突发公共卫生事件对上海老年人抑郁情绪波动的影响及相关因素分析  

The influence analysis of public health emergencies on mood fluctuations of depression and related factors in the elderly in Shanghai

作　　者：包蓓[1] 吴韫韬 石晓欣[1] 荣棣君 朱立人[1] 王燕[1] Bao Bei;Wu Yuntao;Shi Xiaoxin;Rong Dijun;Zhu Liren;Wang Yan(Department of Geriatrics,Xinhua Hospital Affiliated to Shanghai Jiaotong University School of Medicine,Shanghai 200092,China;Huayang Community Health Service Center of Changning District,Shanghai 200042,China)

机构地区：[1]上海交通大学医学院附属新华医院老年科,200093 [2]上海长宁区华阳街道社区卫生服务中心,200042 [3]上海虹口区曲阳街道社区卫生服务中心,200437

出　　处：《中华老年医学杂志》2021年第2期227-231,共5页Chinese Journal of Geriatrics

摘　　要：目的调查突发公共卫生事件对上海老年人抑郁情绪波动的影响,分析抑郁情绪波动的相关影响因素,为在突发公共卫生事件时老年人群提前心理干预提供新的参考依据。方法通过与既往半年内老年抑郁量表(GDS)-30的比较,对抑郁情绪波动状况和相关因素进行分析。结果在983例调查中,回收有效问卷867份。在突发公共卫生事件期间老年人轻度抑郁情绪发生率从事发前20.9%(181/867)上升为27.2%(235/867),并出现了3例重度抑郁情绪;GDS-30评分在突发公共卫生事件期间也显著升高[(9.88±3.85)分比(7.67±3.54)分,(P<0.05)]。多元线性回归分析发现在突发公共卫生事件时老年人抑郁情绪波动与慢性病疾病数≥2(P=0.036)、缺乏子女探访或通讯(P=0.015)、家人有接触新型冠状病毒肺炎风险(P<0.01)、每日观看疫情新闻大于4 h(P=0.023)密切相关。线性回归分析显示咳嗽、咽痛、头晕、睡眠障碍、呼吸困难均与抑郁性情绪的加重有显著相关(P<0.05)。结论突发公共卫生事件会加重老年人的抑郁情绪。有多种慢性疾病、缺乏子女探访或通讯、家人有接触风险以及过度关注疫情的老年人更易发生抑郁情绪加重。Objective To analysis the impact of public health emergencies on mood fluctuations of depression and the related factors in the elderly in Shanghai,in order to provide a new evidence for early psychological intervention.Methods A cross-sectional survey was conducted among 983 elderly in the Department of Geriatrics of Xinhua Hospital Affiliated to Shanghai Jiaotong University and two communities in Changning and Hongkou Districts of Shanghai by using a self-compiled social life questionnaire and Geriatric Depression Scale(GDS-30)during corona virus disease(COVID)-19 outbreak from 1 February to 15 February 2020.The mood fluctuations of depression and the related influencing factors were analyzed by comparing the current GDS-30 scores with the scores within previous six months.Results Of 983 questionnaires,867 were valid.The incidence of mild fluctuations of depression was increased from 20.9%(181/867)to 27.2%(235/867)during the public health emergencies(P<0.05),with 3 cases of newly emerged severe depression.The GDS-30 scores were higher during the public health emergencies than before the emergencies(9.88±3.85 vs.7.67±3.54,P<0.05).The four risk factors inducing fluctuations of depression in the elderly were the number of coexisted chronic diseases≥2(P=0.036),the lack of visits or communication from families(P=0.015),the family members exposing a risk to COVID-19(P<0.01),and the daily viewing of epidemic news more than 4 h(P=0.023).Linear regression analysis showed that cough,sore throat,dizziness,sleep disturbance and dyspnea were significantly related to the aggravation of depression(based on the increase of GDS-30 score)(P<0.05).Conclusions Public health emergencies may exacerbate depression in the elderly.They are more likely to experience the aggravation of depression when they suffer from multiple chronic diseases,lack the child visits or communications,have the family members exposing a risk to COVID-19 and pay excessive attention to the epidemic.

关 键 词：抑郁 公共卫生管理 

分 类 号：R749.4[医药卫生—神经病学与精神病学]