新型冠状病毒肺炎流行期间居家隔离儿童青少年焦虑性情绪障碍的影响因素分析  

Investigation on the influencing factors for anxiety related emotional disorders of children and adolescents with home quarantine during the prevalence of coronavirus disease 2019

作　　者：李少闻[1] 王悦 杨媛媛[1] 雷晓梅[1] 杨玉凤[1] LI Shao-wen;WANG Yue;YANG Yuan-yuan;LEI Xiao-mei;YANG Yu-fen(The Second Affiliated Hospital of Xi'an Jiaotong University,Xi'an,Shaanxi 710004,China)

机构地区：[1]西安交通大学第二附属医院,陕西西安710004

出　　处：《中国儿童保健杂志》2020年第4期407-410,共4页Chinese Journal of Child Health Care

摘　　要：目的评估新型冠状病毒肺炎(NCP)流行居家隔离期间儿童青少年心理健康状况,为特殊时期居家学生及时进行心理疏导提供依据。方法 2020年2月6-8日采用问卷星调查对396名8~18岁在校学生进行焦虑/抑郁情况评估,所有研究对象填写一般资料、儿童焦虑性情绪障碍筛查表(SCARED),分析NCP对儿童青少年焦虑情绪的影响。结果 1)396例学生SCARED总分为16.44±12.30,SCARED得分≥25分者87例(22.0%),<25分者309例(78.0%)。两组间躯体化/惊恐、广泛性焦虑、分离性焦虑、社交恐怖、学校恐怖5个因子得分及总分均值比较,差异均有统计学意义(t=13.156、19.524、10.381、13.964、7.325、23.371,P<0.001);2)二分类Logistic回归分析显示,女生(OR=2.258,95%CI:1.370~3.721,P<0.001),认为自己处于危险中(OR=1.978,95%CI:1.185~3.301,P=0.009)是疫情流行期间居家隔离学生出现焦虑的危险因素。结论 NCP的流行对居家隔离学生情绪有一定影响,尤其是女生易出现焦虑,父母、学校与社会应及时采取措施、进行疏导,避免疫情时期学生出现不良情绪。Objective To evaluate the mental health status of students aged 8 to 18 during the period of home isolation in the prevalence of coronavirus disease 2019(COVID-19),so as to provide a basis for psychological counseling for students in special periods.Methods A total of 396 students aged from 8 to 18 were assessed for anxiety/depression by Questionnaire Star survey on February 6 th to 8 th,2020.All subjects filled out general information and the Screen for Child Anxiety Related Emotional Disorders(SCARED)were analyzed for the impact of COVID-19 on children′and adolescents′mood and anxiety during home isolation.Results 1)The total score of SCARED in 396 students was 16.44±12.30,87(22.0%)with scores≥25 and 309(78.0%)with scores<25.The mean scores of 5 factors(somatization/panic,generalized anxiety,dissociative anxiety,social phobia and school phobia)and the total scores were compared between the two groups,and the differences were statistically significant(t=13.156,19.524,10.381,13.964,7.325,23.371,P<0.001).2)Binary Logistic regression analysis showed that female students(OR=2.258,95%CI:1.370—3.721,P<0.001)and considering themselves in danger(OR=1.978,95%CI:1.185—3.301,P=0.009)were risk factors for anxiety among students isolated at home during the epidemic.Conclusions The prevalence of COVID-19 has some influence on students′mood,especially for girls.Parents,schools and society should take timely measures to guide students to avoid anxiety in special times.

关 键 词：新型冠状病毒肺炎 居家隔离 焦虑 儿童青少年 

分 类 号：R179[医药卫生—妇幼卫生保健]