CAJ | 학술논문

背景：在中国目前还缺乏针对残疾人的心理健康状况的代表性研究。 　　目的：在中国武汉具有代表性的严重视觉障碍的人群中，评估抑郁症状的发生率及其相关因素。 　　方法：采用多阶段分层整群抽样方法，从武汉市残疾人联合会注册的22000名严重视力残疾的人群中抽取1200例。训练有素的调查员使用流行病学研究中心抑郁量表(CES-D)及修订版艾森克人格问卷简式量表(EPQ-RSC)中文版对样本人群进行评估。 　　结果：成功完成调查的1003个人中轻度，中度和重度抑郁症状的校正患病率分别为8.8%(95%CI=5.7-11.8%)，15.6%(95%CI=12.8-18.5%)和16.0%(95%CI=13.7-18.3%)。多因素逻辑回归分析显示，与严重抑郁症状显著相关的因素有(按重要性顺序)情绪不稳定(OR=5.84，CI=4.19-8.14)，内向性格(OR=2.94，CI=2.10-4.12)，有宗教信仰(OR=2.03，CI=1.06-3.90)，失明(相对于那些仅有视力受损)(OR=1.52，CI=1.09-1.95)，未婚(OR=1.51，CI=1.06-2.15)，以及文化程度低(OR=1.49，CI=1.06-2.10)。 　　结论：武汉残联注册的所有视碍人员有超过三分之一存在显著临床意义的抑郁症状。这些人几乎没有接受治疗。针对有严重视觉障碍患者的服务，也包括对其他严重的身体或感官残疾患者的服务，应包括开展改善心理健康的活动，定期筛查心理问题，以及必要时对精神障碍进行专业的治疗。
배경：재중국목전환결핍침대잔질인적심리건강상황적대표성연구。 　　목적：재중국무한구유대표성적엄중시각장애적인군중，평고억욱증상적발생솔급기상관인소。 　　방법：채용다계단분층정군추양방법，종무한시잔질인연합회주책적22000명엄중시력잔질적인군중추취1200례。훈련유소적조사원사용류행병학연구중심억욱량표(CES-D)급수정판애삼극인격문권간식량표(EPQ-RSC)중문판대양본인군진행평고。 　　결과：성공완성조사적1003개인중경도，중도화중도억욱증상적교정환병솔분별위8.8%(95%CI=5.7-11.8%)，15.6%(95%CI=12.8-18.5%)화16.0%(95%CI=13.7-18.3%)。다인소라집회귀분석현시，여엄중억욱증상현저상관적인소유(안중요성순서)정서불은정(OR=5.84，CI=4.19-8.14)，내향성격(OR=2.94，CI=2.10-4.12)，유종교신앙(OR=2.03，CI=1.06-3.90)，실명(상대우나사부유시력수손)(OR=1.52，CI=1.09-1.95)，미혼(OR=1.51，CI=1.06-2.15)，이급문화정도저(OR=1.49，CI=1.06-2.10)。 　　결론：무한잔련주책적소유시애인원유초과삼분지일존재현저림상의의적억욱증상。저사인궤호몰유접수치료。침대유엄중시각장애환자적복무，야포괄대기타엄중적신체혹감관잔질환자적복무，응포괄개전개선심리건강적활동，정기사사심리문제，이급필요시대정신장애진행전업적치료。
Background:There are no representative studies on the mental health status of persons with disabilities in China. Aim:Estimate the prevalence of depressive symptoms and identify the factors associated with depressive symptoms in a representative sample of individuals with serious visually disabilities in Wuhan, China. Methods:A multi-stage stratified cluster sampling method was used to identify 1200 visually disabled individuals from among the 22,000 persons with serious visual disabilities who were registered with the Wuhan Disabled Persons’ Federation. Identified individuals were administered the Center for Epidemiological Studies Depression Scale (CES-D) and the Revised Eysenck Personality Questionnaire-Short Scale for Chinese (EPQ-RSC) by trained interviewers. Results:The adjusted prevalence of mild, moderate and severe depressive symptoms among the 1003 individuals who successfully completed the survey were 8.8%(95%confidence interval [CI]=5.7-11.8%), 15.6%(CI=12.8-18.5%) and 16.0%(CI=13.7-18.3%), respectively. Factors significantly associated with more severe depressive symptoms in the multivariate logistic regression analysis (in order of importance) were emotional instability (OR=5.84, CI=4.19-8.14), introverted personality (OR=2.94, CI=2.10-4.12), having religious beliefs (OR=2.03, CI=1.06-3.90), being blind (versus those who were only visually impaired) (OR=1.52, CI=1.09-1.95), being unmarried (OR=1.51, CI=1.06-2.15), and having less than 10 years of formal education (OR=1.49, CI=1.06-2.10). Conclusions:Over one-third of all individuals with visual disabilities registered with the Disabled Persons’ Federation in Wuhan have clinically significant depressive symptoms. Therefore, services for persons with serious visual disabilities-and for individuals with other types of serious physical or sensory disabilities-should include activities aimed at improving psychological wellbeing, periodic screening for psychological problems and, when needed, professional treatment for mental disorders.