探討中國大陸防疫政策下的心理衛生：以在湖北受困臺灣人的陳述為例

An Exploration of Mental Health in China under Pandemic Prevention Policies: a Study on Statements by Taiwanese People Trapped in Hubei

本研究探討中國大陸2020年湖北省為COVID-19執行防疫（封城）政策造成的心理衛生議題。編碼分析10位案主的自我陳述，並以DSM-5檢視其心理狀態，最後援引比例原則評估封城政策。本研究發現，封城政策使受困者往廣泛性焦慮或憂鬱發展，當地政府挹注心理資源的時間過遲，故有利對抗心理障礙的因素與當地政府無甚關聯。至於比例原則，縱使封城有利防治疫情擴散卻產生心理衛生議題，故難謂符合該原則。最後，系爭封城政策啟發實施公共衛生政策應同時考慮生理及心理面向。

This study examines the mental health issues caused by the COVID-19 prevention policy (lockdown) implemented in Hubei Province, Mainland China in 2020. Self-reports from 10 subjects were coded and analyzed, and their mental health was analyzed using DSM-5. Then, the principle of proportionality was used to evaluate the lockdown policy. This study found that the lockdown policy caused people trapped in locked-down cities to develop generalized anxiety or depression. Local governments did not devote resources to mental health until it was too late, so the factors related to addressing mental disorders had almost no relation to the local governments. As for the principle of proportionality, even if lockdowns were beneficial to preventing the spread of COVID-19, they led to mental health issues, therefore they cannot be said to meet the principle of proportionality. Therefore, the controversial lockdown policies should shows that both physical and mental health issues should be considered when implementing public health policies.