摘要
目的:调查武汉地区肢体残疾(肢残)人群抑郁症状的检出率及相关因素。方法:采用多阶段分层随机整群抽样方法抽取武汉地区残疾人注册系统的1467位肢残者,用自编问卷调查社会人口学特征,用流调中心用抑郁量表(CES-D)评估抑郁症状,用艾森克人格问卷简式量表中国版(EPQ-RSC)评估人格特征。结果:根据CES-D评分,样本中有、肯定有和有严重抑郁症状的检出率分别为36.9%、29.2%和14.0%。肢残者抑郁症状的危险因素为目前无工作(OR=1.34),有宗教信仰(OR=1.66),自评家庭收入低(OR=1.87),肢残等级为一级和二级(OR=1.48),EPQ-RSC精神质因子分>3分(OR=1.33)和神经质因子分>5分(OR=4.13);保护因素为女性(OR=0.73)和外向因子分>7分(OR=0.40)。结论:武汉地区肢残人群抑郁症状检出率较高;无业、有宗教信仰、经济条件差、肢残等级重和内倾、情绪不稳、精神质分高的人格特征可能增加了肢残者抑郁症状的发生风险。
Objective： To investigate the prevalence and related factors of depressive symptoms in physically disabled persons in Wuhan. Methods： By using multi-stage stratified random cluster sampling method, 1467 physi- cally disabled persons who were registered in the Disabled People＇s Registration System were selected. They were administered with a self-designed questionnaire for socio-demographic information, and the Center for Epidemiolog- ical Studies Depression Scale （CES-D） for depressive symptoms, the Revised Eysenck Personality Questionnaire- Short Scale for Chinese （EPQ-RSC） for personality traits. Results： The rates for depression, mild depression and major depression were 36. 9%, 29. 2% and 14.0%, respectively. The risk factors for depression were unemploy- ment （ OR = 1.34）, with religious belief （ OR = 1.66）, low self-rating family income （ OR = 1.87）, first and second degree of disability （ OR = 1.48）, EPQ-RSC psychoticism score of 〉 3 （ OR = 1.33） and neuroticism score of 〉 5 （OR = 4. 13）. The protective factors included female （ OR = 0. 73） and extra-introversion score of 〉 7 （ OR = 0.40）. Conclusion： There are high prevalence rates of depressive symptoms in physically disabled persons in Wu- han. Unemployment, religious belief, worse economic condition, higher degree of disability and personality traits of introversion, emotionally unstable and psychoticism might be related to their depression.
出处
《中国心理卫生杂志》
CSSCI
CSCD
北大核心
2012年第12期943-948,共6页
Chinese Mental Health Journal
基金
武汉市卫生局资助课题:武汉市残疾人心理卫生状况的现况调查及干预策略研究(WG11D03)
关键词
肢体残疾
抑郁症状
人格
检出率
相关因素
横断面研究
limb disabled
depressive symptom
personality
prevalence
related factors
cross-sectional studies
