汶川地震3年后某重灾区干部焦虑抑郁状况及应对方式
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摘要
目的探讨汶川地震3年后某地震重灾区干部焦虑、抑郁状况及应对方式,为进一步心理干预提供实践指导。方法采用分层随机抽样方法,从四川某地震重灾区的党政机关干部(公务员)中按副科级及以上-副科级以下干部的7%等比例抽样,共1525名。采用焦虑自评量表、抑郁自评量表等对焦虑、抑郁状况进行横断面调查。结果①54.40%的干部认为自已存在心理问题,89.07%认为同事存在心理问题;②34.03%的干部SDS分≥53分、25.44%的干部SAS分≥50分,95%CI分别为31.67～36.44%、23.27～27.65%;③副科级以下、专科及以下文化的干部抑郁症状检出率分别高于副科级及以上、本科及以上文化者(36.95%vs.31.95%、38.08%vs.32.10%);④85.66%选择"自我调整"方式应对心理问题,84.32%的干部表示愿意接受专业心理疏导。结论①汶川地震3年后,重灾区干部仍存在相当的焦虑、抑郁问题,尤其以副科级以下和专科及以下文化者抑郁问题更明显,灾后心理服务应长期化;②灾后心理卫生服务工作既应关注心理问题本身,更应帮助树立正确的心理问题就医理念。
Objective In order to further provide practice guidance of psychological intervention,we investigated the cadre , s anxiety and depression status and coping styles in a severely afflicted areas of the Wenchuan earthquake after three years. Meth-ods Sampling 1525 cadres in Party and Government organs and public institutions ( public officer) from the Sichuan earthquake disaster by using stratified random sampling method. We used cross-sectional survey to investigate the mental health level by using Self-Rating Anxiety Scale and Self-Rating Depression Scale. Results ①54. 40% of the cadres thought themselves having psychological problems; 89. 07% of them thought their colleagues having psychological problems . ②The percentage of SDS≥53 was 34. 03% . The percentage of SAS≥50 was 25. 44% . The 95% confidence interval respectively was 31. 67% and 36. 44% ; 23. 27% and 27. 65% . ③The cadres who were below the vice section level or had the junior college education or below had a higher detection rate than the vice section level , s cadres or above ,and the bachelor degree,cadres or above about the depression level ( 36. 95% vs. 31. 95% and 38. 08% vs. 32. 10% ) . ④85. 66% of the cadres dealt with their psychological problem by self adjusting; 84. 32% of the cadres was willing to accept professional psychological counseling. Conclusion ①Psychological problems such as anxiety,depression were still existing. Especially in the cadres of vice section level and below the official position , specialist and below the level of education,the depression problem was more obvious,so we needed to provide continuing post-disaster psychological services. ②The results suggest that we should pay attention to the psychological problem and provide mental health services. Further we should set up a correct concept of medical treatment.
Objective In order to further provide practice guidance of psychological intervention,we investigated the cadre , s anxiety and depression status and coping styles in a severely afflicted areas of the Wenchuan earthquake after three years. Meth-ods Sampling 1525 cadres in Party and Government organs and public institutions ( public officer) from the Sichuan earthquake disaster by using stratified random sampling method. We used cross-sectional survey to investigate the mental health level by using Self-Rating Anxiety Scale and Self-Rating Depression Scale. Results ①54. 40% of the cadres thought themselves having psychological problems; 89. 07% of them thought their colleagues having psychological problems . ②The percentage of SDS≥53 was 34. 03% . The percentage of SAS≥50 was 25. 44% . The 95% confidence interval respectively was 31. 67% and 36. 44% ; 23. 27% and 27. 65% . ③The cadres who were below the vice section level or had the junior college education or below had a higher detection rate than the vice section level , s cadres or above ,and the bachelor degree,cadres or above about the depression level ( 36. 95% vs. 31. 95% and 38. 08% vs. 32. 10% ) . ④85. 66% of the cadres dealt with their psychological problem by self adjusting; 84. 32% of the cadres was willing to accept professional psychological counseling. Conclusion ①Psychological problems such as anxiety,depression were still existing. Especially in the cadres of vice section level and below the official position , specialist and below the level of education,the depression problem was more obvious,so we needed to provide continuing post-disaster psychological services. ②The results suggest that we should pay attention to the psychological problem and provide mental health services. Further we should set up a correct concept of medical treatment.
引文
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2张志强,蒋麒麟,张炳智,等.地震灾后一年半汉源县干部心理健康状况调查分析[J].中外健康文摘,2011,8(11):86～87.
3祝之明.代谢综合征病因探索与临床实践[M].北京:人民军医出版社,2005:32～39.
4刘瑶霞,陈树,陈平,等.汶川地震后2年重灾区群众焦虑、抑郁情绪调查[J].实用医院临床杂志,2012,9(5):103～105.
5景怀斌.中国人心理调节模式及其文化心理原因[J].社会心理研究,1999(4):1～4.
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