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影响新冠状病毒肺炎爆发期间集中隔离人员失眠的心理因素：基于优势分析的实证研究
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Abstract:
目的：探讨影响新冠状病毒肺炎爆发期间集中隔离人员失眠的心理因素，确定其相对重要性排序。方法：本研究采用失眠严重指数量表、抑郁症筛查量表和广泛性焦虑量表，对广东省湛江地区2022年新冠疫情期间4794名集中隔离人员进行问卷调查，并进行优势分析。结果：失眠、抑郁和焦虑的检出率分别为17.48%、14.41%和12.13%；失眠与抑郁和焦虑显著正相关(r=0.73; 0.64; P < 0.001)；根据优势分析，失眠的预测因素包括性别、抑郁和焦虑，按相对重要性排序，抑郁(贡献率：59.04%)、焦虑(贡献率：40.08%)和年龄(贡献率：0.83%)是影响隔离个体失眠发生的因素。此外，抑郁对隔离个体失眠的预测力高于焦虑和性别，焦虑对隔离个体失眠症的预测力大于年龄。结论：集中隔离人员的失眠程度受到抑郁、焦虑和性别等因素的影响。
Objectives: The aim of this study is to investigate the psychological factors influencing insomnia among individuals under centralized quarantine during the outbreak of COVID-19, and to deter-mine their relative importance. Method: This study used the Insomnia Severity Index, Depression Screening Scale, and Generalized Anxiety Scale to conduct a questionnaire survey on 4794 individ-uals under centralized quarantine in the western part of Guangdong province during the COVID-19 outbreak in 2022, and conducted a dominance analysis. Results: The prevalence rates of insomnia, depression, and anxiety were 17.48%, 14.41%, and 12.13%, respectively. Insomnia was signifi-cantly and positively correlated with depression and anxiety (r = 0.73; 0.64; P < 0.001). According to the dominance analysis, the predictors of insomnia included gender, depression, and anxiety. In order of relative importance, the factors were depression (contribution rate: 59.04%), anxiety (contribution rate: 40.08%), and age (contribution rate: 0.83%). Furthermore, depression had more predictive power than anxiety and gender for insomnia incidence in quarantined individuals, and anxiety had more predictive power than age. Conclusions: The degree of insomnia among cen-tralized quarantine personnel is influenced by factors such as depression, anxiety, and gender.
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