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      Relationship between the COVID - 19 exposure and depression and anxiety: mediating role of social support

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          Abstract

          Objective To investigate the social support of medical students during the outbreak of COVID-19 and its mediating effect on the correlation between epidemic exposure and depression with anxiety.

          Methods A total of 5 593 medical students were enrolled, and Social Support Rating Scale (SSRS), Patient Health Questionnaire-9 and 7-tiem Generalize Anxiety Disorder Scale were used to measure.

          Results The social support score of SSRS of male students was lower than that of female students ( t = −4.36, P<0.05) and juniors and seniors scored lower than other grades ( F = 4.84, P<0.05). Epidemic exposure proportion was positively correlated with both depressive proportionand anxiety proportion ( r = 0.05, 0.06, P<0.01), while epidemic exposure and depressive proportion and anxiety proportion were negatively correlated with social support score ( r = −0.05, −0.25, −0.19, P<0.01). After controlling for gender and grade, the mediating effect of social support in the correlation between epidemic exposure and depression accounted for 26.6% of the total effect, and the mediating effect of subjective support and supportive utilization was 32.3% and 25.7% respectively. After controlling for gender and grade, the mediating effect of social support in the correlation between epidemic exposure and depression accounted for 20.0% of the total effect, and the mediating effect of subjective support and supportive utilization was 15.9% and 12.2% respectively.

          Conclusion Social support has partially mediating effect in the correlation between epidemic exposure with depression and anxiety.

          Abstract

          【摘要】 目的 了解新型冠状病毒 (简称“新冠病毒”) 疫情期间中国医学生社会支持状况以及新冠病毒暴露与抑 郁、焦虑之间的关系, 为医学生心理健康干预工作提供参考。 方法 采取方便取样方法, 选取我国 32 个省、自治区、直辖市 (缺香港、澳门) 的本科医学生为研究对象 5 593 名在校医学生为研究对象, 采用社会支持评定量表、病人健康问卷抑郁量 表、广泛性焦虑量表进行调查。 结果 社会支持得分男生低于女生 ( t = −4.36, P<0.05), 大三大四年级学生低于其他年级 学生 ( F = 4.84, P<0.05)。新冠病毒暴露与抑郁、焦虑均呈正相关 ( r 值分别为 0.05, 0.06, P 值均<0.01), 新冠病毒暴露、抑 郁、焦虑与社会支持均呈负相关 ( r 值分别为 −0.05, −0.25, −0.19, P 值均<0.01)。控制性别、年级的影响后, 社会支持在新 冠病毒暴露与抑郁关联中的中介效应占总效应的 26.6%, 主观支持、支持利用度中介效应占比分别为 32.3%, 25.7% ;社会 支持在新冠病毒暴露与焦虑关联中的中介效应占总效应的 20.0%, 主观支持、支持利用度中介效应占比分别为15.9%, 12.2%。 结论 社会支持在新冠病毒暴露与抑郁、焦虑的关联中均存在部分中介效应, 良好的社会支持有助于医学生在疫 情期间保持较低抑郁、焦虑水平。

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          Author and article information

          Journal
          CJSH
          Chinese Journal of School Health
          Chinese Journal of School Health (China )
          1000-9817
          01 May 2020
          01 May 2020
          : 41
          : 5
          : 657-660
          Affiliations
          [1] 1Beijing HuiLongGuan Hospital, Beijing (100096), China
          Author notes
          *Corresponding author: CHEN Jingxu, E-mail: chenjx1110@ 123456163.com
          Article
          j.cnki.1000-9817.2020.05.006
          10.16835/j.cnki.1000-9817.2020.05.006
          b281c8d4-3146-4d15-be6f-fee0e3b906b8
          © 2020 Chinese Journal of School Health

          This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 Unported License (CC BY-NC 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. See https://creativecommons.org/licenses/by-nc/4.0/.

          Product
          Self URI (journal-page): http://www.cjsh.org.cn
          Categories
          Journal Article

          Ophthalmology & Optometry,Pediatrics,Nutrition & Dietetics,Clinical Psychology & Psychiatry,Public health
          Social support,Mental health,Coronavirus,Students, medical,Depression,Anxiety

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