创伤经历对社区居民惊恐发作、抑郁及焦虑症状的影响  

Impacts of traumatic experiences on panic attack,depression and anxiety symptoms among community residents

作　　者：胡书章 王雪仪 孙钰 刘肇瑞[4] 慕福芹 刘燕 黄悦勤[4] 刘宁 HU Shuzhang;WANG Xueyi;SUN Yu;LIU Zhaorui;MU Fuqin;LIU Yan;HUANG Yueqin;LIU Ning(School of Public Health,Shandong First Medical University and Shandong Academy of Medical Sciences,Jinan 250117,China;School of Public Health,Jining Medical University,Jining 272013,Shandong Province,China;School of Public Health,Shandong Second Medical University,Weifang 261053,Shandong Province,China;Peking University Sixth Hospital,Peking University Institute of Mental Health,NHC Key Laboratory of Mental Health(Peking University),National Clinical Research Center for Mental Disorders(Peking University Sixth Hospital),Beijing 100083,China;School of Mental Health,Jining Medical University,Jining 272013,Shandong Province,China;School of Basic Medicine,Jining Medical University,Jining 272067,Shandong Province,China)

机构地区：[1]山东第一医科大学(山东省医学科学院)公共卫生与健康管理学院,济南250117 [2]济宁医学院公共卫生学院,山东济宁272013 [3]山东第二医科大学公共卫生学院,山东潍坊261053 [4]北京大学第六医院,北京大学精神卫生研究所,国家卫生健康委员会精神卫生学重点实验室(北京大学),国家精神心理疾病临床医学研究中心(北京大学第六医院),北京100083 [5]济宁医学院精神卫生学院,山东济宁272013 [6]济宁医学院基础医学院,济宁272067

出　　处：《中国心理卫生杂志》2025年第3期239-243,共5页Chinese Mental Health Journal

基　　金：泰山学者青年专家人才项目(tsqn201909145)。

摘　　要：目的:探讨经历创伤事件对社区居民惊恐发作、抑郁及焦虑症状的影响。方法:方便取样招募11280名社区居民进行现况调查,采用复合性国际诊断交谈表3.0版、患者健康问卷、广泛性焦虑量表及一般信息调查表进行面访收集信息,以倾向性得分匹配后纳入5184名社区居民进行分析。使用logistic回归分析创伤事件对社区居民惊恐发作、抑郁症状以及焦虑症状的影响。结果:经历创伤事件的社区居民易出现惊恐发作(OR=3.26,95%CI:2.26~4.70)、抑郁症状(OR=1.92,95%CI:1.56~2.37)以及焦虑症状(OR=1.57,95%CI:1.24~1.99)。结论:创伤事件广泛影响社区居民的心理健康,为经历创伤事件的居民提供及时的心理支持及早期干预,是预防社区居民心理问题的重要内容。Objective:To investigate the impact of traumatic experiences on panic attack,depression and anxiety symptoms among community residents.Methods:Totally 11280 community residents were recruited.The Composite International Diagnostic Interview-3.0,Patient Health Questionnaire,7-item Generalized Anxiety Disorder Scale and general information questionnaire were used for face-to-face interview to collect information.Propensity Score Matching was conducted to match 5184 community residents for analysis.Logistic regression was employed to analyze the impact of traumatic events on panic attack,depressive symptoms,and anxiety symptoms among the study sample.Results:Traumatic events were associated with a higher likelihood of experiencing panic attack(OR=3.26,95%CI:2.26-4.70),depression symptoms(OR=1.92,95%CI:1.56-2.37)and anxiety symptoms(OR=1.57,95%CI:1.24-1.99).Conclusion:Traumatic events extensively impact the mental health of community residents.Timely psychological support and early intervention are essential to prevent mental health issues in community residents affected by trauma.

关 键 词：社区居民 创伤事件 惊恐发作 抑郁症状 焦虑症状 

分 类 号：R749.41[医药卫生—神经病学与精神病学]