5·12地震后PTSD症状严重性和社会支持之间的相关性研究
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摘要
目的:探讨社会支持与创伤后应激障碍(PTSD)之间的相关性。方法:地震后1年半,应用德国埃森创伤问卷(ETI)及社会支持评定问卷(SSRS),以震区454名普通群众为被试,对ETI得分和SSRS得分进行相关性分析。结果:①被试社会支持水平与PTSD整体症状水平存在显著负相关。②被试社会支持各维度的水平与PTSD各症状群均为显著负相关,但相关程度不同。负相关程度排序依次为对支持的利用度、主观支持和客观支持。结论:社会支持水平是PTSD的保护性因子,社会支持中的主观支持和支持利用度与PTSD负相关程度更明显。
Objective:To investigate the correlation between the social support and posttraumatic stress disorder (PTSD) after an earthquake. Methods: Four hundred and fifty-four adults in Sichuan earthquake area were enrolled and examined by Essen Traumatic Inventory (ETI) and Social Support Rating Scale (SSRS) at one and a half years after the earthquake. The correlation between the level of social support and the severity of PTSD were analyzed. Results: The total scores and three dimensions of SSRS were negatively correlated with PTSD. The sequence of factors affecting the correlation ranked the utility of the support,subjective support and objective support in order. Conclusion: The level of social support is a protective factor for PTSD. The negative correlation of subjective support and utility of support with PTSD is more significant than that of the objective support with PTSD.
Objective:To investigate the correlation between the social support and posttraumatic stress disorder (PTSD) after an earthquake. Methods: Four hundred and fifty-four adults in Sichuan earthquake area were enrolled and examined by Essen Traumatic Inventory (ETI) and Social Support Rating Scale (SSRS) at one and a half years after the earthquake. The correlation between the level of social support and the severity of PTSD were analyzed. Results: The total scores and three dimensions of SSRS were negatively correlated with PTSD. The sequence of factors affecting the correlation ranked the utility of the support,subjective support and objective support in order. Conclusion: The level of social support is a protective factor for PTSD. The negative correlation of subjective support and utility of support with PTSD is more significant than that of the objective support with PTSD.
引文
[1]Vassiliki H,Nicholas T,Adrian W.Prevalence and Predictors of Acute Stress Disorder and PTSD Following Road Traffic Accidents:Thought Control Strategies and Social Support:Special Series:On Understandingthe Persistence of Depressive and Anxious Thinking[J].Behav Ther(S0005-7894),2001,32(1):65-83.
[2]Vranceanu AM,Hobfoll SE,Johnson RJ.Child Multi-type Maltreatment and Associated Depres-sion and PTSD Symptoms:The Role of Social Support and Stress[J].Child Abuse Negl(S0145-2134),2007,31(1):71-84.
[3]Clapp JD,Gayle BJ.Understanding the Rela-tionship between PTSD and Social Support:The Role of Negative Network Orientation[J].Behav Res Ther(S1873-622X),2009,47(3):237-244.
[4]赵丞智,汪向东,高岚,等.张北尚义地震后创伤后应激障碍随访研究[J].中国心理卫生杂志,2000,14(6):361-363.
[5]臧伟伟,张宇迪,伍新春,等.汶川地震外迁学生的PTSD状况及其与社会支持的关系[J].华南师范大学学报(社会科学版),2009,(4):59-63.
[6]赵高锋,杨彦春,张强,等.汶川地震极重灾区社区居民创伤后应激障碍发生率及影响因素[J].中国心理卫生杂志,2009,23(7):478-483.
[7]周娟,周肖榕,施琪嘉.埃森创伤问卷(ETI)中文版的信、效度研究[J].中华物理医学与康复杂志,2010,32(2):121-124.
[8]美国国立儿童创伤应激中心编写.心理急救现场操作指南[M].童慧琦,王振,王素琴,等译.太原:希望出版社,2008.
[2]Vranceanu AM,Hobfoll SE,Johnson RJ.Child Multi-type Maltreatment and Associated Depres-sion and PTSD Symptoms:The Role of Social Support and Stress[J].Child Abuse Negl(S0145-2134),2007,31(1):71-84.
[3]Clapp JD,Gayle BJ.Understanding the Rela-tionship between PTSD and Social Support:The Role of Negative Network Orientation[J].Behav Res Ther(S1873-622X),2009,47(3):237-244.
[4]赵丞智,汪向东,高岚,等.张北尚义地震后创伤后应激障碍随访研究[J].中国心理卫生杂志,2000,14(6):361-363.
[5]臧伟伟,张宇迪,伍新春,等.汶川地震外迁学生的PTSD状况及其与社会支持的关系[J].华南师范大学学报(社会科学版),2009,(4):59-63.
[6]赵高锋,杨彦春,张强,等.汶川地震极重灾区社区居民创伤后应激障碍发生率及影响因素[J].中国心理卫生杂志,2009,23(7):478-483.
[7]周娟,周肖榕,施琪嘉.埃森创伤问卷(ETI)中文版的信、效度研究[J].中华物理医学与康复杂志,2010,32(2):121-124.
[8]美国国立儿童创伤应激中心编写.心理急救现场操作指南[M].童慧琦,王振,王素琴,等译.太原:希望出版社,2008.
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