成都、德阳地区地震8个月后老年人抑郁状况及其相关因素

Depression status and related factors of elderly victims in Chengdu and Deyang 8 monthsafter the Wenchuan earthquake

目的:评估汶川地震8个月后,成都、德阳灾区老年人的抑郁状况及其相关因素。方法:按照方便取样原则,利用自编地震后受灾群众基本情况调查表、流调中心抑郁量表调查了成都、德阳两地390名受灾老年人。结果:9.8%的老年人有疑似抑郁症状,30.3%的老年人有抑郁症状。两地老年人的抑郁状况受性别、教育程度、居住地、职业以及地震期间经历的影响。Logistic回归分析表明,与男性、初中教育程度、以前无可怕经历、地震中害怕/无助/恐怖的感觉不强烈的老年人相比,女性(OR=2.03)、小学以下教育程度(OR=2.59)、以前有可怕经历(OR=2.06)、地震中害怕/无助/恐怖的感觉强烈(OR=1.59)的老年人的抑郁状况更严重。结论:成都、德阳地区老年人,在地震8个月后的抑郁状况仍然比较严重。灾后心理干预要特别关注女性、教育程度低、仍从事农业劳动、受灾较重老年人的抑郁状况。

Objective： To explore the depression status of the elderly experienced the Wenchuan earthquake and to know the related factors. Methods： Using the convenient sampling method, 390 elderly living in Chengdu and Deyang City were included in this investigation. Demographic data was recorded and the Center for Epidemiologic Studies Depression （CES-D） was applied individually. Results： In this sample, 9. 8% of the elderly had suspected depression symptom and 30. 3% had depression symptom Depression status was related to sex, education, habitual residence, occupation and experiences in earthquake. Compared with the elderly who were males, with middle school education degree, without horrible experiences in the past, with less fearful/helpless/horrible feelings in earthquake, the elderly who were females （ OR = 2. 03 ） , with education degree below primary school （ OR = 2. 59 ）, with horrible experiences in the past （ OR = 2. 06 ）, and with strong fearful/helpless/horrible feeling in earthquake （ OR = 1.59 ）, had more serious depression. Conclusion： After 8 months of Wenchuan earthquake, local elderly victims are still in severe depression. The elderly who are female, with low education level, engaged in farm work, suffered great loss should be paid special attention.