高原军人抑郁症状流行病学特征

目的 对高原军人进行抑郁症状的流行病学特征的调查研究.方法 采用流调中心抑郁自评量表(CES-D)中国修订版,整群抽取某部高原军人进行问卷调查,获得有效样本4 631例.数据采用SPSS 23统计软件进行录入与处理,用t检验和x2检验进行显著性检验.结果 ①高原军人抑郁发生率为31.6％ (95％CI=30.2 ～33.0),其中,轻、中、重度抑郁发生率分别为11.3％(95％ CI=10.4 ～12.2)、11.4％(95％ CI=10.5 ～ 12.3)、8.8％ (95％ CI=8.0 ～9.6).②高原军人的抑郁总分未发现性别差异(P＞0.05).③士官的抑郁总分显著高于列兵(P＜0.05).④驻地海拔越高,高原军人抑郁水平越高(P ＜0.05,P＜0.01).⑤单亲家庭出身的高原军人的抑郁水平高于双亲家庭出身者(P＜0.01).⑥年龄30岁及以上的高原军人在抑郁总分和各因子的得分上都显著高于30岁以下者(P＜0.01),而30岁以下的各年龄组之间差异无统计学意义(P＞0.05).⑦军龄13年及以上的高原军人的抑郁水平高于军龄不足13年者(P＜0.01).⑧抑郁水平与海拔高度、年龄、军龄显著相关(P＜0.01),与原生家庭结构相关(P＜0.05).结论 高原军人具有较高的抑郁发生率和抑郁水平,其CES-D评分与年龄、军龄、职别、原生家庭类型、海拔有关.

Epidemiological characteristics of depression in military personnel stationed on plateau

Objective To explore the epidemiological characteristics of depression in military personnel stationed on plateau.Methods Chinese version of Epidemiological Studies Depression Scale (CES-D) was employed to survey the status of depression in a troop stationed on the plateau.Cluster sampling was used to subject 4 631 eligible participants in this study.By using IBM SPSS Statistics 23 for windows,data analysis was conducted with Chi-square test and student's t test.Results ①The prevalence rate of depression was 31.6％ (95％ CI =30.2 ～ 33.0) in the participants.And the prevalence rate of mild depression was 11.3％ (95％ CI =10.4 ～ 12.2),of moderate depression was 11.4％ (95％ CI =10.5 ～12.3),and of major depression was 8.8％ (95％ CI =8.0 ～9.6).②There was no significant difference in the total score of depression between genders (P ＞ 0.05).③ The total score of depression was obviously higher in the sergeants than the soldiers (P ＜ 0.05).④The severity of depression was associated with the attitude level they stationed (P ＜ 0.05,P ＜ 0.01).⑤ The military personnel brought up in single-parent family had higher score in depression than those in double-parent family (P ＜ 0.01).⑥ The participants over 30 years old had notably higher total score of depression and score of factors when compared with those younger than 30 (P ＜ 0.01).But no such difference was observed in the different age groups younger than 30 years old (P ＞0.05).⑦ The severity of depression was severer in those having served over 13 years than those with shorter service length (P ＜ 0.01).⑧ The severity of depression was associated with altitude level,age and length of military service (P ＜ 0.01),as well as correlated with their original family structure (P ＜ 0.05).Gonclusion The morbidity and severity of depression is quite high in the military personnel stationed on plateau,and the CED-S scores are related with age,service length,altitude level and original family structure.