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 among college students during the epidemic of COVID-19
投稿时间:2020-10-09  修订日期:2021-04-11
DOI:
中文关键词:  新型冠状病毒肺炎  大学生  抑郁  躯体化症状
英文关键词:COVID-19  College students  Depression  Somatic symptom
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作者单位地址
李纯 司法鉴定科学研究院 上海市普陀区光复西路1347号
马雪梅 南京传媒学院 
陈琛 司法鉴定科学研究院 
吕颖* 南京医科大学附属脑科医院
南京医科大学附属脑科医院 
南京市鼓楼区广州路264号
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中文摘要:
      目的 了解新型冠状病毒肺炎(COVID-19)疫情期间大学生抑郁伴躯体化症状情况及探讨其相关影响因素。方法 采用整群取样,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)及自行设计的一般人口学资料进行调查,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3406份,有效问卷回收率为93.01%。抑郁检出率为55.73%(1898/3406)人,抑郁伴躯体化症状检出率为4.90%(93/1898)。躯体化症状表现为肌肉酸痛(100. 0%)、腰痛(97.8%)、感到躯体某一部分软弱无力(95.7%)、头痛(92.5%)、恶心或胃部不适(92.5%)等。Logistic回归分析显示,家庭完整性单亲家庭(OR=2.977,P=0.000)、PQEEPH神经衰弱维度分(OR=3.693,P=0.000)、PQEEPH强迫-焦虑维度分(OR=6.794,P=0.001)、抑郁严重程度中度(OR=1.788,P=0.065)、抑郁严重程度重度(OR=4.462,P=0.003)是疫情期间大学生抑郁伴躯体化症状的影响因素。结论 COVID-19疫情期间,一定比例大学生存在抑郁伴躯体化症状,其中受疫情影响出现的焦虑-强迫情绪、神经衰弱、中度及以上严重程度的抑郁及单亲家庭因素是大学生抑郁伴躯体化症状的危险因素。
英文摘要:
      Objective To investigate the status of depression with somatization symptoms among college students during the epidemic of COVID-19 and explore the related risk factors. Methods From March 12 to March 19, 2020, using cluster sampling, the questionnaire was distributed on the Internet, and all first-year undergraduates of 2019 in Communication University of China,Nanjing were investigated by using the Psychological Questionnaire for Public Health Emergency(PQEEPH), Symptom Check List-90(SCL-90) somatic factor, Self-Rating Depression Scale(SDS) and self-designed general demographic data, and the data were analyzed by univariate and multivariate Logistic regression. Results A total of 3406 valid questionnaires were collected, with effective recovery rate of 93.01%.The detection rate of depression was 55.73%(1898/3406) and the detection rate of depression with somatization symptoms was 4.90%(93/1898). The somatization symptoms were muscle soreness(100.0%), low back pain(97.8%), weakness in a certain part of the body(95.7%), headache(92.5%), nausea or stomach discomfort(92.5%), etc. Logistic regression analysis showed that single parent family(OR=2.977, P=0.000), PQEEPH neurasthia dimension score(OR=3.693, P=0.000), PQEEPH compulsive anxiety dimension score (OR=6.794, P=0.001), moderate degree of depression(OR=1.788, P=0.065), severe degree of depression (OR=4.462, P=0.003) were risk factors for depression with somatic symptoms of college students during the epidemic. Conclusion During the COVID-19 epidemic, a certain proportion of college students had depression with somatization symptoms. The anxiety-obsessive mood, neurasthenia, moderate and severe depression and single parent family factors were the risk factors of depression with somatization symptoms among college students.
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