后疫情时期广安市残疾人抑郁、焦虑症状检出率及其相关因素分析  

Prevalence and influencing factors of depression and anxiety symptoms in disabled people in Guang’an during the post-pandemic period

作　　者：杨帆 钟潇 冯春梅 陈刚 Yang Fan;Zhong Xiao;Feng Chunmei;Chen Gang(Guang'an Psychiatric Hospital,Guang'an 638000,China;School of Psychology,Beijing Sport University,Beijing 100089,China)

机构地区：[1]广安市精神病院,四川广安638000 [2]北京体育大学心理学院,北京100089

出　　处：《四川精神卫生》2022年第3期266-271,共6页Sichuan Mental Health

基　　金：国家级大学生创新创业训练计划资助项目(项目名称:社会治理视角下陪读家长心理状况及干预研究,项目编号:S201910619017)。

摘　　要：目的了解后疫情时期广安市残疾人抑郁焦虑症状检出率及其相关因素,为促进残疾人心理健康提供参考。方法于2021年4月-5月,选取调查前半年时间内居住地均属低风险地区、且符合《残疾人残疾分类和分级》国家标准(GB/T26341-2010)的广安市残疾人为调查对象,通过问卷星平台,采用患者健康问卷抑郁量表(PHQ-9)和广泛性焦虑量表(GAD-7)评定残疾人抑郁和焦虑症状,并通过二元Logistic回归分析其抑郁及焦虑的危险因素和保护因素。结果残疾人的中重度和重度抑郁症状检出率分别为9.05%和8.35%,中度和重度焦虑症状检出率分别为9.40%和11.25%。回归分析结果显示,失业或待业是残疾人抑郁和焦虑的危险因素(OR=2.354、2.353,P均<0.01);未婚(OR=0.418)、已婚(OR=0.414)、视力残疾(OR=0.254)、肢体残疾(OR=0.460)、家庭功能良好(OR=0.241)、家庭功能中度障碍(OR=0.288)、生活完全自理(OR=0.062)和部分自理(OR=0.416)是残疾人抑郁的保护因素(P<0.05或0.01);视力残疾(OR=0.382)、听力残疾(OR=0.143)、肢体残疾(OR=0.432)、家庭功能良好(OR=0.246)、家庭功能中度障碍(OR=0.402)、生活完全自理(OR=0.093)和部分自理(OR=0.378)是残疾人焦虑的保护因素(P<0.05或0.01)。结论后疫情时期广安市残疾人抑郁、焦虑症状的检出率较高,失业或待业的残疾人出现抑郁、焦虑症状的风险更高,而良好的家庭功能、有完全或部分自理能力则有利于残疾人的心理健康。Objective To investigate the prevalence rate and influencing factors of depression and anxiety in disabled people in Guang’an during the post-pandemic period,so as to provide references for promoting mental health of disabled people.Methods From April to May 2021,the disabled people dwelling in low-risk areas for coronavirus infections in Guang’an for half a year and met the criteria outlined in Classification and Grading Criteria of Disability(GB/T26341-2010)were selected as the survey subjects,and their depression and anxiety symptoms were evaluated via the Patients’Health Questionnaire Depression Scale-9 item(PHQ-9)and the Generalized Anxiety Disorder Scale(GAD-7)through Wenjuanxing platform.Then binary Logistic regression analysis was performed to screen the risk and protective factors for depression and anxiety in disabled people.Results The detection rates of moderate-to-severe and severe depressive symptoms were 9.05%and 8.35%,and the detection rates of moderate and severe anxiety symptoms were 9.40%and 11.25%.Regression analysis denoted that being laid-off and job-waiting were risk factors for depression and anxiety in disabled people(OR=2.354,2.353,P<0.01).Being unmarried(OR=0.418),married(OR=0.414),visual disability(OR=0.254),limb disability(OR=0.460),good family function(OR=0.241),moderate family dysfunction(OR=0.288),complete self-care(OR=0.062)and partial self-care(OR=0.416)were protective factors for depression in disabled people(P<0.05or 0.01).Visual disability(OR=0.382),hearing disability(OR=0.143),limb disability(OR=0.432),good family function(OR=0.246),moderate family dysfunction(OR=0.402),complete self-care(OR=0.093)and partial self-care(OR=0.378)were protective factors for anxiety in disabled people(P<0.05 or 0.01).Conclusion The disabled people in Guang’an during the post-pandemic period suffer a high detection rate of depression and anxiety,and the detection rate is even higher among those being laid-off or job-waiting,while good family function and complete or partial self-care abil

关 键 词：残疾人 心理健康 抑郁 焦虑 相关因素 

分 类 号：R749.4[医药卫生—神经病学与精神病学]