东莞市医务人员与社区居民抑郁、焦虑症状的网络分析比较[ ]

A comparative study of depressive and anxiety symptom between medical staff and community residents based on network analysis in Dongguan

中文关键词:  职业心理健康  医务人员  抑郁  焦虑  网络分析

英文关键词:Occupational mental health  Medical staff  depressive symptom  anxiety  network analysis

中文摘要:

      目的:基于网络分析的视角比较东莞市医务人员与社区居民抑郁－焦虑的症状网络差异，为针对性地制定职业人群心理健康干预措施提供参考。方法:采用随机抽样法选取东莞市9个镇街的村居委、公立医院、社区卫生服务中心进行调查，调查问卷的内容包括一般情况调查表、GAD-7量表中文版、PHQ-9量表中文版，调查共收集有效问卷3902例，其中医务人员1792例，社区居民2110例，运用R qgraph 包进行网络模型构建。结果:（1）医务人员中/重度抑郁（21.54% vs 7.77%）、焦虑（12.22% vs 4.31%）检出率均高于社区居民(P<0.001)；（2）网络分析结果显示，医务人员的核心症状群为“无法控制的担忧”“原动力”和“难以放松”，社区居民的核心症状群表现为“无法控制的担忧”“难以放松”“内疚”“悲伤情绪”；（3）二者在网络结构（M=0.28，p=0.01），整体连接强度（医务人员=7.52，社区居民=7.95，S=0.43，p=0.01）有显著差异。结论:相对社区居民，医务人员的抑郁－焦虑症状网络更为集中，提示针对不同人群抑郁、焦虑需要针对性的干预措施。

英文摘要:

      Objective To explore the network characteristics of depressive and anxiety symptoms among medical staff and community residents in Dongguan City. Methods A cross-sectional survey was conducted among community residents, staff at public hospitals, and community health service centers in 9 towns selected by random sampling method. The questionnaire included general socio-demographical information and the GAD-7 and PHQ-9 scales. A total of 3 902 valid questionnaires were collected, including 1 792 medical staff and 2 110 community residents. The network model was constructed and analyzed by R qgraph package. Results (1) The detection rates of moderate and severe depression (21.54% vs 7.77%) and anxiety (12.22% vs 4.31%) were higher in medical staff than in community residents. (2) The core symptoms among medical staff were "uncontrollable worry","motivation" and "difficulty relaxing"; while "uncontrollable worry", "difficulty relaxing", "guilt" and "sadness" were the core symptoms among community residents; (3) There were significant differences in the network structure（M=0.28，p=0.01）, connection strength (S=0.43，p=0.01) between medical staff and the community residents. Conclusion The depression anxiety symptom network of medical staff is more concentrated than community residents, suggesting specific interventions in need when providing mental health services for different consumers in clinical practice.