新疆克拉玛依地区酒精滥用者焦虑、抑郁症状及自杀风险调查  

A cross-sectional study of anxiety,depression and suicide risk of alcohol abusers in Xinjiang Uygur Autonomous Region

作　　者：张辉[1] 陈鹤元[1] 杨凤池[1] 

机构地区：[1]首都医科大学卫生管理与教育学院心理学教研室,北京100069

出　　处：《中国心理卫生杂志》2015年第7期539-542,共4页Chinese Mental Health Journal

基　　金：北京市教育委员会人文社会科学研究计划面上项目(SM201310025002);北京市哲学社会科学"十二五"规划重点项目(13SHA002);科技部国家科技支撑计划(2009BAI77B08)

摘　　要：目的:调查新疆克拉玛依地区酒精滥用者的抑郁、焦虑症状及其自杀风险,为此类精神卫生问题的预防和早期干预提供参考依据。方法:采用PPS抽样调查对1992例社区居民进行调查和统计分析,用酒精使用障碍筛查量表(AUDIT)筛查酒精滥用,初级保健精神障碍患者健康问卷中的抑郁分量表(PHQ-9)和焦虑分量表(PHQ GAD-7)筛查抑郁症状和焦虑症状,简明国际神经精神访谈(MINI)自杀筛选问卷筛查自杀风险。结果:筛查出酒精滥用阳性者298例,酒精滥用比为15.1%。酒精滥用者抑郁症状阳性比53.4%、焦虑阳症状性比35.9%、自杀风险比5.7%,均高于非滥用者(阳性比分别是42.3%、27%、3.2%,均P<0.05)。结论:本研究提示,在酒精滥用筛查时要注意对相关精神卫生问题的评估和诊断,以便采取及时、有效的干预措施。Objective： To investigate the comorbid depressive symptoms, anxiety symptoms and suicide risk in people with alcohol abuse. Methods： Totally 1992 community residents were recruited by probability proportionate to size sampling. They were assessed with the Alcohol Use Disorders Identification Test （AUDIT）, Depression Sub- scale（PHQ-9） and Anxiety Subscale（PHQ GAD-7） of Patient Health Questionnaire, and Suicide Risk Screening Scale of Mini-international Neuropsychialric Interview （MINI）. Results： The AUDIT screening positive cases was 298 （15. 1% ）. The rates of depression symptom （53.4% vs. 42.3% ）,anxiety symptom （35.9% vs. 27.0% ） and suicide risk （5.7% vs. 3. 2% ） in alcohol abuse group were all significantly higher than that in non-abuse group （Ps 〈 0. 01）. Conclusion： It is important to conduct assessment of related psychological problems in screening of alcohol abuse, in order to provide effective intervention timely.

关 键 词：酒精滥用 焦虑 抑郁 自杀风险 新疆 现况调查 

分 类 号：R749.62[医药卫生—神经病学与精神病学] R749.72[医药卫生—临床医学]