Abstract：Objective To analyze the prevalence, influencing factors and changes of anxiety/depression among adult students in the early control period and regular prevention and control period of the SARS-CoV-2 pandemic. Methods Online questionnaires were distributed in WeChat groups of students in March 2020 and March 2021 respectively. Generalized Self-rating Anxiety Disorder-7 Scale (GAD-7) andPatient Health Questionnaire(PHQ-9) were used to assess anxiety/depression respectively. Multiple logistic regression analysis was applied to identifying the factors affecting anxiety/depression. The changes of anxiety/depression were analyzed based on 1:1 matching method. Results Nine hundred and forty-one adult students were enrolled into the study in 2020, and 764 ones in 2021. The proportions of anxiety/depression were 34.9%/43.0% in 2020, and 36.4%/48.4% in 2021 respectively. After the matching, no statistically significant differences were found in the changes of proportions of anxiety (P=0.359) and depression (P=0.186), but the proportions of moderate-to-severe anxiety (P=0.015) and severe depression (P=0.012) decreased to some extent. Multivariate analysis displayed that poor health, suffering fromchronic diseases and negative impact on medical service need (OR=1.708-6.415, P<0.050) were risk factors foranxiety/depression in 2020 and 2021. Compared with college students and undergraduates, postgraduates showed higher possibilities of anxiety/depression in 2020 (OR=1.613-1.752, P<0.010). Students who reported severe perceived risk of SARS-CoV-2 infection were more likely to have anxiety (OR=1.750, P=0.048), and those who lived in cities were prone to anxiety than those who lived in the rural areas (OR=1.384, P=0.030). Students who reported items in shortage were more likely to suffer from anxiety/depression in 2021 (OR=1.758-1.854, P<0.05), but they were only more prone to suffering from anxiety in 2020 (OR=1.507, P=0.010). Conclusion From the early remission stage to the regular prevention and control period, the prevalence of anxiety/depression in the adult students showed a decrease change, but was still at a high level. It is recommended that continuous attention should be paid to the psychological health change of adult students in China, especially for those with poorer health status and suffering from negative impact on medical service need.
[1] WHO. Coronavirus (COVID-19) Dashboard[EB/OL].(2022-11-20)[2022-11-20].https://covid19.who.int. [2] 国务院新闻办公室. 抗击新冠肺炎疫情的中国行动[N]. 人民日报,2020-06-08(10). [3] Xiong J, Lipsitz O, Nasri F, et al. Impact of COVID-19 pandemic on mental health in the general population: a systematic review[J]. J Affect Disord,2020,277:55-64. [4] Johansson F, Côté P, Hogg-Johnson S, et al. Depression, anxiety and stress among Swedish university students during the second and third waves of COVID-19: a cohort study[J]. Scand J Public Health,2021,49(7):750-754. [5] 杨文川,张发斌,甘雪辉,等. 疫情背景下大学生心理健康状况及干预策略[J].实用预防医学,2023,30(6):669-672. [6] Spitzer RL, Kroenke K, Williams JB, et al. A brief measure for assessing generalized anxiety disorder: the GAD-7[J]. Arch Intern Med,2006,166(10):1092-1097. [7] Kroenke K, Spitzer RL, Williams JB. The PHQ-9: validity of a brief depression severity measure[J]. J Gen Intern Med,2001,16(9):606-613. [8] 王贝蒂. PHQ-9和GAD-7在恶性肿瘤患者中的应用研究[D].长沙: 中南大学,2013. [9] 吴述银,魏燕,黄晓伟,等. 新冠肺炎疫情对成年学生健康状况的影响分析[J]. 卫生软科学,2021,35(10):88-92. [10] Han B, Liu H, Zhao T, et al. The change of public individual prevention practice and psychological effect from the early outbreak stage to the controlled stage of COVID-19 in China in 2020: two cross-sectional studies[J]. Front Psychol,2021,12:658571. [11] Sun S, Goldberg SB, Lin D, et al. Psychiatric symptoms, risk, and protective factors among university students in quarantine during the COVID-19 pandemic in China[J].Global Health,2021,17(1):15. [12] 陈江媛,吴冉. 新型冠状病毒肺炎疫情中大学生的应激状态及预测因素[J]. 心理学通讯,2021,4(1):31-37. [13] Guan J, Wu C, Wei D, et al. Prevalence and factors for anxiety during the COVID-19 pandemic among college students in China[J]. Int J Environ Res Public Health,2021,18(9):4974. [14] 张天杰,蒙艳斌,邓道永,等. 面对突发公共卫生事件医学生心理健康状况调查[J]. 湘南学院学报(医学版),2020,22(4):51-55. [15] 李媛媛,赵静波,马紫娟,等. 新型冠状病毒肺炎疫情下中国大学生心理健康状况的变化轨迹:一项2波次追踪研究[C]. 中国内蒙古呼和浩特:2021. [16] Fu W,Yan S,Zong Q,et al. Mental health of college students during the COVID-19 epidemic in China[J]. J Affect Disord,2021,280(A):7-10. [17] Zhan H, Zheng C, Zhang X, et al. Chinese college students' stress and anxiety levels under COVID-19[J]. Front Psychiatry,2021,12:615390. [18] Zheng X, Guo Y, Ma W, et al. A longitudinal study on the mental health of college students in Jinan during the peak stage of the COVID-19 epidemic and the society reopening[J]. Biomed Hub,2021,6(3):102-110. [19] 邬欣欣,洪颖珊,李宋冬,等. 新冠疫情防控常态化下大学生心理健康水平与心理弹性相关研究[J]. 心理月刊,2022,17(10):80-82. [20] 曹礼,周洁,苟永超. 突发公共卫生事件期间重庆某口腔医学院学生焦虑状况调查[J]. 校园心理,2020,18(6):494-496. [21] 晏妮,范亚慧,刘曦,等. 大学生新冠肺炎知识、态度、行为现状及影响因素分析[J]. 中国医学伦理学,2022,35(3):326-331. [22] Wang C, Pan R, Wan X, et al. Immediate psychological responses and associated factors during the initial stage of the 2019 coronavirus disease (COVID-19) epidemic among the general population in China[J]. Int J Environ Res Public Health,2020,17(5):1729.
2023, Vol. 30 
