新冠肺炎疫情期间医学生抗疫心态与创伤后应激障碍的关系

黄千; 李月; 薛云珍

doi:10.16835/j.cnki.1000-9817.2021.10.015

新冠肺炎疫情期间医学生抗疫心态与创伤后应激障碍的关系

doi: 10.16835/j.cnki.1000-9817.2021.10.015

黄千¹,
李月²,
薛云珍^3, ,

1.
山西医科大学人文社会科学学院, 太原 030001
2.
山西医科大学第一医院精神卫生科
3.
山西医科大学心理教研室

基金项目:

山西医科大学校级基金项目 04201804

详细信息

作者简介:
黄千(1994-)，女，山西长治人，在读硕士，主要从事医务社会研究工作

通讯作者:
薛云珍, E-mail：xueyunzhen@sxmu.edu.cn

中图分类号: R179 G444 B844.2
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- 文章访问数: 547
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- PDF下载量: 46
- 被引次数: 0
出版历程
- 收稿日期: 2021-03-11
- 修回日期: 2021-05-19
- 网络出版日期: 2021-10-25
- 刊出日期: 2021-10-25

The relationship between anti-epidemic mentality and post-traumatic stress disorder in medical college students during the COVID-19 pandemic

HUANG Qian¹,
LI Yue²,
XUE Yunzhen^{3
, ,}

1.
School of Humanities and Social Science, Shanxi Meidical University, Taiyuan(030001), China

摘要

摘要: 目的探讨新冠肺炎疫情期间医学院校大学生抗疫心态与创伤后应激障碍的关系，为预防大学生再次经历突发危机事件时可能出现创伤后应激障碍提供科学依据。方法采用创伤后应激障碍自评量表(PCL-C)与公众抗疫心态自检自助表，对山西医科大学9 399名在校本科生进行线上问卷调查。结果新冠肺炎疫情期间大学生PCL-C总分(22.74±7.78)分，PTSD症状阳性率为5.3%，创伤再体验症状、回避麻木症状、警觉性增高症状检出率分别为27.0%，16.6%，8.6%，3个症状群中回避麻木症状均分最高，为(9.21±3.39)分，得分最高的2个条目为反复回忆创伤性事件(1.57±0.71)分、难以集中注意力(1.47±0.71)分。女生警觉性增高维度得分(6.82±2.61)高于男生(6.67±2.72)(t=-6.49，P < 0.05)；农村地区学生PCL-C总分及各维度得分均高于城市地区，非医学生高于医学生，非独生子女高于独生子女(P值均 < 0.05)。抗疫心态和创伤后应激障碍自评量表的总分呈正相关(r=0.51，P < 0.01)。多元线性回归分析 < 结果显示，生源地、专业、抗疫心态是大学生PTSD症状的相关因素(P值均 < 0.01)。结论抗疫心态是大学生出现PTSD症状的重要相关因素。
- 冠状病毒属 /
- 态度 /
- 应激障碍，创伤后 /
- 精神卫生 /
- 回归分析 /
- 学生
Abstract: Objective To explore the relationship between an anti-epidemic mentality and post-traumatic stress disorder (PTSD) among college students during the corona virus disease 2019(COVID-19) pandemic, and to provide a scientific basis for the prevention of PTSD when college students experience sudden crisis events in the future. Methods An online questionnaire survey was conducted among 9 399 undergraduates from Shanxi Medical University using the Posttraumatic Stress Disorder Checklist-Civilian Version (PCL-C) and the public anti-epidemic psychology self-examination scale. Results During the COVID-19 pandemic, the total PCL-C scores of college students were (22.74±7.78), and the positive rate of PTSD symptoms was 5.3%. The detection rates of symptom recurrence, avoidance/numbness symptoms and increased alertness symptoms were 27.0%, 16.6% and 8.6%, respectively. The average score of avoidance/numbness symptoms in the three symptom groups was (9.21±3.39), the two items with the highest scores were repeated recall of traumatic events (1.57±0.71) and impaired concentration (1.47±0.71). Females scored higher than males on the increased alertness dimension(6.82±2.61, 6.67±2.72) (t=-6.49, P < 0.05). In respect to PCL-C total scores and the scores of each dimension, rural areas were associated with higher scores than urban areas, and non-medical students scored higher than medical students, while the scores of those who grew up with siblings were higher than only-children (P < 0.05). There was a significant positive correlation between an anti-epidemic mentality and total PTSD scores (r=0.51, P < 0.01). Multiple regression analysis showed that the place of origin, choice of college major, and anti-epidemic mentality were predictors of PTSD symptoms (P < 0.01). Conclusion Anti-epidemic mentality is associated with the occurrence of PTSD among college students.
- Coronavirus /
- Attitude /
- Stress disorders, post-traumatic /
- Mental health /
- Regression analysis /
- Students

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表 1 不同人口学特征大学生PTSD得分比较(x±s)

Table 1. Comarison of college student PTSD scores for different demographic indicators(x±s)

人口学指标	选项	人数	统计值	PCL-C总分	创伤再体验	回避麻木	警觉性增高
性别	男	2 725		22.68±8.29	6.75±2.60	9.27±3.65	6.67±2.72
	女	6 674		22.76±7.56	6.75±2.39	9.19±3.27	6.82±2.61
			t值	-0.18	0.01	1.16	-6.49
			P值	0.67	0.92	0.28	0.01
生源地	农村	5 570		23.19±7.97	6.88±2.51	9.40±3.47	6.91±2.71
	城市	3 829		22.07±7.44	6.57±2.35	8.93±3.22	6.57±2.53
			t值	47.48	37.64	43.81	37.54
			P值	< 0.01	< 0.01	< 0.01	< 0.01
专业	医学	7 350		22.60±7.76	6.70±2.44	9.16±3.39	6.74±2.63
	非医学	2 049		23.24±7.82	6.95±2.47	9.38±3.34	6.91±2.66
			t值	-11.09	-16.78	-6.66	-7.33
			P值	< 0.01	< 0.01	< 0.01	< 0.01
是否独生子女	是	2 482		22.21±7.77	6.57±2.43	8.98±3.34	6.65±2.65
	否	6 917		22.93±7.77	6.82±2.45	9.29±3.39	6.82±2.64
			t值	-15.59	-18.11	-15.37	-7.10
			P值	< 0.01	< 0.01	< 0.01	< 0.01

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表 2 大学生PTSD影响因素多元线性回归分析(n=9 399)

Table 2. Multivariate regression analysis of influencing factors of PTSD among college students(n=9 399)

因变量	自变量	β值	标准误	β'值	t值	P值	R²值	△R²值	F值
创伤再体验	生源地	-0.16	0.05	-0.03	-3.01	< 0.01	0.18	0.18	525.08^**
	专业	0.15	0.06	0.02	2.63	< 0.01
	抗疫心态得分	0.19	0.01	0.42	45.09	< 0.01
回避麻木	生源地	-0.27	0.07	-0.04	-3.83	＜0.01	0.21	0.21	624.11^**
	抗疫心态得分	0.28	0.01	0.45	49.32	＜0.01
警觉性增高	生源地	-0.19	0.05	-0.04	-3.71	＜0.01	0.27	0.27	848.21^**
	抗疫心态得分	0.25	0.01	0.51	57.74	＜0.01
注：**P < 0.01。

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