新冠肺炎流行期间安徽省青少年焦虑现状及影响因素  

Status and influencing factors of anxiety among adolescents in Anhui during the epidemic of COVID-19

作　　者：郭鹏飞 李欣[1] 刘帅 胡淑文 莫大明[2] 闫军伟 沈晓霜 钟慧 Guo Pengfei;Li Xin;Liu Shuai;Hu Shuwen;Mo Daming;Yan Junwei;Shen Xiaoshuang;Zhong Hui(Affiliated Psychological Hospital of Anhui Medical University,Hefei 230022,China;Anhui Mental Health Centre,Hefei 230022,China)

机构地区：[1]安徽医科大学附属心理医院,安徽合肥230022 [2]安徽省精神卫生中心,安徽合肥230022

出　　处：《四川精神卫生》2020年第6期501-505,共5页Sichuan Mental Health

基　　金：安徽医科大学2019校科研基金项目(项目名称:青少年抑郁障碍患者自杀的神经机制研究,项目编号:2019xkj202)。

摘　　要：目的探讨2019年新冠肺炎(COVID-19)流行期间安徽省青少年的焦虑现状及其影响因素,以期为后期进行针对性干预提供参考,保护青少年心理健康。方法于2020年2月13日-19日,以网上问卷的形式采用自编的一般情况调查表、新冠肺炎相关认知调查表以及儿童焦虑性情绪障碍筛查量表(SCARED)对安徽省青少年进行调查,共收回有效问卷973份。结果焦虑症状检出率为27.13%,其中男性SCARED中的广泛性焦虑评分较全国常模低[(3.31±3.53)分vs.(3.84±3.24)分],男性社交恐怖评分较全国常模高[(4.35±3.43)分vs.(3.72±2.94)分],女性躯体化评分[(4.25±4.59)分vs.(3.52±2.74)分]、社交恐怖评分[(5.52±3.55)分vs.(4.17±3.13)分]、学校恐怖评分[(1.18±1.58)分vs.(0.85±1.11)分]以及总评分[(18.99±13.83)分vs.(16.23±9.53)分]均较全国常模高,差异均有统计学意义(P<0.05或0.01);单因素分析显示,性别、身体健康状况、第一次了解疫情的途径、负面消息占比以及不实信息占比会对焦虑症状检出率造成影响(P<0.05);二元Logistic回归分析显示,女性(OR=2.04,P<0.01)、身体状况不佳(OR=2.12,P<0.01)、负面消息占比高(OR=4.28,P<0.01)是青少年焦虑的危险因素。结论新冠肺炎流行期间,安徽省青少年社交恐怖程度普遍较高,其中女性、目前身体状况不佳以及负面信息占比高是其焦虑症状的危险因素。Objective To explore the anxiety status and its influencing factors of adolescents in Anhui province during the epidemic of Corona Virus Disease 2019(COVID-19),with a view to providing references for targeted interventions in the later period to protect the mental health of adolescents.Methods From February 13th to 19th,2020,adolescents in Anhui were required to complete three questionnaires online,including self-compiled general situation questionnaires,COVID-19 related cognitive situation questionnaires,and the Screen for Child Anxiety Related Emotional Disorders(SCARED).And a total of 973 valid questionnaires were collected.Results The detection rate of anxiety symptoms was 27.13%.On the male side,the scores of generalized anxiety were lower than those of the national norm[(3.31±3.53)vs.(3.84±3.24)],and the scores of social phobia were higher than those of the national norm[(4.35±3.43)vs.(3.72±2.94)].On the female side,the scores of somatization[(4.25±4.59)vs.(3.52±2.74)],social phobia[(5.52±3.55)vs.(4.17±3.13)],school phobia[(1.18±1.58)vs.(0.85±1.11)]and total score[(18.99±13.83)vs.(16.23±9.53)]were higher than those of the national norm,with statistic difference(P<0.05 or 0.01).Univariate analysis showed that gender,physical health,first channel for acquiring COVID-19 knowledge,the proportion in the exposure to negative news,and the proportion in the exposure to false information would affect the detection rate of anxiety symptoms(P<0.05).Binary Logistic regression analysis showed that the female(OR=2.04,P<0.01),poor physical condition(OR=2.12,P<0.01),and high proportion in the exposure to negative news(OR=4.28,P<0.01)were risk factors for adolescent anxiety.Conclusion During the epidemic of COVID-19,the level of social phobia among adolescents in Anhui generally increases,and the risk factors for their anxiety symptoms include female,the current poor physical condition and excessive exposure to negative news.

关 键 词：新冠肺炎 青少年 焦虑症状 影响因素 

分 类 号：B844.2[哲学宗教—发展与教育心理学]