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[在工业污染地区成长的儿童的母亲中的抑郁和焦虑]

[Depression and anxiety in mothers of children who grow up in an area with industrial pollution].

作者信息

Nika S, Ploumpidis D, Zervas J, Papadimitriou G N, Tzinieri-Kokkosi M

机构信息

1st Psychiatric Clinic, University of Athens, Athens, Greece.

出版信息

Psychiatriki. 2013 Apr-Jun;24(2):99-108.

Abstract

This study aimed to investigate the effects of chemical pollution with hexavalent chromium on the mental health of mothers with school/pre-school age children, residents of the area of the Asopos basin in Eastern Central Greece. The people of this area have been experiencing great threat regarding their health each and every day, as a result of the well-documented pollution by hexavalent chromium in drinking and ground-water, which is related to the widespread industrial activity, the usage of hexavalent chromium in various processes and the discharges of Cr-bearing wastes. The environmental impact of hexavalent chromium is a controversial issue critical to the protection of groundwater resources, as it affects the soil and the products from local cultivations used in daily food. This condition has been documented scientifically and was published in the mass media as a serious threat to human and animal life in the specific area. Although in Greece serious environmental-technological disasters have occurred during the last decades, there is a lack of studies on the possible consequences, including the psychological impact on the local population. The sample of this study included eighty-eight mothers of young children, residents of the area of Asopos, who were compared with eighty-eight mothers living in a non-polluted area - the area of Kiato in Northern Peloponnese, as a control group. They were assessed by the CES-D scale and the Spielberger State-Trait Anxiety Scale (STAI I-II), which have been standardized for the Greek population. Results indicated that depression and anxiety were significantly correlated with the place of residence [CES-D: t(169,496)=3.45, p=0.001; STAI I-II: A-state: t(174)=10,131, p=0.000; A-trait: t(174)=8,728, p=0.000]. Mothers from the Asopos basin reported more symptoms of depression (Mean=24,14, SD=11,345) than the control group (Mean=18,68, SD=9,625). Similarly, they have scored higher in both subscales of STAI I-II, measuring state and trait anxiety (A-state: Mean=49,66, SD=12,345; A-trait: Mean=46,76, SD=11,458) than the control group (A-state: Mean=32,24, SD=10,383; A-trait: Mean=32,32, SD=10,474). Regarding the anxiety as a personality trait (STAI-II), mothers in Asopos Area reported higher levels of stress that is likely to be associated with the long-term stressful situation of pollution. It could be assumed that mothers from Asopos Area scored higher in both anxiety scales, as a result of the environmental disaster that has been occurred in the area and the high risk that this poses to life. These results confirm relevant literature findings on depression and feelings of anger in regions that have suffered industrial or physical disasters, and suggest that fighting against chemical pollution in Asopos area also needs additional implementation with psychological support to mothers of children growing in the area. Up to date, no psychosocial support has been provided to the residents at the community level. Further research should be carried out in order to measure the impact of chemical pollution on the psychological well-being and health of all members of the local community.

摘要

本研究旨在调查六价铬化学污染对希腊中东部阿索波斯河流域地区有学龄/学龄前儿童的母亲心理健康的影响。由于饮用水和地下水中六价铬污染记录详实,该地区居民的健康每天都面临巨大威胁,这种污染与广泛的工业活动、六价铬在各种工艺中的使用以及含铬废物的排放有关。六价铬对环境的影响是一个关乎地下水资源保护的有争议的关键问题,因为它会影响土壤以及日常食物中使用的当地种植产品。这种情况已得到科学记录,并作为对该特定地区人类和动物生命的严重威胁在大众媒体上公布。尽管在过去几十年希腊发生了严重的环境技术灾难,但缺乏关于可能后果的研究,包括对当地居民的心理影响。本研究样本包括88名阿索波斯地区有幼儿的母亲,她们与88名居住在无污染地区(北伯罗奔尼撒半岛基亚托地区)的母亲进行比较,作为对照组。她们通过已针对希腊人群标准化的流调中心抑郁量表(CES - D)和斯皮尔伯格状态 - 特质焦虑量表(STAI I - II)进行评估。结果表明,抑郁和焦虑与居住地显著相关[CES - D:t(169,496)=3.45,p = 0.001;STAI I - II:A状态:t(174)=10,131,p = 0.000;A特质:t(174)=8,728,p = 0.000]。来自阿索波斯河流域的母亲报告的抑郁症状(均值 = 24.14,标准差 = 11.345)比对照组(均值 = 18.68,标准差 = 9.625)更多。同样,她们在STAI I - II测量状态和特质焦虑的两个子量表上的得分也高于对照组(A状态:均值 = 49.66,标准差 = 12.345;A特质:均值 = 46.76,标准差 = 11.458)(A状态:均值 = 32.24,标准差 = 10.383;A特质:均值 = 32.32,标准差 = 10.474)。关于作为人格特质的焦虑(STAI - II),阿索波斯地区的母亲报告的压力水平更高,这可能与长期的污染压力状况有关。可以假设,由于该地区发生的环境灾难以及这对生命构成的高风险,来自阿索波斯地区的母亲在两个焦虑量表上得分更高。这些结果证实了相关文献中关于在遭受工业或自然灾难地区的抑郁和愤怒情绪的研究发现,并表明在阿索波斯地区对抗化学污染还需要额外为该地区成长中孩子的母亲提供心理支持。到目前为止,尚未在社区层面为居民提供心理社会支持。应开展进一步研究,以衡量化学污染对当地社区所有成员心理健康和健康的影响。

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