地震救援军人创伤后应激障碍及相关因素的研究

英文篇名：Post traumatic stress disorder in rescue soldiers exposed to earthquakes in China and the related factors
中文刊名：临床精神医学杂志
英文刊名：Journal of Clinical Psychiatry
作者：章华 ; 王亚丽 ; 黄永兰 ; 王晓萍 ; 王高华
英文作者：ZHANG Hua ; WANG Ya-li ; HUANG Yong-lan ; WANG Xiao-ping ; WANG Gao-hua.Department of Mental Health Center ; Renmin Hospital ; Wuhan University ; Hubei Province ; Wuhan 430060 ; China
中文关键词：地震 ; 救援军人 ; 创伤后应激障碍 ; 风险因子
英文关键词：earthquake ; rescue soldiers ; post traumatic stress disorder ; risk factors
出版日期：2012-02-20
机构：武汉大学人民医院精神卫生中心;郑州大学第一附属医院精神医学科;
年：2012
期：01
出版单位：临床精神医学杂志

摘要

目的:调查汶川地震救援军人在震后7个月时创伤后应激障碍的检出率及相关因素。方法:在参与地震救援的部队中随机抽取600人,采用创伤后应激障碍症状自评量表(PTSD-SS)、社会支持评定量表(SSRS)、90项症状自评量表(SCL-90)、艾森克人格问卷(EPQ)进行调查。采用SPSS13.0统计软件对497份有效问卷的数据进行统计分析。结果:地震救援工作7个月后,创伤后应激障碍中、重度症状的时点检出率为2%。回归分析显示,救援中接触伤亡多(B=0.242,P=0.010)、遭遇威胁生命的情境多(B=0.280,P=0.006)、EPQ-N分高(B=0.106,P=0.000)是发生创伤后应激障碍的危险因素,而社会支持利用度(B=-0.095,P=0.035)是保护因素。结论:EPQ-N高分特征的军人是心理干预工作的重点,有效社会支持利用可减少PTSD发生。
Objective:To explore the prevalence of post traumatic stress disorder(PTSD) in the rescue soldiers seven months after the Wenchuan earthquake and the related impact factors.Method:600 soldiers were randomly sampled from the rescue soldiers exposed to the Wenchuan earthquake troops,and the post-traumatic stress disorder self-rating scale(PTSD-SS),social support rating scale(SSRS),symptom checklist 90(SCL-90) and Eysenck personality questionnaire(EPQ) were administered to them.The data analysis was conducted by SPSS 13.0.Results:Of the soldiers,10(2%) met PTSD criterion.Touching with casualties(B=0.242,P=0.010),threatening condition(B=0.280,P=0.006) and high EPQ-N(B=0.106,P=0.000) were risk factors for PTSD,while social support employment(B=-0.095,P=0.035) was protective factor.Conclusion:Earlier Intervention should be conducted for the soldiers with high EPQ-N.Utilization of social supports can reduce incidence of PTSD.

引文

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