后疫情时期广安市残疾人抑郁、焦虑症状检出率及其相关因素分析
Analysis of the detection rate of depression and anxiety symptoms and its related factors among disabled people in Guangan City during the post-epidemic period
投稿时间:2022-02-25  修订日期:2022-06-22
DOI:
中文关键词:  残疾人  心理健康  抑郁  焦虑  相关因素
英文关键词:Disabled  Mental health  Depression  Anxiety  Correlation Factor
基金项目:
作者单位地址
杨帆 广安市精神病院 四川省广安市精神病院
钟潇 北京体育大学心理学院 
冯春梅 广安市精神病院 
陈刚 广安市精神病院 
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中文摘要:
      目的 了解后疫情时期残疾人抑郁焦虑检出率及其相关因素,为促进残疾人心理健康提供参考。方法 2021年4月-5月,选取调查前半年时间内居住地均属低风险区、且符合《残疾人残疾分类和分级》国家标准(GB/T26341-2010)的广安市残疾人群为调查对象,通过问卷星网络平台,采用患者健康问卷抑郁量表(PHQ-9)、广泛性焦虑量表(GAD-7)评估残疾人抑郁、焦虑症状发生情况,并通过二元Logistic回归分析残疾人抑郁焦虑的风险和保护因素。结果 残疾人的中重度和重度抑郁症状的检出率分别为9.05%和8.35%,中度和重度焦虑症状的检出率分别为9.40%和11.25%。回归分析结果显示,失业或待业是残疾人抑郁和焦虑的风险性因素(OR=2.354、2.353,P均<0.01);未婚(OR=0.418)、已婚(OR=0.414)、视力残疾(OR=0.254)、肢体残疾(OR=0.460)、家庭功能良好(OR=0.241)、家庭功能中度障碍(OR=0.288)、完全自理(OR=0.062)和部分自理(OR=0.416)是残疾人抑郁的保护性因素(P<0.05或0.01);视力残疾(OR=0.382)、听力残疾(OR=0.143)、肢体残疾(OR=0.432)、家庭功能良好(OR=0.246)、家庭功能中度障碍(OR=0.402)、完全自理(OR=0.093)和部分自理(OR=0.378)是残疾人焦虑的保护性因素(P<0.05或0.01)。结论 后疫情时期广安市残疾人抑郁、焦虑症状的检出率仍较高,失业或待业的残疾人发生抑郁、焦虑症状的风险更高,而良好家庭功能、有完全或部分自理能力则有利于保护残疾人的心理健康。
英文摘要:
      Objective To understand the detection rate and related factors of depression and anxiety of disabled people in post-epidemic period, and to provide reference for promoting mental health of disabled people. Methods From April to May 2021, a voluntary sampling method was used in this study. Through the questionnaire star network platform, the disabled people in Guang ' an City who?lived in low-risk areas during the first half year before investigation and comply?with?the?national?standards?for?the?classification?and?classification?of?disabled?persons(GB/T26341-2010)were investigated. The incidence of depression and anxiety symptoms of the disabled was evaluated by the Patients’ Health Questionnaire Depression Scale-9 item (PHQ-9) and the Generalized Anxiety Disorder (GAD-7). The risk and protective factors of depression and anxiety of the disabled were analyzed by binary Logistic regression. Results The detection rates of moderate and severe depressive symptoms were 9.05 % and 8.35 %, and the detection rates of moderate and severe anxiety symptoms were 9.40% and 11.25%. The results of regression analysis showed that unemployment or unemployment were risk factors for depression and anxiety of disabled people (OR=2.354, 2.353, P<0.01). Unmarried(OR=0.418), married(OR=0.414), visual disability(OR=0.254), limb disability(OR=0.460), good family function(OR=0.241), moderate family dysfunction(OR=0.288), complete self-care(OR=0.062) and partial self-care(OR=0.416) were protective factors for depression in persons with disabilities(P<0.05 or 0.01); visual disability(OR=0.382), hearing disability(OR=0.143), limb disability(OR=0.432), good family function(OR=0.246), moderate family dysfunction(OR=0.402), complete self-care(OR=0.093) and partial self-care(OR=0.378) were protective factors for anxiety of disabled people(P<0.05 or 0.01). Conclusion The detection rate of depression and anxiety of the disabled in Guang ’ an City is still high during the post-epidemic period. The disabled who are unemployed or unemployed have a higher risk of depression and anxiety symptoms, while good family function and complete or partial self-care ability are conducive to protecting the mental health of the disabled.
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