上海市新冠疫情管理期间1372名民众心理状态及其影响因素  

Psychological State and Related Factors of 1372 Shanghai Residents During the COVID-19 Epidemic

作　　者：张骋姣 胡光富 汪成 潘令仪[1] ZHANG Chengjiao;HU Guangfu;WANG Cheng;PAN Lingyi(Department of Psychological Service Department(Psychological Measurement),Shanghai Mental Health Center,Shanghai Jiao Tong University School of Medicine,Shanghai 200030,China;Department of Breast Surgery,Huangpu Branch,Shanghai Ninth People’s Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200011,China)

机构地区：[1]上海交通大学医学院附属精神卫生中心,心理服务科(心理测量室),上海200030 [2]上海交通大学医学院附属第九人民医院黄浦分院,乳腺外科,上海200011

出　　处：《心理学通讯》2023年第2期81-87,共7页Psychological Communications

基　　金：上海市第九人民医院黄浦分院重点学科建设科研项目(JHZD202105-2)。

摘　　要：目的:调查上海市新型冠状病毒感染(新冠)疫情封控管理期民众心理状态的现状,并探讨其影响因素。方法:于2022年5月13日至20日,按方便抽样方式选取上海市新冠疫情封控管理期民众1402例,采用自编人口学基本信息调查表、90项症状清单(Symptom Checklist 90,SCL-90)、社会支持评定量表(Social Support Rating Scale,SSRS)对其进行问卷调查。结果:符合纳入条件的有1372人。其SCL-90总分范围为90~430分,中位数为114(98,144),SCL-90总均分范围为1.00~4.78,中位数为1.27(1.09,1.60);SSRS总分的均分(标准差)为37.45(7.65)。SCL-90总分在有无工作(Z=-3.428)、自评心理受影响程度(Z=-20.664)上差异具有统计学意义。SCL-90躯体化因子分在是否有接种新冠疫苗(Z=-5.130),SCL-90焦虑因子分在是否现居防范区(Z=-1.802)上差异具有统计学意义。SCL-90总分与SSRS总分呈负相关(r=-0.294,p<0.001)。Logistic回归分析显示女性(OR=1.373,95%CI:1.071~1.761)、受教育程度高(OR=1.374,95%CI:1.039~1.818)、无工作(OR=1.299,95%CI:1.029~1.640)、自评心理受影响程度大(OR=10.044,95%CI:7.834~12.876)是影响心理状态的危险因素,而SSRS总分高(OR=0.564,95%CI:0.455~0.700)是其保护因素。结论:上海市新冠感染疫情封控管理期民众心理状态相对平稳。女性、受教育程度高、无工作和自评心理影响大者心理状态差,而社会支持多者心理状态更好。Results:In the 1372 eligible people,the total scores of SCL-90 were between 90 and 430,with a median of 114(98,144),and the total average scores of SCL-90 were between 1.00 and 4.78,with a median of 1.27.The average SSRS total score(SD)was 37.45(7.65).The total score of SCL-90 showed a statistically significant difference in employment status(Z=-3.428)and self-rated level of psychological impact(Z=-20.664).There was a statistically significant difference in the somatization factor score of SCL-90 based on whether COVID-19 vaccination has been administered(Z=-5.130),and in the anxiety factor score based on current residence in a prevention area(Z=-1.802).There was a negative correlation between the total scores of SCL-90 and SSRS(r=-0.294,p<0.001).Logistic regression analysis showed that female(OR=1.373,95%CI:1.071 to 1.761),high education level(OR=1.374,95%CI:1.039 to 1.818),employment status(OR=1.299,95%CI:1.029 to 1.640),and high self-rated level of psychological impact(OR=10.044,95%CI:7.834 to 12.876)were risk factors for influencing the psychological state,while a high SSRS total score(OR=0.564,95%CI:0.455 to 0.700)was a protective factor.Conclusion:The psychological state of Shanghai residents during the COVID-19 epidemic lockdown is relatively stable.Females,individuals with higher levels of education,those who are unemployed,and those who has a higher self-rated psychological impact exhibit poorer psychological states.On the other hand,individuals with higher levels of social support have better psychological states.

关 键 词：新型冠状病毒感染 封控管理 心理状态 社会支持 现况调查 

分 类 号：B842[哲学宗教—基础心理学]