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

Prevalence and Risk Factors of Major Depression Disorders in Local Teachers Three Months after Lushan Earthquake

中文关键词:  重型抑郁障碍 教师 地震 危险因素

英文关键词:Major depression disorder Teacher Earthquake Risk factor

中文摘要:

      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14~20 d及85~95 d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14~20 d内情绪表现为容易伤感（OR=11.45）。地震后14~20 d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14~20 d内容易伤感或缺乏担心情绪反应的教师。

英文摘要:

      Objective To determine the prevalence and risk factors of major depression disorder (MDD） in local teachers at an early stage post Lushan earthquake. Methods A prospective cohort study was undertaken, with 319 local teachers receiving diagnostic MDD assessment using MINI 14-22 d and 85-95 d after the earthquake, respectively. Possible predictive factors were identified using a self-developed questionnaire. Univariate and multivariate logistic regression analyses were performed to determine the predictors of MDD. Results Fifteen (4.70%) local teachers were diagnosed with MDD. Those who had an injured direct relative 〔odds ratio (OR)=6.26)〕, with inhabitable house (OR=4.26), and felt easy to get sad 14-20 d weeks post earthquake (OR=11.45) were more likely to suffer from MDD than others. An anxious emotion 14-20 d post earthquake was a protective factor (OR=0.14) of MDD. Conclusion Post earthquake MDD in local teachers deserves concerns, especially for those who have injured relatives, with an inhabitable house, and who feel easy to get sad 14-20 d post earthquake.