1. Introduction
The emergence of Coronavirus Disease 2019 (COVID-19) and its subsequent spread has lived up to many warnings and caused an evolving global public health crisis(Hartley & Perencevich, 2020). Current studies reported that the outbreaks and trauma brought multiple new stresses, including physical and psychological health risks, isolation and loneliness, the closure of many schools and businesses, economic vulnerability and job losses, and even the domestic violence(Bradbury-Jones & Isham, 2020; Cukor et al., 2011; Paakkari & Okan, 2020). According to data of Chinese Center for Disease Control and Prevention, Anhui declared first-level emergency response (ER) on Jan 24 and down-regulated the level on Feb 25 and Mar 15. The ER means that the movement, transportation and business were restricted and during the first-level ER, only emergency patients were received in hospital(Munster, Koopmans, van Doremalen, van Riel, & de Wit, 2020). The present study aimed to investigate the mental status changes of spine patients during COVID-19 outbreaks and provide timely alerts.