上海市徐汇区某街道精神分裂症患者家属抑郁焦虑状况及相关因素分析  

Prevalence of depression, anxiety symptoms and related factors in family members of schizophrenicpatients in a Shanghai community

作　　者：虞智杰 胡雁 田文栋[1] 唐跃中[1] 徐东浩[1] 祝墡珠 杨华 Yu Zhijie;Hu Yan;Tian Wendong;Tang Yuezhong;Xu Donghao;Zhu Shanzhu;Yang Hua(Kangjian Community Health Service Center of Xuhui District,Shanghai 200233,Chin;Department of General Practice,Zhongshan Hospital Fudan University,Shanghai 200032,China)

机构地区：[1]上海市徐汇区康健街道社区卫生服务中心,200233 [2]复旦大学附属中山医院全科医学科,上海200032

出　　处：《中华全科医师杂志》2018年第8期587-590,共4页Chinese Journal of General Practitioners

基　　金：上海市公共卫生重点学科三年行动计划项目（12GWZX1001）;上海青年医师培养资助计划（沪卫人事[2015]147号）;上海市徐汇区医学科研项目（SHXH201433）;复旦大学上海医学院2017年医学教育研究课题

摘　　要：目的分析某街道精神分裂症患者家属抑郁和焦虑状况及相关因素。方法2017年3—5月对上海市徐汇区康健街道社区在册的206名精神分裂症患者的家属采用病人健康问卷抑郁自评量表（PHQ－9）、焦虑症筛查量表（GAD－7）进行横断面调查。并进一步分析精神分裂症患者家属抑郁和焦虑症状的影响因素。结果精神分裂症患者家属抑郁症状和焦虑症状的阳性检出率分别是40.3%（83/206）和37.9%（78/206）。单因素分析显示与患者关系、学历是抑郁症状发生的影响因素（χ2＝17.045、9.702，P〈0.01），年龄分段、与患者关系、学历3个因素是焦虑症状发生的影响因素（χ2＝11.862、22.042、15.060，P〈0.01）。进一步多因素回归分析显示，父母关系较配偶关系更易发生抑郁症状（OR＝2.861，P〈0.01），高等教育学历较初等教育学历人群更易发生抑郁症状（OR＝10.071，P〈0.01）；18～40岁人群较66岁以上人群更易发生焦虑症状（OR＝0.060，P〈0.05）。兄弟姐妹关系及父母关系较配偶关系均更易发生焦虑症状（OR＝10.018，P〈0.01；OR＝7.467，P〈0.01）。高等教育学历人群较初等教育学历人群更易发生焦虑症状（OR＝5.119，P〈0.05）。结论精神分裂症患者家属存在较明显的抑郁和焦虑症状倾向，与家属学历和与患者的关系等因素有关，需要多方面加强和重视。ObjectiveTo examine the prevalence of depression and anxiety symptoms, and the related factors in family members of schizophrenic patients in a Shanghai community.MethodsFrom March to May 2017, the family members of 206 schizophrenic patients registered in Xuhui district Kangjian community of Shanghai were enrolled in this cross-sectional survey. The participants were evaluated with Patient Health Questionnaire Self-rating Depression Scale （PHQ-9） and the Anxiety Screening Scale （GAD-7）. The factors related to depression and anxiety symptoms were analyzed.ResultsThe detection rates of depressive symptoms and anxiety symptoms in the family members of schizophrenia patients were 40.3%（83/206） and 37.9%（78/206）, respectively.Univariate analysis showed that the relationship with the patient, education levels were the influencing factors of depressive symptoms （χ2=17.045, 9.702; P〈0.01）; while age, relationship with the patient, education levels were factors related to the occurence of anxiety symptoms （χ2=11.862, 22.042, 15.060; P〈0.01）. Multivariate regression analysis showed that the parents of patient was more prone to depressive symptoms than spouses （OR=2.861, P〈0.01）; higher education was more prone to be depressive than primary education （OR=10.071, P〈0.01）. Age group 18-40 years were more prone to anxiety than the age group ≥66 years （OR=0.060, P〈0.05）; sibling relationship is more prone to anxiety than spouse relationship （OR=10.018, P〈0.01）, followed by parental relationship （OR=7.467, P〈0.01）; higher education was more prone to anxiety than primary education （OR=5.119, P〈0.05）.ConclusionsThere is high prevalence of depression and anxiety symptoms in family members of schizophrenic patients, which is related to the relationship with the patient, the education level of family members and other factors.

关 键 词：精神分裂症 家属 抑郁 焦虑 

分 类 号：R743.3[医药卫生—神经病学与精神病学]