Epidemiological investigation on major depressive disorder in the most heavily damaged areas from Wenchuan earthquake in 2008
10.3760/cma.j.issn.0254-6450.2010.02.012
- VernacularTitle:汶川地震后重灾区人群重性抑郁障碍流行病学调查
- Author:
Ming-Jin HUANG
1
;
Lan-Ting GUO
;
Jing LI
;
Xue-Li SUN
;
Bing-Zhi ZHANG
;
Quan-Min YI
;
Ya-Ming CHEN
;
Qiang CAO
;
Jin PENG
;
Ling WEI
;
Xia-Fei HUANG
;
Yan LI
;
Min YIN
;
Gui-Fen XING
;
Ying LIU
;
Yu-Lian LIAO
;
Xiao-Ling LI
;
Dong WANG
;
Yuan-Qi XIAO
;
Shan JIANG
;
Jing YE
Author Information
1. 四川大学华西医院
- Keywords:
Major depressive disorder;
Earthquake;
Epidemiology
- From:Chinese Journal of Epidemiology
2010;31(2):167-170
- CountryChina
- Language:Chinese
-
Abstract:
Objective To assess the prevalence,demographic characteristics,risk factors and protective factors on major depression disorder(MDD)among the affected people in the epicenter,7 months after the 2008-earthquake in Wenchuan,China.Methods Stratified multistage cluster randomization was conducted to choose 14 503 subjects aged 15 years or over in the city of Dujiangyan,Beichuan county and Qingchuan county,Sichuan province.We used the general health questionnaire(GHQ-12)as the screening instrument,and the structured clinical interview for DSM-Ⅳ-TR axis Ⅰ disorder-patient edition(SCID-Ⅰ/P)as the tool for diagnosis.Results There were 180 persons diagnosed as MDD with other 13 asymptomatic ones.The point prevalence of MDD was 1.27% and the lifetime prevalence was 1.36%.Risk factors were including:being female(OR=1.56,95%CI:1.136～ 2.143,P＜0.05),co-morbidity with somatic diseases(OR=4.02,95%CI:2.75-5.90,P＜0.05),wounded in the earthquake(OR=3.29,95%CI:1.92-5.65,P＜0.05),property loss up to 10 000-20 000 Yuan(OR=2.09,95%CI:1.18-3.69,P＜0.05),property loss up to＞20 000 Yuan(OR=2.54,95%CI:1.38-4.68,P＜0.05),death or missing of family members(OR=3.79,95%CI:2.08-6.89,P＜0.05)and in middle-age(OR=2.31,95%CI:1.38-3.86,P＜0.05)etc.Having had a job seemed to be a protective factor(OR=0.60,95%CI:0.43-0.83,P＜0.05).Conclusion Major depressive disorder appeared to be a common psychiatric disease in these quake-stricken areas,that causing serious problems.Sustained follow-up and care provided to the affected people in these areas were of extreme importance.
