基层行政管理人员抑郁情绪与精神卫生知识知晓度及精神疾病态度的关系  

Relationship between depression and mental health literacy or attitude towards mental illness among grassroots administrators

作　　者：高菊聪 张敬悬[2] Gao Jucong;Zhang Jingxuan(Mental Health College,Jining Medical University,Jining 272067,China;Shandong Mental Health Center,Ji'nan 250014,China)

机构地区：[1]济宁医学院精神卫生学院,山东济宁272067 [2]山东省精神卫生中心,山东济南250014

出　　处：《四川精神卫生》2022年第5期439-444,共6页Sichuan Mental Health

基　　金：山东省医药卫生科技立项项目(项目名称:山东省中西医结合抑郁障碍防治策略研究,项目编号:YXH2019ZXY006)。

摘　　要：目的了解基层行政管理人员抑郁情绪与精神卫生知识知晓度及精神疾病态度的关系,为进一步提高精神卫生服务和建设社会心理服务体系提供参考。方法于2020年10月选取济南市历城区690名街道办事处基层行政管理人员为研究对象,采用自编一般情况调查表、精神卫生与心理保健知识问卷、精神疾病有关态度问卷和抑郁自评量表(SDS)进行评定。采用多因素线性逐步回归分析探讨基层行政管理人员精神卫生知识知晓度及精神疾病态度的影响因素。结果共检出248人(37.07%)存在抑郁情绪,不同年龄(χ^(2)=16.110)、受教育程度(χ^(2)=18.949)、婚姻状况(χ^(2)=8.611)、职务(χ^(2)=11.584)者抑郁情绪检出率差异均有统计学意义(P<0.05或0.01)。基层行政管理人员精神卫生与心理保健知识问卷评分为(15.20±2.77)分,知晓率为75.99%,精神疾病有关态度问卷评分为36(31~38)分。抑郁情绪严重程度与精神卫生与心理保健知识问卷评分呈负相关(r=-0.379,P<0.01),与精神疾病有关态度问卷评分呈正相关(r=0.103,P=0.007)。回归分析显示,受教育程度(β=0.141,P<0.01)和抑郁情绪严重程度(β=-0.305,P<0.01)是精神卫生知识知晓度的影响因素,抑郁情绪严重程度(β=0.083,P=0.034)是精神疾病态度的影响因素。结论基层行政管理人员抑郁情绪检出率较高,并且抑郁情绪越严重,其精神卫生知识知晓度越低,对精神疾病的态度越正面。Objective To understand the relationship between depression and mental health literacy or the attitude towards mental illness among grassroots administrators,in order to provide a reference for further improving mental health services and building a psychosocial service system.Methods In October 2020,a total of 690 grassroots administrators from street offices in Licheng district of Ji'nan city were selected as the research subjects.Self-designed general situation questionnaire,mental health care knowledge questionnaire,mental illness related attitude questionnaire and Self-rating Depression Scale(SDS)were used to evaluate.Multi-factor linear stepwise regression analysis was used to explore the influencing factors of mental health literacy and attitude towards mental illness among the grassroots administrators.Results A total of 248 people(37.07%)were found to have depression.There were significant differences in the detection rate of depression among different ages(χ^(2)=16.110),education level(χ^(2)=18.949),marital status(χ^(2)=8.611)and position(χ^(2)=11.584)(P<0.05 or 0.01).In such personnel,the score of mental health care knowledge questionnaire was(15.20±2.77),the awareness rate was 75.99%,and the score of mental illness related attitude questionnaire was 36(31~38).The severity of depression was negatively correlated with the score of mental health care knowledge questionnaire(r=-0.379,P<0.01),and positively correlated with the scores of mental illness related attitude questionnaire(r=0.103,P=0.007).Regression analysis showed that the education level(β=0.141,P<0.01)and the severity of depression(β=-0.305,P<0.01)were the influencing factors of mental health literacy.And the severity of depression(β=0.083,P=0.034)was the influencing factor of the attitude towards mental illness.Conclusion Grassroots administrators has a high detection rate of depression.And the more depressed they are,the lower the mental health literacy,but the attitude of mental illness is more positive.

关 键 词：精神卫生知识 精神疾病态度 抑郁情绪 基层行政管理人员 

分 类 号：R749.4[医药卫生—神经病学与精神病学]