新冠肺炎疫情早期上海市主动心理咨询者的压力状况及相关因素分析  

Stress level of people seeking psychological counseling and its related factors in the early stage of COVID-19 outbreak in Shanghai

作　　者：江弋舟 张伟波 何思源[2,3] 朱有为 王莹莹 王娜 蔡军[2,3] JIANG Yizhou;ZHANG Weibo;HE Siyuan;ZHU Youwei;WANG Yingying;WANG Na;CAI Jun(Department of Epidemiology,School of Public Health,Key Laboratory of Public Health Safety of Ministry of Education,Fudan University,Shanghai 200032,China;Shanghai Mental Health Center,Shanghai Jiao Tong University School of Medicine,Shanghai 200030,China;Center for Mental Health Management,China Hospital Development Institute,Shanghai 200030,China)

机构地区：[1]复旦大学公共卫生学院,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 [3]上海交通大学中国医院发展研究院心理健康管理研究所,上海200030

出　　处：《上海预防医学》2022年第5期459-463,共5页Shanghai Journal of Preventive Medicine

基　　金：上海市公共卫生体系建设三年行动计划(2020—2022年)重点学科建设计划项目(GWV-10.1-XK18);上海交通大学“新型冠状病毒防治”专项软课题(2020RK57)。

摘　　要：【目的】了解新型冠状病毒肺炎(COVID-19)疫情下心理咨询者的压力状况及其影响因素。【方法】通过上海市“健康云”心理咨询服务平台对1 194名上海市主动心理咨询者开展线上调查。调查问卷内容包括人口学信息、COVID-19疫情期间生活状态和压力状况。【结果】所有完成心理压力自测问卷的咨询者中压力很小、压力正常、压力较大、压力很大所占的比例分别为33.1%(395/1 194)、34.6%(413/1 194)、25.4%(303/1 194)和7.0%(83/1 194)。女性且年龄为18~30岁的咨询者更易出现压力很大的情况(Z=-5.368,P<0.001;Z=35.822,P<0.001)。疫情期间心理压力大的影响因素包括关注疫情信息过多(OR=2.057,95%CI:1.012~4.181)、睡眠状态有较大变化(OR=3.496,95%CI:1.669~7.325)、几乎失去兴趣爱好(OR=2.852,95%CI:1.252~6.500)和极易焦虑/烦躁/忧伤(OR=4.098,95%CI:1.772~9.480)。【结论】心理咨询者在COVID-19疫情期间表现出较高程度的心理压力。女性、18~30岁、关注疫情信息过多、睡眠状态下降、几乎失去兴趣爱好、极易焦虑/烦躁/忧伤的心理咨询者容易出现压力造成的身体不适感,是突发公共卫生事件发生时需要重点关注的对象。[Objective]To understand the stress level of people seeking psychological counseling under the coronavirus disease 2019(COVID-19)pandemic and to explore its related factors.[Methods]An online survey was conducted on 1 194 people who sought psychological counseling in Shanghai through the“health cloud”psychological counseling service platform. The questionnaire included demographic information,lifestyle and stress during the COVID-19 pandemic.[Results]Participants with low,medium,high and very high stress levels accounted for 33.1%(395/1 194),34.6%(413/1 194),25.4%(303/1 194)and 7.0%(83/1 194),respectively. Women and participants aged 18to 30 years had higher stress levels(Z=-5.368,P<0.001;Z=35.822,P<0.001)compared with other groups. Factors contributing to the rise in stress included reading too much information about COVID-19(OR=2.057,95%CI:1.012-4.181),large changes in sleep state(OR=3.496,95%CI:1.669-7.325),lack of hobbies and interests(OR=2.852,95%CI:1.252-6.500),and prone to anxiety/irritability/sadness(OR=4.098,95%CI:1.772-9.480).[Conclusion]people who sought psychological counseling show high levels of psychological stress during the COVID-19 pandemic. We should pay more attention to the vulnerable groups with the following characteristics:women,18-30 years old,residents who pay too much attention to the pandemic information,sleep less,and almost lose interest in hobbies,and easily become anxious/irritable/sad.

关 键 词：新型冠状病毒肺炎 压力状况 主动心理咨询者 突发公共卫生事件 相关因素 

分 类 号：R51[医药卫生—内科学]