武汉地区视力残疾人群的抑郁症状：一项流行病学调查.pdfVIP

• 306 • Shanghai Archives of Psychiatry, 2013, Vol. 25, No. 5 •Original article• Depressive symptoms among the visually disabled in Wuhan: an epidemiological survey Wenxue LI, Baoliang ZHONG*, Xiujun LIU, Xian’e HUANG, Xiaoyan DAI, Qiongfang HU, Huishi ZHANG, Hanming XU Background: There are no representative studies on the mental health status of persons with disabilities in China. Aim: Estimate the prevalence of depressive symptoms and identify the factors associated with depressive symptoms in a representative sample of individuals with serious visually disabilities in Wuhan, China. Methods: A multi-stage stratified cluster sampling method was used to identify 1200 visually disabled individuals from among the 22,000 persons with serious visual disabilities who were registered with the Wuhan Disabled Persons’ Federation. Identified individuals were administered the Center for Epidemiological Studies Depression Scale (CES-D) and the Revised Eysenck Personality Questionnaire-Short Scale for Chinese (EPQ-RSC) by trained interviewers. Results: The adjusted prevalence of mild, moderate and severe depressive symptoms among the 1003 individuals who successfully completed the survey were 8.8% (95% confidence interval [CI]=5.7-11.8%), 15.6% (CI=12.8-18.5%) and 16.0% (CI=13.7-18.3%), respectively. Factors significantly associated with more severe depressive symptoms in the multivariate logistic regression analysis (in order of importance) were emotional instability (OR=5.84, CI=4.19-8.14), introverted personality (OR=2.94, CI=2.10-4.12), having religious beliefs (OR=2.03, CI=1.06-3.90), being blind (versus those who were only visually impaired) (OR=1.52, CI=1.09-1.95), being unmarried (OR=1.51, CI=1.06-2.15), and ha