地震救援军人创伤后应激障碍的随访
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摘要
目的调查参加汶川地震救援的军人在震后7个月和14个月时创伤后应激障碍的检出率及心理健康状况。方法在参与地震救援的部队中随机抽取600人,在震后7个月和14个月时采用创伤后应激障碍症状自评量表、症状自评量表进行调查。采用SPSS13.0统计软件对第一次调查的497份有效问卷和第二次的491份有效问卷的数据进行统计分析。结果创伤后应激障碍症状的时点检出率,7个月为37.62%,14个月为26.28%,经卡方检验两组有显著性差异(χ2=14.633,P=0.000)。但其中中重度症状的检出率,7个月为2.01%,14个月为1.43%,两组无显著性差异(χ2=0.502,P=0.479)。创伤后应激障碍症状自评量表总均分7个月时(26.70±6.47);14个月时(25.77±5.86)。秩和检验差异有显著性(P=0.000)。结论对参与地震严重灾难救援的军人,应注意发现创伤后应激障碍症状尤其是有中重度症状者,并应予以个别心理治疗或药物治疗。
Objective To estimate mental health status and detection rate for post-traumatic stress disorder in rescue soldiers exposed to the Wenchuan 2008 earthquake in 7 months and 14 months after the event.Methods Cluster randomized sampling method for selecting subjects and A chi-square test was used to analyze these data.600 soldiers were randomly sampled in troops,and the post-traumatic stress disorder self-rating scale and Symptom Checklist 90 were used to assess their mental health status in 7 months and 14 months after the event.We analyzed 497 effective questionnaires from 600 in 7 months and 491 in 14 months after the event by SPSS 13.0.Results Point detection rate on symptoms of post-traumatic stress disorder was 37.62% in 7 months,26.28% in 14 months(χ2=14.633,P=0.000).Moderate and severe symptoms was 2.01% in 7 months,1.43% in 14 months(χ2=0.502,P=0.479).Total scale score of the post-traumatic stress disorder self-rating scale was(26.70±6.47) in 7 months,(25.77±5.86) in 14 months(P=0.000).Conclusions It is important to detect post-traumatic stress disorder symptoms,especially moderate to severe symptoms,in rescue soldiers exposed to the earthquake and to provide them individual psychotherapy or drugs.
Objective To estimate mental health status and detection rate for post-traumatic stress disorder in rescue soldiers exposed to the Wenchuan 2008 earthquake in 7 months and 14 months after the event.Methods Cluster randomized sampling method for selecting subjects and A chi-square test was used to analyze these data.600 soldiers were randomly sampled in troops,and the post-traumatic stress disorder self-rating scale and Symptom Checklist 90 were used to assess their mental health status in 7 months and 14 months after the event.We analyzed 497 effective questionnaires from 600 in 7 months and 491 in 14 months after the event by SPSS 13.0.Results Point detection rate on symptoms of post-traumatic stress disorder was 37.62% in 7 months,26.28% in 14 months(χ2=14.633,P=0.000).Moderate and severe symptoms was 2.01% in 7 months,1.43% in 14 months(χ2=0.502,P=0.479).Total scale score of the post-traumatic stress disorder self-rating scale was(26.70±6.47) in 7 months,(25.77±5.86) in 14 months(P=0.000).Conclusions It is important to detect post-traumatic stress disorder symptoms,especially moderate to severe symptoms,in rescue soldiers exposed to the earthquake and to provide them individual psychotherapy or drugs.
引文
[1]刘贤臣.马登岱.刘连启,等.心理创伤后应激障碍自评量表的编制和信度效度研究[J].中国行为医学科学,1998,7(2):93-96
[2]汪向东,王希林,马弘.心理卫生评定量表手册[J].中国心理卫生杂志,1999(增刊):31-35
[3]张佳佳,冯国君,郭禹,等.某部队汶川地震救援军人创伤后应激障碍追踪研究[J].第三军医大学学报,2010,32(21):2326-2328
[4]Kessler R C,Sonnega A,Bromet E,et al.Posttraumatic stress disor-der in the national comorbidity survey[J].Arch Gen Psychiatry,1995,52(12):1048-1060
[5]Breslau N,Kessler R C,Chilcoat H D,et al.Trauma and posttrau-matic stress disorder in the community:The 1996 Detroit area sur-vey of trauma[J].Arch Gen Psychiatry,1998,55(7):626-632
[2]汪向东,王希林,马弘.心理卫生评定量表手册[J].中国心理卫生杂志,1999(增刊):31-35
[3]张佳佳,冯国君,郭禹,等.某部队汶川地震救援军人创伤后应激障碍追踪研究[J].第三军医大学学报,2010,32(21):2326-2328
[4]Kessler R C,Sonnega A,Bromet E,et al.Posttraumatic stress disor-der in the national comorbidity survey[J].Arch Gen Psychiatry,1995,52(12):1048-1060
[5]Breslau N,Kessler R C,Chilcoat H D,et al.Trauma and posttrau-matic stress disorder in the community:The 1996 Detroit area sur-vey of trauma[J].Arch Gen Psychiatry,1998,55(7):626-632
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