汶川地震3年后某重灾区干部焦虑抑郁状况及应对方式

The cadre's anxiety and depression status and coping styles in a severely afflicted area of the Wenchuan earthquake after three years

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. Methods 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.