疫情应激下高考生的抑郁、焦虑和失眠状况  

Effect of the COVID-19 related stress on depression,anxiety,and insomnia among candidates for college entrance examination

作　　者：王慧琪 杨雪岭[1,2] 张瑞彬 王优 WANG Hui-qi;YANG Xue-ling;ZHANG Rui-bin;WANG You(Department of Psychology,School of Public Health,Southern Medical University,Guangzhou Guangdong 510515,China;不详)

机构地区：[1]南方医科大学公共卫生学院心理学系,广东广州510515 [2]南方医科大学珠江医院精神心理科,广东广州510280

出　　处：《现代预防医学》2020年第18期3365-3368,3390,共5页Modern Preventive Medicine

基　　金：国家自然科学基金(31800928,31900806);广东省自然科学基金(2018A0303130044);广东省哲学社会科学“十三五”规划学科共建项目(GD18XXL04);广州市哲学社会科学发展“十三五”规划羊城青年学人项目(2020GZQN42)。

摘　　要：目的探讨新型冠状病毒肺炎疫情期应激、学业担忧、孤独感对高考生抑郁、焦虑和失眠的影响。方法采用自编疫情应激问卷、感染担忧问卷、学业担忧问卷和孤独感量表(ULS-6)、病人健康问卷抑郁量表(PHQ-9)、广泛焦虑障碍量表(GAD-7)、失眠严重指数量表(ISI)调查广东广州某公立普通中学高考生661名。结果 (1)疫情应激与抑郁、焦虑、失眠显著正相关(r=0.29、0.20、0.30,P<0.001)。(2)中介效应分析表明疫情应激可以通过学业担忧的中介作用间接影响高考生的抑郁、焦虑,分别占其总效应的22.70%、25.68%;也可通过"学业担忧—孤独感"的中介链间接影响抑郁、焦虑、失眠,分别占其总效应的8.50%、12.23%、6.36%。结论学业担忧与孤独感在疫情应激与抑郁、焦虑、失眠之间起链式中介作用。Objective The aim of this study was to explore the relationship among COVID-19 related stress,academic worry,and loneliness on depression,anxiety and insomnia of college entrance examination candidates during the COVID-19 epidemic.Methods 661 candidates for college entrance examination were surveyed with questionnaires.Results COVID-19-related stress correlated significantly with depression,anxiety and insomnia.Structural equation modeling showed that COVID-19-related stress could indirectly influence depression and anxiety through the mediating effect of academic worry.It could also indirectly influence depression,anxiety and insomnia through the chain mediating effect of academic worry and loneliness.Conclusion COVID-19-related stress can exert effect on depression,anxiety and insomnia through the mediational chains of academic worry and loneliness.

关 键 词：高考生 疫情应激 抑郁 焦虑 失眠 

分 类 号：R181.2[医药卫生—流行病学]