摘要
目的研究退伍军人心理健康状况及其影响因素。方法应用Hamilton抑郁量表 (HAMD)和焦虑量表 (HAMA) ,对 176名退伍军人的抑郁及焦虑状况进行调查 ,再根据他们的居住地、年龄、文化程度、是否参加过战争、有无伤残及伤残等级的不同 ,将他们分为城镇组和农村组、老年组和中青年组、文盲组和非文盲组、参加战争组和未参加战争组、有伤残组和无伤残组、中轻度伤残组和重度伤残组 ,对他们的HAMD和HAMA评分进行组间比较。结果 176名伤残退伍军人有抑郁症状者 110人 ( 6 2 .4% ) ,有焦虑症状者 10 2人 ( 5 7.9% ) ,其抑郁及焦虑症状发生率及HAMD和HAMA评分明显高于全国常模(P <0 .0 1) ,城镇组与农村组、中青年组与老年组、文盲组与非文盲组、参加战争组与未参加战争组、有伤残组与无伤残组、重度伤残组与中轻度伤残组比较差异均有非常显著性 (P <0 .0 0 1)。结论特殊经历如战争、创伤等可能是导致伤残退伍军人产生抑郁和焦虑症状的重要原因 ,而他们所处的社会环境、年龄、文化程度、伤残程度。
ObjectiveTo study the mental health status of veterans and its influencing factors.MethodsThe mental status of depression and anxiety in 176 veterans was investigated by Hamilton depression scale (HAMD) and Hamilton anxiety scale (HAMA). According to their residency, age, education degree, war experience, disablement and disabled class, 176 veterans were divided into rural group and town group ; youth-adult group and aged group; illiterate group and literate group; war-experienced group and no war-experienced group; disabled group and non-disabled group; slightly disabled group and severely disabled group. HAMD and HAMA scores were compared among these groups. Results110 of 176 veterans had symptom of depression (62.4%), 102 veterans showed symptoms of anxiety (57.9%). Their incidences of two kind of symptoms as well as HAMD and HAMA scores were significantly higher than those of normal Chinese (P<0.01) .Highly significant differences also existed between the scores of rural group , youth-adult group, illiterate group, war-experienced group, disabled group, slightly disabled group and their counterpart groups (P<0.001). ConclusionsSpecial experiences (such as war-experience and battle wounds) are possibly the crucial causes which lead to the symptom of depression and anxiety in veterans, whereas age, education degree, disabled classe, duration of disablement and social environment are important factors influencing their status of mental health.
出处
《湖南医学》
2001年第6期408-410,共3页
Hunan Medical Journal
