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汶川震后14个月极重灾区县基层医务人员的心理健康状况

谢永标林红程文红贾福军党卫民马弘马宁何呜梁光明向虎吴霞民管丽丽王瑞儒

中国心理卫生杂志2011，Vol.25Issue(11)：819-823,5.

中国心理卫生杂志2011，Vol.25Issue(11)：819-823,5.DOI:10.3969/j.issn.1000-6729.2011.11.005

汶川震后14个月极重灾区县基层医务人员的心理健康状况

Psychological health situation of basic medical personnel in severe disaster-stricken areas at 14 months after Wenchun Earthquake

谢永标 ¹林红 ²程文红 ³贾福军 ¹党卫民 ²马弘 ²马宁 ²何呜 ⁴梁光明 ⁵向虎 ⁶吴霞民 ²管丽丽 ²王瑞儒⁷

作者信息

1. 广东省人民医院广东省精神卫生研究所,广州510120
2. 北京大学精神卫生研究所(第六医院)卫生部精神卫生学重点实验室(北京大学),北京100191
3. 上海交通大学医学院附属精神卫生中心,上海200030
4. 杭州第七人民医院,杭州310013
5. 沈阳精神卫生中心,沈阳110168
6. 四川省精神卫生中心,四川绵阳621000
7. 北京大学第三医院,北京100191
折叠

摘要

Abstract

Objective: To explore the psychological health situation and related factors of basic medical personnel in 6 severe disaster-stricken areas at 14 months after Wenchun Earthquake. Methods: A two-step evaluation was undertaken in the enrolled basic medical personnel. Firstly, all subjects were screened with the Self-Report Questionnaire (SRQ20) and 7-symptom Screening Scale for Post Traumatic Stress Disorder (PTSD7). Secondly, the subjects with SRQ20 scores ≥ 10 or PTSD7 scores ≥4 were assessed with the Mini-International Neuropsychi-atric Interview (MINI) for making diagnoses of depression, suicide and PTSD. Results: Totally 307 subjects finished the evaluation. Eighty-one people (26.4%) had scores of SRQ20≥10 or PTSD7 ≥4. Seven people (2. 3%) met the diagnosis of current depression, 7 people (2. 3%) met the diagnosis of PTSD, and 3 people met both. Ten people (3.3%) had suicide attempt In those with SRQ20 scores ≥10 or PTSD7 scores ≥4, there were no gender and age differences in rates of current depression, PTSD and suicide attempt The rates of diagnosed PTSD were different in different locations with the highest rate of 40% in Beichuan. Logistic regression analysis showed that frequent residence change was a risk factor of mental distress (OR = 1.24). Conclusion: The basic medical personnel in 6 severe disaster-stricken areas still show obvious mental distress at 14 months after the earthquake, some even have suicide attempt and symptoms of depression and PTSD. Frequent residence change might accelerate the occurrence of the mental distress and aggravate the symptoms.

关键词

地震/心理健康状况/医务人员/抑郁/自杀倾向/创伤后应激障碍

Key words

earthquake/ psychological health situation/ medical personnel/ depression/ suicide attempt/ post traumatic stress disorder

分类

医药卫生

引用本文复制引用

谢永标,林红,程文红,贾福军,党卫民,马弘,马宁,何呜,梁光明,向虎,吴霞民,管丽丽,王瑞儒..汶川震后14个月极重灾区县基层医务人员的心理健康状况[J].中国心理卫生杂志,2011,25(11):819-823,5.

基金项目

广东省科技厅科技计划项目(2010B031900032) （2010B031900032）

中国心理卫生杂志

OA北大核心CHSSCDCSCDCSSCICSTPCD

ISSN：1000-6729

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