Data_Sheet_1_Psychological Effects of People Isolated in Hubei Due to COVID-19 Epidemic.docx

The Coronavirus Disease 2019 (COVID-19) epidemic broke out from Wuhan in Hubei province, China, spread nationwide and then gradually developed into other countries in the world. The implementation of unprecedented strict isolation measures has affected many aspects of people's lives and posed a challenge to psychological health. To explore whether people isolated for 14 days due to having contact with COVID-19 patients had more psychosocial problems. We conducted an online survey from February 29 to March 10, 2020. Depression, anxiety, post-traumatic stress disorder (PTSD) symptoms, and coping style were assessed by the Patient Health Questionnaire-9 (PHQ-9), 7-item Generalized Anxiety Disorder Scale (GAD-7), Impact of Event Scale-Revised (IES-R), and Simplified Coping Style Questionnaire-20-Chinese Version. This study included 1,315 isolated respondents in Hubei province (58.5% located in Wuhan). 69.3% respondents isolated at home, 30.7% respondents isolated at centralized quarantined spot. Of all respondents, 66.8% reported depressive symptoms, 49.7% reported anxiety symptoms, 89.0% reported PTSD symptoms. The Cronbach α of the IES-R, PHQ-9, GAD-7, and total SCSQ-20 were 0.935, 0.847, 0.843, and 0.888, respectively. Persons who isolated at home were associated with a lower risk of PTSD, depressive and anxiety symptoms (P < 0.01). People who knew someone to have COVID-19 were associated with severe symptoms of PTSD symptoms (P = 0.001). As for coping style, higher level of passive coping style was associated with severe symptoms of PTSD, depression and anxiety (P < 0.001). Our findings identify that person isolated during the COVID-19 epidemic was associated with high proportion of depression, anxiety, and PTSD symptoms. Public health officials should be aware of and prepared to take necessary measures.

2019冠状病毒病（COVID-19）疫情起源于中国湖北省武汉市，随后迅速蔓延至全国，并逐渐扩散至世界其他国家和地区。在实施前所未有的严格隔离措施的过程中，人们的日常生活受到严重影响，心理健康亦面临巨大挑战。本研究旨在探讨与COVID-19患者有接触史且被隔离14天的人群是否更容易出现心理社会问题。研究于2020年2月29日至3月10日通过在线调查进行。抑郁、焦虑、创伤后应激障碍（PTSD）症状以及应对方式通过患者健康问卷-9（PHQ-9）、7项广泛性焦虑障碍量表（GAD-7）、事件影响量表修订版（IES-R）以及简化应对方式问卷-20中文版进行评估。本研究共纳入湖北省1315名隔离受访者（其中58.5%位于武汉市）。69.3%的受访者在家中隔离，30.7%的受访者集中在隔离点隔离。所有受访者中，66.8%报告有抑郁症状，49.7%报告有焦虑症状，89.0%报告有PTSD症状。事件影响量表修订版（IES-R）、患者健康问卷-9（PHQ-9）、广泛性焦虑障碍量表（GAD-7）以及简化应对方式问卷-20的总Cronbach α系数分别为0.935、0.847、0.843和0.888。在家中隔离的人群与较低的PTSD、抑郁和焦虑症状风险相关（P < 0.01）。认识COVID-19患者的人群与严重的PTSD症状相关（P = 0.001）。至于应对方式，被动应对方式水平较高的人群与严重的PTSD、抑郁和焦虑症状相关（P < 0.001）。本研究发现，在COVID-19疫情期间被隔离的人群中，抑郁、焦虑和PTSD症状的比例较高。公共卫生官员应提高警惕并做好采取必要措施的准备。