He W J, Xia J H, Lv X, Li L M
Guangdong Woman and Child Hospital, Guangzhou, 511400, China.
Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi. 2018 Feb 20;36(2):122-125. doi: 10.3760/cma.j.issn.1001-9391.2018.02.011.
To investigate the current status of depression and anxiety among female staff in a maternal and child health hospital, and to provide a basis for developing related prevention and intervention measures and promoting the mental health of female staff. The female staff from a provincial maternal and child health hospital completed a psycho-health questionnaire survey on Internet from June to October, 2016. The questionnaires used in the survey consisted of Patient Health Questionnaire (PHQ-9) , Generalized Anxiety Disorder Scale (GAD-7) , and Symptom Checklist-90 (SCL-90) . The distribution features of mental health problems such as depression and anxiety were analyzed according to the of the questionnaire survey. Results Of all female staff surveyed, 42.04% showed depression symptoms, 28.90% showed anxiety symptoms, and 26.12% showed comorbid symptoms of depression and anxiety. Moderate or severe depression (anxiety) was mainly distributed among the female staff with comorbid symptoms (90.63% and 97.01%, respectively) . There were significant differences in the distribution of moderate or severe anxiety symptoms between the medical staff and nursing staff (χ(2)= 5.81, =0.05) and between those with intermediate and junior professional titles (χ(2)=7.99, =0.018) . As for SCL-90 results, the total score, total average score, and scores on factors of somatization, compulsion, interpersonal sensitivity, depression, and anxiety in the female staff with comorbid symptoms, moderate or severe depression, and moderate or severe anxiety were significantly higher than the national norm (<0.01) , while the scores on paranoid and psychotic factors were significantly lower than the national norm (<0.01) . The numbers of cases of positive factors were significantly higher in the female staff with comorbid symptoms than in the female staff with a single symptom and asymptomatic female staff (both <0.01) , and positive cases were mainly distributed in depression, interpersonal sensitivity, compulsion, anxiety, and somatic factors. The prevalence of depression and anxiety is high among female staff in the maternal and child health hospital, mainly characterized by comorbid symptoms of moderate or severe depression and anxiety. Comorbidity is accompanied by mental health problems such as interpersonal sensitivity, obsessive compulsion, and physical discomfort. Corresponding measures are needed for the prevention and intervention of mental health problems among female staff in the maternal and child health hospital.
为了解妇幼保健院女性职工抑郁、焦虑现状，为制定相关预防干预措施、促进女性职工心理健康提供依据。选取某省级妇幼保健院女性职工，于2016年6月至10月通过网络完成心理健康问卷调查。调查所用问卷包括患者健康问卷（PHQ - 9）、广泛性焦虑障碍量表（GAD - 7）和症状自评量表（SCL - 90）。根据问卷调查结果分析抑郁、焦虑等心理健康问题的分布特征。结果在所有被调查的女性职工中，42.04%有抑郁症状，28.90%有焦虑症状，26.12%有抑郁和焦虑共病症状。中度或重度抑郁（焦虑）主要分布在有共病症状的女性职工中（分别为90.63%和97.01%）。医护人员与护理人员之间、中级职称与初级职称人员之间中度或重度焦虑症状分布存在显著差异（χ(2)= 5.81，P =0.05）和（χ(2)=7.99，P =0.018）。SCL - 90结果显示，有共病症状、中度或重度抑郁、中度或重度焦虑的女性职工总分、总均分及躯体化、强迫、人际敏感、抑郁、焦虑因子分均显著高于全国常模（P<0.01），而偏执、精神病性因子分显著低于全国常模（P<0.01）。共病症状女性职工阳性因子病例数显著高于单一症状女性职工和无症状女性职工（均P<0.01），阳性病例主要分布在抑郁、人际敏感、强迫、焦虑和躯体因子。妇幼保健院女性职工抑郁、焦虑患病率较高，主要表现为中度或重度抑郁与焦虑共病症状。共病伴随人际敏感、强迫、躯体不适等心理健康问题。妇幼保健院女性职工心理健康问题需采取相应预防干预措施。
