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  • 李伟,张彩迪,罗金晶,等.新型冠状病毒肺炎疫情期间不同人群心理状态的Meta分析[J].同济大学学报(医学版),2020,41(2):147-154.    [点击复制]
  • LI Wei,ZHANG Cai-di,LUO Jin-jing,et al.Psychological status among different populations during COVID-19 epidemic:a systematic review and Meta-analysis[J].同济大学学报(医学版),2020,41(2):147-154.   [点击复制]
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新型冠状病毒肺炎疫情期间不同人群心理状态的Meta分析
李伟,张彩迪,罗金晶,张慧娟,吴卉,杨璧西,朱怡康,李惠,樊博,李春波
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(上海交通大学医学院附属精神卫生中心,上海200030;上海交通大学附属第一人民医院,上海200080;上海交通大学国际与公共事务学院,上海200030;上海交通大学心理与行为科学研究院,上海200030; 上海交通大学脑科学与技术研究中心,上海200030; 中国科学院脑科学与智能技术卓越创新中心,上海200030)
摘要:
目的评价新型冠状病毒肺炎(coronavirus disease 2019, COVID-19)疫情期间不同人群在焦虑、恐惧、抑郁、睡眠问题、躯体症状及应激等心理相关症状的分布情况。方法检索PubMed、Embase、the Cochrane Library、EBSCO、Web of Science、ALOIS、PsycINFO、CINAHL、ClinicalTrials.gov等英文数据库,中国知网、万方数据知识服务平台、维普期刊资源整合服务平台、中国生物医学文摘数据库、中国生物医学文献服务系统、公共信息发布平台等中文数据库,并辅以文献追溯方法,收集自2020年1月1号至2020年3月6日国内外公开的心理状态报告,按照纳入和排除标准对文献进行筛选,同时评价文献质量,进行异质性检验、敏感性分析、发表偏倚评价。结果共纳入了18篇公开发表的文献,2项信息发布平台数据及1篇灰色文献,调查人群总计94381例。研究质量评估:SRTROBE评分为(13.38±4.19)分;漏斗图分析未见明显发表偏倚。精神心理问题(包括症状、症状群等)的检出率依次为:睡眠问题检出率49.8%(95%CI:18.6%~81.1%),恐惧症状检出率46.5%(95%CI:19.7%~75.5%),焦虑症状检出率44.5%(95%CI:29.8%~60.1%),应激相关症状检出率21.6%(95%CI:3.4%~68.1%),躯体症状检出率20.1%(95%CI:5.6%~51.8%),抑郁症状检出率18.9%(95%CI:13.0%~26.6%),综合心理症状的检出率为72.9%(95%CI:26.4%~95.2%)。进一步行亚组分析发现,焦虑症状检出率最高为隔离人员群体,然后依次为COVID-19患者、一线医务人员、普通民众;抑郁症状检出率最高亦为隔离人员群体,然后依次为COVID-19患者、普通民众、一线医务人员;湖北省内受访人群抑郁、恐惧、躯体症状的检出率均低于其他省市,而在焦虑和睡眠问题方面的检出率高于其它省市受访人群。结论COVID-19疫情期间睡眠问题、恐惧及焦虑症状的检出率较高,尤其是进行医学隔离或自我隔离人员的心理状态需要加以重点关注。
关键词:  新型冠状病毒肺炎  心理状态  检出率  抑郁  焦虑
DOI:10.16118/j.1008-0392.2020.02.002
投稿时间:2020-03-16
基金项目:上海市精神心理疾病临床医学研究中心项目(19MC1911100)
Psychological status among different populations during COVID-19 epidemic:a systematic review and Meta-analysis
LI Wei,ZHANG Cai-di,LUO Jin-jing,ZHANG Hui-jua,WU Hui,YANG Bi-xi,ZHU Yi-kang,LI Hui,FAN B,LI Chun-bo
(Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai 200030, China;Shanghai General Hospital, Shanghai Jiao Tong University, Shanghai 200080, China;School of International and Public Affairs, Shanghai Jiao Tong University, Shanghai 200030, China;Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai 200030, China;Institute of Psychology and Behavioral Science, Shanghai Jiao Tong University, Shanghai 200030,China;Brain Science and Technology Research Center, Shanghai Jiao Tong University, Shanghai 200030, China;Center for Excellence in Brain Science and Intelligence Technology, Chinese Academy of Science, Shanghai 200030, China)
Abstract:
ObjectiveTo evaluate the psychological status in different populations during the coronavirus disease 2019(COVID-19) epidemic. MethodsThe English databases PubMed, Embase, the Cochrane Library, EBSCO, Web of Science, ALOIS, PsycINFO, CINAHL, ClinicalTrials.gov; and Chinese databases CNKI, WANFANG DATA, VJIP, SinoMed, information release platform, were searched and literature traceability method was supplemented. The national and international psychological state reports from January 1, 2020 to March 6, 2020 were collected. The literatures were screened according to the inclusion and exclusion criteria, the literature quality was evaluated, and heterogeneity test, sensitivity analysis and publication bias evaluation were conducted. ResultsA total 18 published articles, 2 information publishing platform data and 1 grey literature were included in the analysis. The SRTROBE score was 13.38±4.19. Funnel plot analysis showed no obvious publication bias. The prevalence of mental and psychological problems(including symptoms, symptom groups) were as follows:sleeping problems was 49.8%(95%CI:18.6%-81.1%), fear symptoms was 46.5%(95%CI:19.7%-75.5%), anxiety symptoms was 44.5%(95%CI:29.8%-60.1%), stress-related symptoms was 21.6%(95%CI:3.4%-68.1%), somatic symptoms was 20.1%(95%CI:5.6%-51.8%), and depression symptoms was 18.9%(95%CI:13.0%-26.6%). The prevalence of general psychological symptoms was 72.9%(95%CI:26.4%-95.2%). Further subgroup analysis revealed that the highest prevalence of anxiety symptoms was in the quarantine group, followed by patients with COVID-19, first-line medical staff and the general public. The highest detection rate of depressive symptoms was in the quarantine group, followed by patients with COVID-19, the general public, and the medical staff. The prevalence of symptoms in depression, fear and sleeping problems of Hubei province was lower than that of other provinces and cities, while the prevalence of symptoms in anxiety and sleeping problems of Hubei province was higher than that of other provinces and cities. ConclusionThe prevalence of sleeping problems, fear symptom, and anxiety symptoms during the COVID-19 epidemic is high, especially in the medical isolation or self-isolation populations. The psychological status of medical isolation or self isolation personnel needs to be focused on.
Key words:  coronavirus disease 2019  psychological status  prevalence  anxiety  depression

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