Long-Term Mental Health Effects of a Devastating Wildfire Are Amplified by Socio-Demographic and Clinical Antecedents in Elementary and High School Staff
Long-Term Mental Health Effects of a Devastating Wildfire Are Amplified by Socio-Demographic and Clinical Antecedents in Elementary and High School Staff
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DOI：
10.3389/fpsyt.2020.00448
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发表时间：
2020-05-26
影响因子：
4.7
通讯作者：
Greenshaw, Andrew J.
中科院分区：
文献类型：
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作者：
Agyapong, Vincent I. O.;Ritchie, Amanda;Greenshaw, Andrew J.
目的评估2016年5月野火发生后18个月麦克默里堡学区工作人员中重度抑郁症（MDD），广泛性焦虑症（GAD）和创伤后应激障碍（PTSD）的可能患病率，并确定可能的预测因素。方法采用定量横断面调查的方法，通过自填式在线问卷收集数据，使用经过验证的自评问卷确定可能的MDD、GAD和PTSD。结果在通过电子邮件发送在线调查链接的1 446名员工中，197人完成了调查，其中女性168人（85%），男性29人（15%）。学校教职工抑郁障碍、广泛性焦虑和创伤后应激障碍的1个月患病率分别为18.3%、15.7%和10.2%。有多个社会人口统计学和临床变量可能MDD，广泛性焦虑症和创伤后应激障碍的受访者之间的统计学显着关联。结论了解MDD、GAD和PTSD的主要影响因素，有助于政策制定者制定人群水平的社会和临床方案，减轻未来自然灾害对心理健康的影响。
Objectives To assess the likely prevalence rates of Major Depressive Disorder (MDD), Generalized Anxiety Disorder (GAD) and Post-Traumatic Stress Disorder (PTSD) in staff of Fort McMurray School Districts eighteen months after a May 2016 wildfire, and to determine possible predictors. Methods A quantitative cross-sectional survey was used to collect data through self-administered online questionnaires to determine likely MDD, GAD and PTSD using well validated self-report questionnaires. Results Of 1,446 staff who were sent the online survey link in an e-mail, 197 completed the survey, of which there were 168 females (85%) and 29 males (15%). The one-month prevalence rates for likely MDD, GAD and PTSD among the school staff were 18.3, 15.7 and 10.2% respectively. There were statistically significant associations between multiple socio-demographic and clinical variables likely MDD, GAD and PTSD among respondents. Conclusion Knowledge of key factors for MDD, GAD and PTSD may be helpful for policy makers when formulating population level social and clinical programs, to mitigate the mental health effects of future natural disasters.