新冠肺炎疫情下上海市主动心理咨询者焦虑状况及其影响因素  

Anxiety status and influencing factors of active psychological counselors in Shanghai under COVID-19 epidemic

作　　者：江弋舟 张伟波 王莹莹 朱丽娜 庄文旭[2] 蔡军[2] 王娜[1] JIANG Yi-zhou;ZHANG Wei-bo;WANG Ying-ying;ZHU Li-na;ZHUANG Wen-xu;CAI Jun;WANG Na(Key Laboratory of Public Health Safety of Ministry of Education-Department of Epidemiology,School of Public Health,Fudan University,Shanghai,200032,China;Shanghai Mental Health Center,Shanghai Jiao Tong University School of Medicine,Shanghai 200030,China)

机构地区：[1]复旦大学公共卫生学院流行病学教研室-公共卫生安全教育部重点实验室,上海200032 [2]上海交通大学医学院附属精神卫生中心,上海200030

出　　处：《复旦学报（医学版）》2021年第5期603-610,共8页Fudan University Journal of Medical Sciences

基　　金：上海交通大学“新型冠状病毒防治”专项软课题(2020RK57);上海市科委“科技创新行动计划”临床医学领域项目(19411950802)。

摘　　要：目的评估新冠肺炎疫情对上海市主动心理咨询者焦虑状况的影响。方法2020年2月4日—3月11日,通过上海市线上心理咨询服务平台,收集在此期间所有咨询者的相关人口学信息、对新冠肺炎疫情的认知和关注度、对疫情消失的态度及焦虑状况,并采用多元Logistic回归分析新冠肺炎疫情对状态焦虑及特质焦虑的影响。结果704名咨询者的年龄为18~73岁(平均33.24岁);状态焦虑分数为(44.49±6.31)分,特质焦虑分数为(46.19±5.22)分。多因素Logistic回归分析对性别分层并调整相关变量后发现,对于男性咨询者来说,从事疾病预防控制相关工作是中等或高状态焦虑的保护因素(OR=0.28,95%CI:0.09~0.89),对疫情消失持有高度期待是中等或高特质焦虑的保护因素(OR=0.25,95%CI:0.07~0.87);对于女性咨询者来说,有医学背景且对疫情认知较高是中等或高状态焦虑的保护因素(OR=0.17,95%CI:0.03~0.92),对新冠肺炎疫情关注适当是中等或高特质焦虑的保护因素(OR=0.22,95%CI:0.07~0.69)。结论新冠肺炎疫情对于不同特征的心理咨询者焦虑状况的影响不同,对疫情认知差、过分关注疫情、对疫情消失的期待低、非疾病防控职业的心理咨询者焦虑风险更高,是公共卫生事件突发后的重点保护对象。Objective To evaluate the impact of COVID-19 epidemic on anxiety status of active psychological counselors in Shanghai,China.Methods We collected the demographic information of participants,cognition and attention to COVID-19,attitude towards the disappearance of COVID-19 and answers to the State-Trait Anxiety Inventory(STAI)on the Shanghai online psychological counseling platform from Feb 4^(th),2020 to Mar 11^(st),2020.Multiple Logistic regression was used to analyze the associations between COVID-19 epidemic and State-anxiety and Trait-anxiety.Results Of 704 participants with an average age of 33.24 years(ranging from 18 to 73 years),the mean State-scores and Trait-scores were 44.49±6.31 and 46.19±5.22,respectively.In multivariate Logistic regression analysis,after gender stratification and adjustment of related variables,we found that for males,engaging in relevant prevention and control work was associated with a lower risk for medium or high State-anxiety(OR=0.28,95%CI:0.09-0.89),and holding a intensively positive attitude was associated with a lower risk for medium or high Trait-anxiety(OR=0.25,95%CI:0.07-0.87);while for females,those with medical background had a lower risk for State-anxiety(OR=0.17,95%CI:0.03-0.92),and those paying moderate attention to epidemic had a lower risk for Trait-anxiety(OR=0.22,95%CI:0.07-0.69).Conclusion COVID-19 epidemic had different effects on the anxiety status of psychological counselors with different characteristics.Psychological counselors who have poor cognition of the epidemic,excessive attention to the epidemic,low hope for the disappearance of the epidemic,and non-disease prevention and control profession are more susceptible to greater anxiety,which are the key objects of protection in the event of public health emergencies.

关 键 词：新冠肺炎 心理咨询者 状态-特质焦虑量表(STAI) 焦虑 

分 类 号：R183[医药卫生—流行病学] R395[医药卫生—公共卫生与预防医学]