5.12地震后5年农村老年人心理健康状况及社会支持研究

Wang Fenfen, Zeng Maochun, Li Pengsen, Xiong Ruicai
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目的:了解5.12地震灾害后农村老年人口心理健康状况和社会支持状况及其对心理健康状况的影响。方法:采用随机问卷、自制人口统计量表、症状自评量表(SCL-90)和社会支持量表对彭州山区(龙门山镇、慈峰镇、小玉洞镇、同济镇、白路镇、新兴镇)6个镇195名农村老年人进行调查。结果:(1)农村老年人社会支持状况良好,但心理健康水平显著低于全国常值(p<0.001),心理症状患病率为6.16%(12/195)。(2)社会支持总分和主观支持总分与心理健康抑郁因素呈负相关(r主观支持= -0.167 p<0.05, r社会支持总分= -0.168 p<0.05),主观支持对抑郁有预测作用(β=-0.086, p<0.05)。结论:地震后5年农村老年人的心理健康检出率虽不高,但scl-90各维度得分均显著低于常值,良好的社会支持会缓解心理健康问题。
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Research of Mental Health Status of the Rural Elderly and the Social Support Five Years after 5.12 Earthquake
Objective: To understand the mental health status and social support status of the elderly population in rural areas after 5.12 earthquake disaster and its influence on mental health status. Methods: 195 rural elderly in Pengzhou mountainous areas (Longmen mountain town, Ci feng town, Xiao yudong town, Tongji town, Bailu town, Xinxing town) 6 towns were investigated by random questionnaire, self-made demographic scale, Symptom self-rating Scale (SCL-90) and Social Support scale. Results: (1) The social support status of the rural elderly was good, but the mental health levels were significantly lower than the national norm (p<0.001), and the prevalence of psychological symptoms was 6.16% (12/195). (2) The total score of social support and scores of subjective support were negatively correlated with the depression factors of mental health (r subjective support = -0.167 p<0.05, r social support total mark = -0.168 p<0.05), and the subjective support had a predictive effect on depression (β=-0.086, p<0.05). Conclusion: Although the detection rate of mental health of rural elderly in the five years after the earthquake is not high, the score of all dimensions of scl-90 is significantly lower than the norm, and the good social support will alleviate mental health problems.
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