焦虑与抑郁自评量表在残疾人心理状况调查中的应用

Application of Self-rating Anxiety and Depression Scale in the Survey of Mental Health Status of Disabled Person

目的:探讨社区残疾人心理健康状况调查与干预中Zung焦虑自评量表(SAS)与Zung抑郁自评量表(SDS)的应用价值。方法:随机纳入深圳市福田区残疾人联合会持证肢体残疾人160名作为研究对象,并将纳入的受检者随机分为对照组(n=80)与观察组(n=80)。所有受检者均应用Zung SAS与Zung SDS进行心理健康状况调查,对照组未进行干预,观察组针对性予以心理干预,对两组受检者持续随访6个月,比较首次调查与末期随访调查时两组受检者的心理状况变化。结果:首次调查显示,两组受检者SAS、SDS评分比较,差异无统计学意义(P> 0.05);但首次调查的SAS、SDS评分与全国常模评分相比均明显更高,差异具有统计学意义(P <0.05);末期随访显示,观察组受检者SAS、SDS评分比对照组明显更低,差异具有统计学意义(P <0.05);观察组受检者末期随访的家庭支持、周围人际关系比对照组受检者有更明显改善,差异具有统计学意义(P <0.05)。结论:社区残疾人心理健康状况调查中SAS与SDS的应用,能够明确其心理健康状态,在此基础予以综合心理干预能改变其负性情绪状态,同时提示残疾人家庭的支持,能促进其对周围人际关系的改善。

Objective To explore the application value of Zung self–rating anxiety scale(SAS) and Zung self–rating depression scale(SDS) in the investigation and intervention of mental health status of disabled people in the community. Methods A total of 160 persons with disabilities in the community were randomly included as subjects of this study. The subjects included in the disabled were randomly divided into the control group(n = 80) and the study group(n = 80). The Zung self–rating anxiety scale(SAS) and the Zung self-assessment depression scale(SDS) were used to investigate the mental health status of all disabled persons.The control group did not intervene. The study group targeted psychological intervention and disabled for the two groups. The patients were followed up for 6 months, and the psychological status of the disabled group was compared between the first survey and thefinal follow-up survey. Results The first survey showed that there was no significant difference in SAS and SDS scores between the two groups(P > 0.05). The SAS and SDS scores of the two groups were significantly higher than the national norm scores(P < 0.05). The final follow-up showed that the SAS and SDS scores of the study group were significantly lower than those of the control group(P < 0.05). The family support and surrounding interpersonal relationship of the study group were compared with those of the control group at the end of the follow-up period. Significant improvement(P < 0.05). Conclusion The application of the self–rating anxiety scale and the self–rating depression scale in the survey of mental health status of disabled people in the community can clarify their mental health status. On this basis, comprehensive psychological intervention can change their negative emotional state and suggest disability. The family supports and promotes the improvement of interpersonal relationships around them.