芦山地震后3月当地教师重型抑郁障碍时点患病率及高危因素

发布时间：2018-05-24 10:24

本文选题：重型抑郁障碍 + 教师　；参考：《四川大学学报(医学版)》2015年03期

【摘要】：目的识别芦山地震后早期当地教师重型抑郁障碍(MDD)的时点患病率及高危因素。方法采用前瞻性队列研究,分别于地震后14~20d及85~95d对雅安市宝兴县教师进行地震后社会心理状况及MDD的诊断性评估。前者采用自编调查表,后者采用简明国际神经精神访谈(MINI)中MDD模块。采用单因素与多因素logistic回归分析MDD的危险因素。结果共319例教师完成了2次评估。地震后3月MDD的时点患病率为4.70%(15/319)。多因素logistic回归分析显示,MDD的高危因素有直系亲属受伤(OR=6.26)、住房不能居住(OR=4.26)、地震后14~20d内情绪表现为容易伤感(OR=11.45)。地震后14~20d内情绪反应表现为担心(OR=0.14)是MDD的保护性因素。结论地震后教师的心理状态值得重视,应重点关注有直系亲属受伤、住房不能居住、地震后14~20d内容易伤感或缺乏担心情绪反应的教师。
[Abstract]:Objective to identify the time-point prevalence and high-risk factors of severe depressive disorder (MDD) in local teachers early after the Lushan earthquake. Methods prospective cohort study was used to evaluate the psychosocial status and MDD of teachers in Baoxing County, Ya'an City at 1420 and 8595 days after the earthquake, respectively. The former used self-made questionnaire and the latter used MDD module in brief international neuropsychiatric interview. Univariate and multivariate logistic regression analysis was used to analyze the risk factors of MDD. Results A total of 319 teachers completed two evaluations. The time point prevalence of MDD in March after the earthquake was 4.70 / 319g. The multivariate logistic regression analysis showed that the high risk factors of MDD were: direct relatives injured OR6.26, housing could not live in ORD 4.26, and the emotional performance within 14 to 20 days after the earthquake was easy to be sad. The emotional response within 14 ~ 20 days after the earthquake was a protective factor of MDD. Conclusion the psychological state of the teachers after the earthquake should be paid attention to, especially the teachers who are injured by their immediate relatives, who cannot live in their houses, and who are likely to be sad or lack of emotional response within 14 to 20 days after the earthquake.
【作者单位】：四川大学华西医院心理卫生中心;雅安市宝兴县教育局;雅安市宝兴县人民医院;
【基金】：四川大学地震灾后重建应急项目(No.2013SCU190)资助
【分类号】：R749.4

【参考文献】