中国科学院心理健康重点实验室知识库

目的探讨事故灾难后民众创伤后应激障碍(PTSD)和抑郁状况及其影响因素。方法 2015年10—12月,采用整群取样的方法选取天津经济技术开发区21家企业的2 456名员工,运用PTSD平民版筛查问卷(PCL-C),简版流调中心抑郁量表(CES-D-10)和简版心理韧性量表(CD-RISC-10)进行调查。结果 PTSD、抑郁、二者共病检出率分别为20.09%、28.29%、14.36%,男性的PTSD检出率以及PTSD和抑郁的共病检出率明显高于女性(22.37%vs17.27%,χ~2=9.37,P 0.05)。logistic回归分析显示,影响PTSD、抑郁和二者共病的因素分别为身体受伤(OR=2.430,P <0.001)。结论身体受伤、爆炸造成严重损失是PTSD和抑郁的风险因素,而心理韧性是PTSD和抑郁的保护因素。

Objective To explore the prevalence and influencing factors of posttraumatic stress disorder (PTSD) and depression among enterprise employees after an accident disaster. Methods We conducted a self-administered questionnaire survey among 2 456 employees selected using cluster sampling from 21 enterprises in Tianjin city from October (about two months after an accident disaster) to December 2015. Post-Traumatic Stress Disorder Checklist-Civilian Version (PCL-C), Center Epidemiological Studies of Depression Short Form (CES-D-10), and Connor-Davidson Resilience Scale Short Form (CD-RISC-10) were adopted in the study. Results Among the employees, the overall prevalence rate of PTSD, depression, and PTSD-depression co-morbidity was 20.09%, 28.29%, and 14.36% respectively. Compared to the female employees, the male employees reported significantly higher prevalence rate of PTSD (22.37% vs. 17.27%, χ2 = 9.37, P < 0.01) and PTSDdepression co-morbidity (15.87% vs. 12.50%, χ2 = 5.33, P < 0.05); but no gender difference was observed in depression prevalence rate (χ2 = 1.12, P > 0.05). Logistic regression analysis revealed that impact factors for PTSD, depression and PTSD-depression co-morbidity were physically injured (for PTSD: odds ratio [OR]=2.430, P < 0.01; for depression: OR = 1.863, P < 0.05; for the co-morbidity: OR = 1.903, P < 0.05), heavy losses caused by the accident (OR = 1.343, P < 0.01; OR = 1.464, P < 0.001; OR = 1.513, P < 0.001), and mental resilience (OR = 0.335; OR = 0.274; OR = 0.275; all P < 0.001). Conclusion For the prevalence of PTSD and depression, physically injured and heavy losses caused by the accident are risk factors and the mental resilience is a protective factor among enterprise employees after the accident disaster.

中国科学院“率先行动”计划特色研究所项目(TSS-2015-06);中国科学院学部咨询评议项目(Y7CX134003)