李纯,马雪梅,陈琛,吕颖.新冠肺炎疫情期间大学生抑郁伴躯体化症状情况及影响因素[J].四川精神卫生杂志,2021,34(2):153-157.Li Chun,Ma Xuemei,Chen Chen,Lyu Ying,Status and risk factors of depression with somatization symptoms in college students during the pandemic of COVID-19[J].SICHUAN MENTAL HEALTH,2021,34(2):153-157
新冠肺炎疫情期间大学生抑郁伴躯体化症状情况及影响因素
Status and risk factors of depression with somatization symptoms in college students during the pandemic of COVID-19
投稿时间:2020-10-09  
DOI:10.11886/scjsws20201009002
中文关键词:  新冠肺炎  大学生  抑郁  躯体化症状
英文关键词:COVID-19  College students  Depression  Somatization symptom
基金项目:上海市法医学重点实验室资助项目(项目编号:17DZ2273200);上海市司法鉴定专业技术服务平台资助项目(项目编号:19DZ2202700)
作者单位邮编
李纯 司法鉴定科学研究院上海市法医学重点实验室司法部司法鉴定重点实验室 上海市司法鉴定专业技术服务平台上海 200063 200063
马雪梅 南京传媒学院江苏 南京 211172 211172
陈琛 司法鉴定科学研究院上海市法医学重点实验室司法部司法鉴定重点实验室 上海市司法鉴定专业技术服务平台上海 200063 200063
吕颖 南京医科大学附属脑科医院江苏 南京 210029 210029
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中文摘要:
      目的 了解新冠肺炎(COVID-19)疫情期间大学生抑郁伴躯体化症状情况,并探讨其影响因素。方法 于2020年3月12日-19日,以中国传媒大学南广学院(现南京传媒学院)2019级本科大一全体学生为研究对象,通过网络发放问卷。采用突发性公共卫生事件心理问卷(PQEEPH)、症状自评量表(SCL-90)躯体化因子、抑郁自评量表(SDS)及自制一般人口学资料调查表进行调查,对数据进行单因素和多因素Logistic回归分析。结果 共回收有效问卷3 406份,有效问卷回收率为93.0%。抑郁检出率为55.7%(1 898/3 406),抑郁伴躯体化症状检出率为4.9%(93/1 898)。Logistic回归分析显示,单亲家庭(OR=2.977,P<0.01)、PQEEPH神经衰弱维度评分(OR=3.693,P<0.01)、PQEEPH强迫-焦虑维度评分(OR=6.794,P=0.001)、抑郁严重程度为中度(OR=1.788,P=0.065)和重度(OR=4.462,P=0.003)是大学生抑郁伴躯体化症状的影响因素。结论 COVID-19疫情期间,一定比例的大学生存在抑郁伴躯体化症状,其中受疫情影响出现的强迫-焦虑情绪、神经衰弱、中度及以上严重程度的抑郁及单亲家庭是大学生抑郁伴躯体化症状的危险因素。
英文摘要:
      Objective To analyze the status of depression with somatization symptoms among college students during the pandemic of COVID-19, and to screen the influencing factors.Methods From 12 to 19 March 2020, all the 2019 freshmen in Communication University of China, Nanjing completed a web-based survey, in which all the students were assessed by Psychological Questionnaires for Emergent Events of Public Health (PQEEPH), somatization subscale of Symptom Checklist 90 (SCL-90), Self-rating Depression Scale (SDS) and self-designed general demographic questionnaire, then the collected data were processed by univariate and multivariate Logistic regression.Results A total of 3 406 valid questionnaires were collected, with an effective recovery rate of 93.0%. The detection rate of depression symptoms and depression with somatization symptoms were 55.7% (1 898/3 406) and 4.9% (93/1 898), respectively. Logistic regression analysis showed that single parent family (OR=2.977, P<0.01), score of neurasthia dimension in PQEEPH (OR=3.693, P<0.01), score of obsessive-anxiety dimension in PQEEPH (OR=6.794, P=0.001), depression of moderate degree (OR=1.788, P=0.065), and depression of severe degree (OR=4.462, P=0.003) were risk factors for depression with somatization symptoms of college students during the COVID-19 pandemic.Conclusion During the COVID-19 pandemic, a certain proportion of college students suffer from depression with somatization symptoms, furthermore, obsessive-anxiety, neurasthenia, moderate-to-severe depression and single parent family are the risk factors of depression with somatization symptoms among college students.
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