SARS流行期间北京三所高校学生焦虑抑郁症状及相关因素分析  

Analysis of anxiety and depression symptoms and related factors in three universities during SARS epidemic in Beijing

作　　者：党卫民[1] 黄悦勤[1] 刘肇瑞[1] 李淑然[1] 

机构地区：[1]北京大学精神卫生研究所,北京100083

出　　处：《中国行为医学科学》2004年第4期437-439,共3页Chinese Journal of Behavioral Medical Science

摘　　要：目的了解SARS流行期间北京三所全国重点高校封闭式管理的在校学生焦虑与抑郁症状现况及影响因素。方法采用ZUNG氏焦虑自评量表、ZUNG氏抑郁自评量表和一般状况调查表 ,以分层整群抽样的方法 ,对北京三所全国重点高校的 62 80名在校本科大学生和研究生进行问卷调查。结果有5 98名学生出现焦虑症状 ,检出率为 9.5 % ;有 185 7名学生出现抑郁症状 ,检出率为 2 9.6% ;男生焦虑及抑郁症状检出率明显高于女生 (χ2 焦虑 =10 .73 ,P <0 .0 1;χ2 抑郁 =3 4.13 ,P <0 .0 1) ;文科学生焦虑症状检出率高于理工科学生 (χ2 =8.87,P <0 .0 1) ,而理工科学生高于医科学生 (χ2 =10 .15 ,P <0 .0 1) ;对不同专业抑郁症状检出率进行分析亦得类似结果 ,文科学生抑郁症状检出率高于理工科学生 (χ2 =6.43 ,P =0 .0 11) ,而理工科学生高于医科学生 (χ2 =13 .2 9,P <0 .0 1) ;本科生、研究生各年级之间差异无显著性。χ2 检验和非条件Logistic回归分析显示非医学专业 (OR 焦虑 =1.495 ;OR 抑郁 =1.164 )、不了解SARS防治措施 (OR 焦虑=1.3 63 ;OR 抑郁 =1.2 14 )、认为学校防治措施效果不明显 (OR 焦虑 =1.2 3 0 ;OR 抑郁 =1.2 65 )、对政府最终战胜SARS缺乏信心 (OR 焦虑 =4.92 4;OR 抑郁 =3 .499)是焦虑。Objective To investigate symptoms of anxiety and depression among the university students controlled by close management in three universities during Severe Acute Respiratory Syndrome (SARS) epidemic in Beijing. Methods By stratified cluster sampling, 6280 undergraduates and graduates in three key universities in Beijing were selected to fill out three self report questionnaires, Zung's Self-Rating Anxiety Scale, Zung's Self-Rating Depression Scale, and General Information Questionnaire. Results anxiety symptoms were found among 598 students, the positive rate of anxiety symptoms was 9.5%; depressive symptoms were found among 1857 students, the positive rate of depression was 29.6 %. The positive rates of anxiety and depress in male students were significantly higher than those in female students (χ 2 anxiety =12.73, P<0.01;χ 2 depression =34.13,P<0.01); the positive rate of anxiety symptoms among students in art major was significantly higher than that among students in science and engineering major (χ 2 =8.87,P<0.01), but the latter was significantly higher than that among students in medicine major (χ 2 =10.15, P<0.01). Regarding depression symptoms, the positive rate of depression symptoms in art major students was significantly higher than those in science and engineering major students (χ 2 =6.43, P=0.011), but the latter was significantly higher than that in medicine major students (χ 2 = 13.29 , P<0.01). There was no significant difference between undergraduates and graduates.It was showed by χ 2 -test and Logistic analysis that non-medical major (OR anxiety =1.495;OR depression =1.164), lack of SARS knowledge (OR anxiety =1.363 ;OR depression =1.214), considering no effect on SARS control measures (OR anxiety = 1.230 ;OR depression =1.265), lack of confidence for SARS control (OR anxiety =4.924 ;OR depression = 3.499 ) were risk factors of anxiety and depression symptoms. Conclusion Anxiety

关 键 词：精神卫生学 焦虑 抑郁 SARS 北京 高校 大学生 影响因素 

分 类 号：R395.1[哲学宗教—心理学]