| 杨帆,钟潇,冯春梅,陈刚.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[J].四川精神卫生杂志,2022,35(3):266-271.Yang Fan,Zhong Xiao,Feng Chunmei,Chen Gang,Prevalence and influencing factors of depression and anxiety symptoms in disabled people in Guang'an during the post-pandemic period[J].SICHUAN MENTAL HEALTH,2022,35(3):266-271 |
| 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 |
| Prevalence and influencing factors of depression and anxiety symptoms in disabled people in Guang'an during the post-pandemic period |
| 投稿时间：2022-02-25 |
| DOI：10.11886/scjsws20220225002 |
| 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 people Mental health Depression Anxiety Related factor |
| 基金项目:国家级大学生创新创业训练计划资助项目（项目名称：社会治理视角下陪读家长心理状况及干预研究，项目编号：S201910619017） |
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| 中文摘要: |
| 目的 了解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，为促进残疾人心理健康提供参考。方法 于2021年4月-5月，选取调查前半年时间内居住地均属低风险地区、且符合《残疾人残疾分类和分级》国家标准（GB/T26341-2010）的广安市残疾人为调查对象，通过问卷星平台，采用患者健康问卷抑郁量表（PHQ-9）和广泛性焦虑量表（GAD-7）评定残疾人抑郁和焦虑症状，并通过二元Logistic回归分析其抑郁及焦虑的危险因素和保护因素。结果 残疾人的中重度和重度抑郁症状检出率分别为9.05%和8.35%，中度和重度焦虑症状检出率分别为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危险因素（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）、生活完全自理（OR=0.062）和部分自理（OR=0.416）是残疾人抑郁的保护因素（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）、生活完全自理（OR=0.093）和部分自理（OR=0.378）是残疾人焦虑的保护因素（P<0.05或0.01）。结论 后疫情时期广安市残疾人抑郁、焦虑症状的检出率较高，失业或待业的残疾人出现抑郁、焦虑症状的风险更高，而良好的家庭功能、有完全或部分自理能力则有利于残疾人的心理健康。 |
| 英文摘要: |
| Objective To investigate the prevalence rate and influencing factors of depression and anxiety in disabled people in Guang'an during the post-pandemic period， so as to provide references for promoting mental health of disabled people.Methods From April to May 2021， the disabled people dwelling in low-risk areas for coronavirus infections in Guang'an for half a year and met the criteria outlined in Classification and Grading Criteria of Disability （GB/T26341-2010） were selected as the survey subjects， and their depression and anxiety symptoms were evaluated via the Patients' Health Questionnaire Depression Scale-9 item （PHQ-9） and the Generalized Anxiety Disorder Scale （GAD-7） through Wenjuanxing platform. Then binary Logistic regression analysis was performed to screen the risk and protective factors for depression and anxiety in disabled people.Results The detection rates of moderate-to-severe 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%. Regression analysis denoted that being laid-off and job-waiting were risk factors for depression and anxiety in disabled people （OR=2.354， 2.353， P<0.01）. Being 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 disabled people （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 in disabled people （P<0.05 or 0.01）.Conclusion The disabled people in Guang'an during the post-pandemic period suffer a high detection rate of depression and anxiety， and the detection rate is even higher among those being laid-off or job-waiting， 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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