摘要
目的探讨新冠疫情期间居民急性应激障碍(ASD)症状的检出情况及影响因素,为后续心理危机干预提供客观依据。方法于2020年2月13日-24日通过问卷星对国内居民进行问卷调查,采用自编基本情况调查表和斯坦福急性应激反应问卷(SASRQ)进行评定。结果获得有效问卷16048份。不同性别、受教育程度、与确诊患者的距离和媒体暴露情况的居民SASRQ评分差异有统计学意义(χ2=13.460、40.736、138.678、43.609,P均<0.01);检出存在中度ASD症状者共1630例(10.2%)、重度ASD症状者共2744例(17.1%),且不同性别、年龄、受教育程度、与确诊患者的距离和媒体暴露情况的居民检出率差异具有统计学意义(χ2=10.814、11.522、97.625、176.867、36.646,P<0.05或0.01)。Logistic回归分析结果显示,女性、受教育程度较低、离确诊患者近为影响居民发生中度或重度ASD症状的危险因素(P<0.05或0.01),年龄较小、低水平媒体暴露为影响居民发生重度ASD症状的保护因素(P<0.05或0.01)。结论新冠肺炎疫情期间居民ASD症状发生率较高,女性、受教育程度较低、离确诊患者近是发生ASD症状的危险因素,年龄较小、低水平媒体暴露是发生ASD症状的保护因素。
Objective To analyse the detection and the influencing factors of symptoms of acute stress disorder(ASD)in the residents during the COVID-19,so as to provide an objective evidence for subsequent psychological crisis intervention.Methods From February 13th to 24th,2020,a questionnaire survey of domestic residents was conducted through the questionnaire star.The selfcompiled basic situation questionnaire and the Stanford Acute Stress Response Questionnaire(SASRQ)were used for evaluation.Results A total of 16048 valid results were obtained.The differences between SASRQ scores of residents with respect to genders,education levels,distance from confirmed patients,and media exposure had statistical significance(χ2=13.460,40.736,138.678,43.609,P<0.01).1630 cases(10.2%)of moderate symptoms of ASD and 2744 cases(17.1%)of severe symptoms of ASD were detected.The differences of the results of detection of residents between genders,age groups,education levels,distance from confirmed patients and media exposure were statistically significant(χ2=10.814,11.522,97.625,176.867,36.646,P<0.05 or 0.01).Logistic regression analysis results showed that female,low education level,and proximity to confirmed patients were risky factors that affect residents with moderate or severe symptoms of ASD(P<0.05 or 0.01).Younger age and low-level media exposure were protective factors that caused residents to develop severe symptoms of ASD(P<0.05 or 0.01).Conclusion During the COVID-19 outbreak,the incidence of ASD among residents is relatively high.Female,low education level,and proximity to confirmed patients are risky factors for symptoms of ASD.Younger age and low-level media exposure are protective factors for symptoms of ASD.
作者
钟潇
袁东玲
王斌
Zhong Xiao;Yuan Dongling;Wang Bin(Law School of Southwest University of Science and Technology,Mianyang 621000,China)
出处
《四川精神卫生》
2020年第5期398-402,共5页
Sichuan Mental Health
基金
国家自然科学基金资助项目(项目名称:“村改居”老年人社区认同对生活质量的影响机制和干预研究,项目编号:71704017)
国家级大学生创新创业训练计划资助项目(项目名称:社会治理视角下陪读家长心理状况及干预研究,项目编号:S201910619017)。
关键词
新冠肺炎
急性应激障碍症状
检出情况
影响因素
COVID-19
Symptoms of acute stress disorder
Detection situation
Influencing factors
