Objective: To investigate the current status of depression and anxiety among female staff in a maternal and child health hospital, and to provide a basis for developing related prevention and intervention measures and promoting the mental health of female staff. Methods: The female staff from a provincial maternal and child health hospital completed a psycho-health questionnaire survey on Internet from June to October, 2016. The questionnaires used in the survey consisted of Patient Health Questionnaire (PHQ-9) , Generalized Anxiety Disorder Scale (GAD-7) , and Symptom Checklist-90 (SCL-90) . The distribution features of mental health problems such as depression and anxiety were analyzed according to the results: of the questionnaire survey. Results Of all female staff surveyed, 42.04% showed depression symptoms, 28.90% showed anxiety symptoms, and 26.12% showed comorbid symptoms of depression and anxiety. Moderate or severe depression (anxiety) was mainly distributed among the female staff with comorbid symptoms (90.63% and 97.01%, respectively) . There were significant differences in the distribution of moderate or severe anxiety symptoms between the medical staff and nursing staff (χ(2)= 5.81, P=0.05) and between those with intermediate and junior professional titles (χ(2)=7.99, P=0.018) . As for SCL-90 results, the total score, total average score, and scores on factors of somatization, compulsion, interpersonal sensitivity, depression, and anxiety in the female staff with comorbid symptoms, moderate or severe depression, and moderate or severe anxiety were significantly higher than the national norm (P<0.01) , while the scores on paranoid and psychotic factors were significantly lower than the national norm (P<0.01) . The numbers of cases of positive factors were significantly higher in the female staff with comorbid symptoms than in the female staff with a single symptom and asymptomatic female staff (both P<0.01) , and positive cases were mainly distributed in depression, interpersonal sensitivity, compulsion, anxiety, and somatic factors. Conclusion: The prevalence of depression and anxiety is high among female staff in the maternal and child health hospital, mainly characterized by comorbid symptoms of moderate or severe depression and anxiety. Comorbidity is accompanied by mental health problems such as interpersonal sensitivity, obsessive compulsion, and physical discomfort. Corresponding measures are needed for the prevention and intervention of mental health problems among female staff in the maternal and child health hospital.
目的： 调查妇幼专科医院女职工抑郁焦虑症状的现状，为出台相应的预防干预措施，促进女职工的心理健康提供依据。 方法： 于2016年6至10月，采用心理健康问卷对某省级妇幼保健院全院女职工647人进行心理健康状况普查。问卷包括抑郁量表（PHQ-9）、广泛性焦虑筛查量表（GAD-7）及症状自评量表（SCL-90），分析女职工的心理健康问题如抑郁和焦虑的分布特征。 结果： 647名女职工中，42.04%女职工有抑郁症状，28.90%有焦虑症状，26.12%女职工共患两种症状，中重度的抑郁（焦虑）主要分布在共病的女职工人群中（分别为90.63%和97.01%）；中重度焦虑症状在医疗、护理岗位及中级、初级以下职称中的分布有统计学意义（χ(2)=5.81，P<0.05；χ(2)=7.99，P<0.05）；共病、中重度抑郁及中重度焦虑女职工的SCL-90总分、总均分、躯体化、强迫、人际关系敏感、抑郁及焦虑因子得分均高于全国常模水平（P<0.01），而偏执性及精神病性因子则均低于全国水平（P<0.01）。阳性因子检出人数中共病的女职工中高于单一症状以及无症状女职工（均P<0.01），分布集中在抑郁、人际关系敏感、强迫、焦虑及躯体因子。 结论： 妇幼专科女职工的抑郁焦虑症状患病率较高，形式以中重度的抑郁、焦虑症状共病为主，共病状态下伴有人际关系敏感、强迫性倾向以及躯体不适等心理健康问题，需要采取相应措施预防和干预。.
Keywords: Anxiety; Depression; Female staff in hospital; Mental health.