深圳某企业外来劳务工抑郁焦虑情绪及自杀风险调查  

Investigation of depression, anxiety, suicide and risks of suicide among rural-urban migrant workersin a Shenzhen corporation

作　　者：丁军[1] 周志坚[1] 刘铁榜[1] 金冬[1] 杨洪[1] 邹晓苇[1] 赵敏[2] 卞茜 

机构地区：[1]深圳市精神卫生中心深圳市心理健康实验室深圳市康宁医院预防保健科,518020 [2]上海交通大学医学院附属精神卫生中心

出　　处：《中华精神科杂志》2013年第2期85-89,共5页Chinese Journal of Psychiatry

基　　金：国家科技支撑计划项目（2009BA177808）

摘　　要：目的了解深圳某企业外来劳务工的抑郁、焦虑情绪和自杀风险的现状及与自杀相关的危险因素。方法本研究采娟横断面调查研究方法，以自编的社会人口学基本信息资料表、患者健康问卷抑郁量表、患者健康问卷焦虑量表和简明国际神经精神访谈A杀筛选问卷等量表为工具，对深圳某企业1845名外来劳务T的抑郁和焦虑情绪及A杀风险进行现况凋查和多因素logistic回归分析。结果（I）1845名外来劳务工中，689例存在轻度及以上抑郁症状，占37．3％，其中中度以上抑郁146例，占7．9％；392例存在轻度及以上焦虑症状，占21．2％，其中中度以上焦虑67例，占3．6％。（2）男性和女性员T的抑郁评分在不同年龄、文化程度、婚姻状况的差异无统计学意义（P均〉0．05）；男性和女性员T焦虑评分在未婚组（P=0．02）和高中及以上组（P=0．02）的差异有统计学意义。（3）多因素logistic回归分析显示，中度以上抑郁（OR=6．886，P〈0．01）和中度以上焦虑（OR=2．984．P〈0．05）是自杀的重要危险因素。结论深圳某企业部分外来劳务T存在轻度及以上抑郁或焦虑症状，中度以上抑郁和焦虑是自杀的重要危险因素。Objective To explore prevalence of depression, anxiety and suicide among rural-urban migrant workers and suicide risks in a Shenzhen corporation. Methods A total of 1845 questionnaires were collected in a cross-sectional survey filled by rural-urban migrant workers. The depression and anxiety parts of the Patient Health Questionnaire （PHQ-9, PHQ-GAD7 ） and the suicide questionnaire of the MINI- International Neuropsychiatrie Interview were administered face-to-face. Suicide risks were analyzed by multivariate logistic regression analysis. Results It was estimated 37.3 % （ n = 689） of rural-urban migrant workers had depressive symptoms,among them 7.9% （ n = 146） had moderate or severer depression, while 21.2% （n =392） had anxiety symptoms, among then] 3.6% （n =67） had moderate or severer anxiety. In PHQ-9, between males and females, there were no significant difference in age, education and marital status （ all P 〉 0.05 ） , whereas in PHQ-GAD7 significant differences had been detected between males and females in unman＇ied and education higher than middle school subgroups. Multivariate logistic regression analysis revealed that moderate or severer depression （Wald test,P 〈0.01, OR = 6. 886） and moderate or severer anxiety （ Wald test, P 〈 O. 05, OR --- 2. 984 ） were two risk factors associated with suicide. Conclusion Among rural-urban migrant workers in a Shenzhen corporation, someone existed minor or severer depression as well as anxiety, moderate or severer depression and moderate or severer anxiety are two major risk factors associated with suicide.

关 键 词：抑郁 焦虑 自杀 外来劳务工 

分 类 号：R195[医药卫生—卫生统计学]