Sparrenberger Felipe, dos Santos Iná, Lima Rosângela da Costa
Departamento de Medicina, Universidade Regional de Blumenau, Blumenau, SC, Brasil.
Cad Saude Publica. 2004 Jan-Feb;20(1):249-58. doi: 10.1590/s0102-311x2004000100042. Epub 2004 Mar 8.
A cross-sectional study was conducted in 1999 to investigate the association between stressful psychosocial events and psychological distress. A Faces Scale was used to measure the outcome. Death and illness in the family, divorce, robbery, injury, migration, and loss of employment in the previous year were investigated through interviews with 3,942 individuals over 20 years. Logistic regression followed a hierarchical model using socio-demographic characteristics at the first level; psychosocial events at the second; and psychological distress at the third. Injury and migration were not associated with the outcome. The strongest effect was associated with divorce (adjusted OR=2.34). The highest population-attributable risks were from socioeconomic variables (education 38.2%; family income, 32.3%) and the occurrence of at least one event (36.4%). Public policies aimed at ameliorating adverse social factors such as loss of employment and crime, as well as social support to help individuals manage stressful life events are likely to improve psychological well-being.
1999年开展了一项横断面研究，以调查心理社会应激事件与心理困扰之间的关联。采用面部表情量表来衡量研究结果。通过对3942名20岁以上的个体进行访谈，调查了前一年家庭中的死亡和疾病、离婚、抢劫、受伤、迁移以及失业情况。逻辑回归遵循分层模型，第一层使用社会人口学特征；第二层使用心理社会事件；第三层使用心理困扰。受伤和迁移与研究结果无关。最强的影响与离婚有关（调整后的比值比=2.34）。最高的人群归因风险来自社会经济变量（教育程度为38.2%；家庭收入为32.3%）以及至少发生一次事件（36.4%）。旨在改善诸如失业和犯罪等不利社会因素的公共政策，以及帮助个人应对应激性生活事件的社会支持，可能会改善心理健康。
