目的 了解温泉疗养院疗养干部抑郁发生情况,调查该群体抑郁人群的中医体质分型及特点.方法 采用抑郁自评量表(self-rating depression scale,SDS)和中医体质量表,调查2013年1月至2014年2月温泉疗养院的217名疗养干部抑郁发生情况和体质分型.结果 共发放调查问卷217份,回收183份,回收率为84.3%.183名被调查者中,有16人发生抑郁症状,占总人数的8.7%;其中< 60岁、60~69岁、70 ~ 79岁3个年龄段抑郁症状发生率比较,差异无统计学意义(P>0.05).抑郁人群中,位于前4位的体质分别为气虚质、阴虚质、阳虚质和痰湿质;非抑郁人群中位于前3位的体质分别是平和质、阳虚质和气虚质;阴虚质疗养干部抑郁与非抑郁的分布差异有统计学意义(P<0.05).血瘀质疗养干部轻度抑郁为6例(占85%),较中度抑郁[1例(占15%)]发生率高,差异有统计学意义(P=0.046).多元线性回归分析统计结果显示,痰湿质与抑郁评分相关(P<0.05).结论 温泉疗养院疗养干部抑郁发生率较低,抑郁水平与体质类型相关.
Objective To investigate the incidence of depression and the distribution of constitutional pattern among the cadres who stayed in the hot spring convalescent hospital.Methods A survey was made on the incidence of depression and traditional Chinese medicine (TCM) constitution type among the 217 cadres who stayed in the hot spring convalescent hospital from January 2013 to February 2014,by using self-rating depression scale (SDS) and TCM constitution type questionnaire.A total of 217 copies of questionnaire were issued and 183 were recovered,with a recovery rate of 84.3%.Results Of the 183 convalescent cadres who took part in the survey,16 had depression symptoms,accounting for 8.7 %.No statistical significance could be seen in the incidence of depression,when comparisons were made between the 3 age-group people,i.e.the 60-year group,the 60 to 69-year group and the 70 to 79-year group (P 〉 0.05).In the people with depression,the first 4 constitution types were qi deficiency,yin deficiency,yang deficiency and phlegm-wetness type.In those people without depression,the first 3 constitution types were gentleness type,yang deficiency and qi deficiency type.There was statistical significance in the distribution of depression,when comparisons were made between those cadres with yin deficiency and without yin deficiency.There were 6 cases of light depression in convalescent cadres with blood stasis constitution(accounting for 85%),with a higher incidence,as compared with that of the cadres with moderate depression (only one case,accounting for 15%),and statistical significance could be noted,when comparisons were made between them (P =0.046).Linear regression analysis showed there was positive correlation between blood stasis constitution and the depression scores(P 〈 0.05).Conclusions The incidence of depression among cadres who stayed in the hot spring convalescent hospital was relatively lower,and the severity of depression was closely associated with the constitution type.