Papers
CHEN Su-hong, DAI Jun-ming, HU Qiao, CHEN Hao, WANG Yi, GAO Jun-ling, ZHENG Pin-pin, FU Hua
Objective To explore the psychological status and influencing factors of the public during the initial outbreak of the coronavirus disease 2019 (COVID-19),and provide the basis for mental health intervention. Methods A cross-sectional study was conducted using an online questionnaire from Jan 31 to Feb 2,2020.The questionnaire included demographic information,anxiety,resilience and self-designed stressors scale,and was conducted among adults affected by the COVID-19 epidemic in China.Chi-square test and Logistic regression analysis were used for statistical analysis. Results A total of 4 827 valid questionnaires were obtained,with the average age of 32.3±10.0 years old,and females accounting for 67.7%.Only 7.9% of the objects had exposure history of Hubei province,while 14.8% had suspected or confirmed cases in the community.The average score of GAD-7 was 6.29±5.48,and the prevalence of moderate or severe anxiety was 22.6%.With moderate or severe anxiety as the dependent variable,Logistic regression analysis found that medium to high understanding of COVID-19 (OR:2.74-7.97,P<0.001) and strong perception of infection risk (OR=1.74,95%CI:1.37-2.20) significantly increased the risk of anxiety.In addition,ages between 35 and 44 years old,retired or non-professional technicians,exposure history of Hubei province and confirmed or suspected cases in the community were also risk factors for anxiety (P<0.05),while bachelor's degree or above and psychological resilience were protective factors for anxiety (P<0.05). Conclusion Under the outbreak,information of COVID-19 and perception of the risk of transmission will increase the risk of anxiety.There is widesprend anxiety in the public,and mental intervention should be strengthened to increase social support and psychological resilience.