目的: 调查上海市新型冠状病毒感染（新冠）疫情封控管理期民众心理状态的现状,并探讨其影响因素。
方法: 于2022年5月13日至20日,按方便抽样方式选取上海市新冠疫情封控管理期民众1 402例,采用自编人口学基本信息调查表、90项症状清单（Symptom Checklist 90,SCL-90）、社会支持评定量表（Social Support Rating Scale,SSRS）对其进行问卷调查。
结果: 符合纳入条件的有1 372人。其SCL-90总分范围为90~430分,中位数为114（98,144）,SCL-90总均分范围为1.00~4.78,中位数为1.27（1.09,1.60）;SSRS总分的均分（标准差）为37.45（7.65）。SCL-90总分在有无工作（Z=–3.428）、自评心理受影响程度（Z=–20.664）上差异具有统计学意义。SCL-90躯体化因子分在是否有接种新冠疫苗（Z=–5.130）,SCL-90焦虑因子分在是否现居防范区（Z=–1.802）上差异具有统计学意义。SCL-90总分与SSRS总分呈负相关（r=–0.294,p<0.001）。Logistic回归分析显示女性（OR=1.373,95%CI：1.071~1.761）、受教育程度高（OR=1.374,95%CI：1.039~1.818）、无工作（OR=1.299,95%CI：1.029~1.640）、自评心理受影响程度大（OR=10.044,95%CI：7.834~12.876）是影响心理状态的危险因素,而SSRS总分高（OR=0.564,95%CI ：0.455~0.700）是其保护因素。
结论: 上海市新冠感染疫情封控管理期民众心理状态相对平稳。女性、受教育程度高、无工作和自评心理影响大者心理状态差,而社会支持多者心理状态更好。
Objective: To investigate the current psychological state and the related factors of Shanghai residents during the coronavirus disease 2019 (COVID-19) epidemic lockdown.
Methods: From May 13 to 20, 2022, 1 402 Shanghai residents, during the COVID-19 epidemic lockdown, were selected by the convenience sampling method, and the self-compiled questionnaire of the demographic information, Symptom Checklist 90 (SCL-90) and Social Support Rating Scale (SSRS) were used.
Results: In the 1 372 eligible people, the total scores of SCL-90 were between 90 and 430, with a median of 114 (98, 144), and the total average scores of SCL-90 were between 1.00 and 4.78, with a median of 1.27. The average SSRS total score (SD) was 37.45 (7.65). The total score of SCL-90 showed a statistically significant difference in employment status (Z=-3.428) and self-rated level of psychological impact (Z =-20.664). There was a statistically significant difference in the somatization factor score of SCL-90 based on whether COVID-19 vaccination has been administered (Z =-5.130), and in the anxiety factor score based on current residence in a prevention area (Z =-1.802). There was a negative correlation between the total scores of SCL-90 and SSRS (r=-0.294, p<0.001). Logistic regression analysis showed that female (OR=1.373, 95% CI: 1.071 to 1.761), high education level (OR=1.374, 95% CI: 1.039 to 1.818), employment status (OR=1.299, 95% CI: 1.029 to 1.640), and high self-rated level of psychological impact (OR=10.044, 95% CI: 7.834 to 12.876) were risk factors for influencing the psychological state, while a high SSRS total score (OR=0.564, 95%CI: 0.455 to 0.700) was a protective factor.
Conclusion: The psychological state of Shanghai residents during the COVID-19 epidemic lockdown is relatively stable. Females, individuals with higher levels of education, those who are unemployed, and those who has a higher self-rated psychological impact exhibit poorer psychological states. On the other hand, individuals with higher levels of social support have better psychological states.
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