目的:调查武汉地区肢体残疾(肢残)人群抑郁症状的检出率及相关因素.方法:采用多阶段分层随机整群抽样方法抽取武汉地区残疾人注册系统的1467位肢残者,用自编问卷调查社会人口学特征,用流调中心用抑郁量表( CES-D)评估抑郁症状,用艾森克人格问卷简式量表中国版(EPQ-RSC)评估人格特征.结果:根据CES-D评分,样本中有、肯定有和有严重抑郁症状的检出率分别为36.9％、29.2％和14.0％.肢残者抑郁症状的危险因素为目前无工作(OR=1.34),有宗教信仰(0R=1.66),自评家庭收入低(OR=1.87),肢残等级为一级和二级(OR=1.48),EPQ-RSC精神质因子分＞3分(OR=1.33)和神经质因子分＞5分(OR=4.13)；保护因素为女性(OR =0.73)和外向因子分＞7分(OR=0.40).结论:武汉地区肢残人群抑郁症状检出率较高；无业、有宗教信仰、经济条件差、肢残等级重和内倾、情绪不稳、精神质分高的人格特征可能增加了肢残者抑郁症状的发生风险.%Objective: To investigate the prevalence and related factors of depressive symptoms in physically disabled persons in Wuhan. Methods: By using multi-stage stratified random cluster sampling method, 1467 physically disabled persons who were registered in the Disabled People's Registration System were selected. They were administered with a self-designed questionnaire for socio-demographic information, and the Center for Epidemiolog-ical Studies Depression Scale (CES-D) for depressive symptoms, the Revised Eysenck Personality Questionnaire-Short Scale for Chinese (EPQ-RSC) for personality traits. Results: The rates for depression, mild depression and major depression were 36. 9%, 29. 2% and 14. 0%, respectively. The risk factors for depression were unemployment (OR = 1. 34), with religious belief (OR = 1. 66), low self-rating family income (OR = 1. 87), first and second degree of disability (OR = 1. 48), EPQ-RSC psychoticism score of > 3 (OR = 1.33) and neuroticism score of > 5 (OR = 4. 13). The protective factors included female (OR = 0. 73) and extra-introversion score of > 7 (OR = 0. 40). Conclusion: There are high prevalence rates of depressive symptoms in physically disabled persons in Wuhan. Unemployment, religious belief, worse economic condition, higher degree of disability and personality traits of introversion, emotionally unstable and psychoticism might be related to their depression.
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