新型冠状病毒肺炎流行期陕西高校学生心理反应及影响因素  

Psychological responses and related factors of college students in Shaan’xi during COVID-19 outbreak

作　　者：杨媛媛[1] 王悦 李少闻[1] 雷晓梅[1] 杨玉凤[1] YANG Yuanyuan;WANG Yue;LI Shaowen;LEI Xiaomei;YANG Yufeng(Second Affiliated Hospital of Xi'an Jiaotong University,Xi'an(710004),China)

机构地区：[1]西安交通大学第二附属医院,陕西710004

出　　处：《中国学校卫生》2020年第5期664-667,共4页Chinese Journal of School Health

摘　　要：目的了解新型冠状病毒肺炎(COVID-19)流行期间陕西高校学生心理反应及其影响因素,为疫情流行期间制定干预措施提供参考。方法 2020年2月7-9日,采用问卷星的调查方式,选取18~28岁陕西省高校在校生共1 667名在线填写一般资料及突发性公共卫生事件心理问卷(Psychological Questionnaires for Emergent Events of Public Health,PQEEPH)。对抑郁、神经衰弱、恐惧、强迫-焦虑和疑病评分进行单因素和多因素Logistic回归分析。结果 PQEEPH量表5个因子得分分别为:抑郁(0.29±0.48)分、神经衰弱(0.27±0.46)分、恐惧(0.92±0.60)分、强迫-焦虑(0.15±0.34)分和疑病(0.26±0.44)分,以恐惧因子得分最高。有15.4%存在抑郁性情绪偏离,在情绪偏离中占比最高;情绪障碍中以强迫-焦虑性情绪障碍比例最高,占6.4%。多因素Logistic回归分析结果发现,高年级与抑郁(OR=1.61,95%CI=1.05~2.47)、强迫-焦虑(OR=1.56,95%CI=1.05~2.31)和疑病(OR=2.01,95%CI=1.16~3.47)情绪障碍呈正相关,非医学专业与恐惧情绪障碍呈正相关(OR=2.16,95%CI=1.18~3.95),面对疫情不认为自己处于危险之中与5种情绪障碍呈负相关(OR=0.17~0.51),居住地在乡镇和农村与神经衰弱障碍呈负相关(OR=0.58,95%CI=0.38~0.87),性别为女生与疑病情绪障碍呈负相关(OR=0.34,95%CI=0.19~0.62)(P值均<0.05)。结论在新型冠状病毒肺炎流行期间,应重视对高校学生的心理健康教育,及时发现问题并进行干预,减少学生的恐慌以及其他不良心理反应的发生。Objective To explore the psychological responses and related factors of college students in Shaan’ xi during the outbreak of COVID-19, in order to provide reference for the psychological intervention for college students. Methods A self-designed general data questionnaire and Psychological Questionnaires for Emergent Events of Public Health( PQEEPH) were sent out to students in public university aged 18 to 28 years by Wechat APP from February 7 th to 9 th, 2020. Univariate and Logistic analysis were used to analyze the influencing factors associated with NCP. Results The scores of the five factors on the PQEEPH scale were( 0.29±0.48) for depression,( 0.27±0.46) for neurasthenia,( 0.92±0.60) for fear,( 0.15±0.34) for obsessive-anxiety, and( 0.26±0.44) for hypochondria,The score of fear factors were the highest. And 15.4% had depressive emotional deviation, accounting for the highest proportion of emotional deviation, and the proportion of compulsive anxiety emotional disorder was highest, which accounting for 6.4%. Logistic regression analysis showed that the higher grades were risk factors for depression( OR = 1.61, 95%CI =1.05-2.47), obsessive anxiety( OR = 1.56, 95%CI = 1.05-2.31) and hypochondria( OR = 2.01, 95% CI = 1.16-3.47) disorders,Non-medical specialties is risk factor for fear disorders( OR = 2.16, 95%CI = 1.18-3.95),not believing oneself to be in danger in the face of the epidemic was a protective factor for five types of mood disorders( OR = 0.17-0.51), and residence in towns and villages was a protective factor for neurasticity disorders( OR = 0.58, 95%CI = 0.38-0.87), the gender of female was the protective factor of hypochondria emotional disorder( OR = 0.34, 95%CI = 0.19-0.62)( P<0.05). Conclusion During outbreak of COVID-19,psychological intervention counselling and health education of college students should be strengthened. Moreover, psychological problems need be screened in time for intervention, so as to reduce panic and other adverse psychological conditions of students.

关 键 词：冠状病毒属 精神卫生 回归分析 抑郁 焦虑 情绪障碍 学生 

分 类 号：G444[哲学宗教—心理学] B844.2[哲学宗教—发展与教育心理学]