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青年农民和牧场主的抑郁、焦虑和压力:一项初步研究。

Depression, Anxiety and Stress Among Young Farmers and Ranchers: A Pilot Study.

机构信息

Department of Agricultural and Biological Engineering, University of Illinois, 1304 W. Pennsylvania Avenue, Urbana, IL, 61801, USA.

Marshfield Clinic Research Institute, Marshfield, WI, USA.

出版信息

Community Ment Health J. 2020 Jan;56(1):126-134. doi: 10.1007/s10597-019-00480-y. Epub 2019 Oct 3.

Abstract

Agriculture has been identified as a stressful industry and there is evidence that chronic stress may contribute to the development or progression of mental health disorders, specifically anxiety and depression. Young adult farmers and ranchers may be at increased risk of mental health disorders when compared to more experienced counterparts due to additional stressors. The objectives of this study were to identify the occupational stressors of young adult farmers and ranchers in the Midwest and estimate the prevalence of anxiety and depression among this population. An online survey consisting of reliable and valid instruments was used to identify the sources of stress and prevalence of anxiety and depression among the young farming and ranching population. The survey included items related to stress, anxiety, depression, general health, and farm/personal demographics. A total of 170 young farmers and ranchers responded to the survey. The mean age of the sample was 28.9 (SD 4.4) years. Approximately 71% of respondents met the criteria for Generalized Anxiety Disorder (GAD-7 score ≥ 5) and 53% met the criteria for Major Depressive Disorder (PHQ-9 score ≥ 5). Of seven presented stress domains, personal finances and time pressures were the sources of greatest concern. Personal finances, time pressures, economic conditions, and employee relations were associated with anxiety and depression. The burden of depression and anxiety is high among young adult farmers and ranchers. Stressors commonly affiliated with farming and ranching are associated with anxiety and depression. Additional research should further explore the burden of mental health disorders among the population and examine protective factors for mental illness and opportunities for interventions.

摘要

农业已被确定为一个充满压力的行业,有证据表明,慢性压力可能导致心理健康障碍(尤其是焦虑和抑郁)的发展或恶化。与经验更丰富的同行相比,年轻的农民和牧场主可能面临更高的心理健康障碍风险,因为他们面临更多的压力源。本研究的目的是确定中西部年轻农民和牧场主的职业压力源,并估计该人群中焦虑和抑郁的患病率。采用包含可靠和有效的工具的在线调查来确定年轻农业和畜牧业人口的压力源以及焦虑和抑郁的患病率。该调查包括与压力、焦虑、抑郁、一般健康和农场/个人人口统计数据相关的项目。共有 170 名年轻的农民和牧场主对调查做出了回应。样本的平均年龄为 28.9(SD 4.4)岁。大约 71%的受访者符合广泛性焦虑障碍(GAD-7 评分≥5)的标准,53%符合重度抑郁症(PHQ-9 评分≥5)的标准。在七个呈现的压力领域中,个人财务和时间压力是最令人担忧的来源。个人财务、时间压力、经济状况和员工关系与焦虑和抑郁有关。年轻的成年农民和牧场主中抑郁和焦虑的负担很高。与农业和畜牧业相关的压力源与焦虑和抑郁有关。应进一步开展更多的研究,以探讨该人群中心理健康障碍的负担,并研究精神疾病的保护因素和干预机会。

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