较常模增高(P≤0.001或P<0.05)。与SARS患者相比,长沙地区轻型-普通型COVID-19患者SCL-90躯体化、抑郁、焦虑和敌对因子分较低(P<0.001或P<0.05);而重型COVID-19患者各因子分差异无统计学意义(P>0.05)。结论:长沙地区COVID-19患者存在显著的抑郁、焦虑、恐怖等心理问题以及睡眠和饮食障碍,但轻型-普通型患者的心理健康在一定程度上优于SARS患者。应结合COVID-19患者的病情严重程度予以针对性的心理干预。
Objective:The epidemic of coronavirus disease 2019(COVID-19)brought psychological stress to the public,especially to patients.This study aims to investigate the mental health of patients with COVID-19 in Changsha.Methods:We took cross-section investigation for the mental health of 112 patients with COVID-19 via questionnaires.Mann-Whitney U test,Chi-square test,and Fisher’s exact test were performed to compare general and clinical data between the slight-ordinary patients and severe patients.Single sample t-tests were used to compare the difference between the factor scores of the Symptom Check-List 90(SCL-90)in COVID-19 patients with the norm of 2015 and factor scores of SCL-90 in patients with the severe acute respiratory syndrome(SARS).Results:The obsessive-compulsive,depression,sleep and eating disorders had the highest frequency among the positive symptoms of SCL-90 in patients with COVID-19 in Changsha.The factor scores of somatization,depression,anxiety,phobia anxiety,sleep and eating disorders in patients with COVID-19 were higher than those of the norm(P≤0.001 or P<0.05).Slight-ordinary patients with COVID-19 in Changsha showed lower factor scores of somatization,depression,anxiety,and hostility compared with the patients with SARS(P<0.001 or P<0.05).There was no difference in factor scores of SCL-90 between the patients with severe COVID-19 and those with SARS(P>0.05).Conclusion:The levels of somatization,depression,anxiety,phobia anxiety,sleep and eating disorders in patients with COVID-19 in Changsha are higher than those of the norm.However,the mental health of slight-ordinary patients with COVID-19 is better than that of patients with SARS.It needs to provide targeting psychological interventions depending on the severity of patients.
作者
秦雪梅
舒孔亮
王汨
陈文涛
黄梅
杨爱平
周赟
张燕
鞠玉朦
刘激扬
QIN Xuemei;SHU Kongliang;WANG Mi;CHENWentao;HUANG Mei;YANG Aiping;ZHOU Yun;ZHANG Yan;JU Yumeng;LIU Jiyang(Institute of Mental Health,Central South University,National Clinical Research Center for Mental Disorders,National Technology Institute on Mental Disorders,Hunan Key Laboratory of Psychiatry and Mental Health,Changsha 410011;Center for Neuromedicine,First Hospital of Changsha,Changsha 410005;Department of General Surgery,First Hospital of Changsha,Changsha 410005;Department of Spine Surgery,First Hospital of Changsha,Changsha 410005;Department of Medical Administration,First Hospital of Changsha,Changsha 410005,China)
出处
《中南大学学报（医学版）》
CAS
CSCD
北大核心
2020年第6期657-664,共8页
Journal of Central South University ：Medical Science
基金
湖南省科技厅项目(2020SK3014)。
