汶川地震前后绵阳灾区老年人心理健康状况
摘要
目的探讨地震前后绵阳灾区老年人的认知效能、情绪体验、自我评价、人际交往、适应能力等心理健康状况的变化。方法对比震前4个月四川绵阳77名老年人和震后6个月绵阳77位老年人的心理健康水平。结果地震后绵阳灾区老年群体的心理健康总分低于地震前(t总=2.39,P<0.05),其情绪体验、适应能力维度得分皆低于震前(t情绪体验=3.22,P<0.01;t适应能力=2.57,P<0.05)。女性老年人心理健康总分、情绪体验和适应能力维度得分低于震前(t总=3.49,P<0.05;t情绪体验=3.87,P<0.05;t适应能力=4.15,P<0.05);60～69岁组老年人,心理健康水平明显低于震前(t总=3.02,P<0.01);除人际交往一项外,其余维度低于震前(t认知效能=2.69,P<0.01;t情绪体验=3.53,P<0.01;t自我评价=2.22,P<0.05;t适应能力=2.67,P<0.01)。结论震后6个月,老年灾民的心理健康水平显著下降,适应能力减弱,感受较多负性情绪。女性老年人、60～69岁的老年灾民心理更容易受到影响。
引文
1Hartsough DM,Mayers DG.Disater work and mental health:Prevention and control of stress among workers〔M〕.Rockville,Maryland:National institute of mental health,1985:12-3.
2Myers D.Disaster response and recovery:a handbook for mental health professionals〔M〕.Menol park,California:National center for post-trau-matic stress disorder,1994:2.
3Rothermund K,Brandstadter J.Coping with deficits and losses in later life:From compensatory action to accommodation〔J〕.Psychol Aging,2003;18:896-905.
4Deeg DJ,Huizink AC,Comijs HC,et al.Disaster and associated changes in physical and mental health in older residents.Eur J Public Health,2005;15(2):170-4.
5李娟,吴振云,韩布新.《中国心理健康量表(老年版)》的编制与标准化参数〔J〕.中国心理卫生杂志(待发表).
6温盛霖,王相兰,陶炯,等.四川江油太平镇安置点北川、平武地震灾民1周后心理症状分析〔J〕.中国神经精神疾病杂志,2008;34(9):525-7.
7赵高锋,杨彦春,张树森.汶川地震极重灾区780名受灾群众心理状况调查〔J〕.中国循证医学杂志,2008;8(10):815-9.
8罗兴伟,高雪屏,蔡太生,等.汶川地震亲历者心理健康状况调查〔J〕.中国临床心理学杂志,2008;16(6):571-3.
9郭阳,陈爱敏,林浩春,等.5.12汶川大地震伤员心理应激状况调查〔J〕.南方医科大学学报,2008;28(7):1114-6.
10姚林燕,吴卫利,章迎春.45例地震伤员的心理健康状况评估及处理〔J〕.中华护理杂志,2008;43(12):1067-9.
11刘静,肖军,陈祥慧,等.地震对焦虑抑郁患者的影响〔J〕.实用医院临床杂志,2009;6(1):55-6.
12陶炯,温盛霖,王相兰,等.汶川地震安置点灾民急性应激障碍及影响因素分析〔J〕.中国神经精神疾病杂志,2008;34(10):618-20.
13王相兰,陶炯,温盛霖,等.汶川地震灾民的心理健康状况及影响因素〔J〕.中山大学学报(医学科学版),2008;29(4):367-71.
14刘艳,于秀,金丽.35名高龄地震伤骨折患者的心理反应及护理干预〔J〕.西南军医,2008;10(5):32-3.
15任凯,彭龙颜,刑济春.什邡地震灾区984名灾民心理健康调查〔J〕.中国公共卫生管理,2008;24(3):243-5.
16杨戎,刘平,吴振云.从汶川地震看灾难中老年人的弱点及救灾和重建策略〔J〕.中国老年学杂志,2009;29(1):123-5.
17Curtis A,Mills JW,Leitner M.Katrina and vulnerability:the geography of stress〔J〕.J Health Care Poor Underserved,2007;18(2):315-30.
18Kim SC,Plumb R,Gredig QN,et al.Medium-term post-Katrina health sequelae among New Orleans residents:predictors of poor mental and physical health〔J〕.J Clin Nurs,2008;17:2335-42.
19Kuwabara H,Shioiri T,Tovabe S,et al.Factors impacting on psychologi-cal distress and recovery after the2004Niigata-Chuetsu earthquake〔J〕.Psychiatry Clin Neurosci,2008;52:503-7.
20Rubin DC,Berntsen D,Bohni MK.A memory-based model of Posttrau-matic stress disorder:evaluating basic assumptions underlying the PTSD diagnosis〔J〕.Psychological Review,2008;115(4):985-1011.
21Rubin DC,Boals A.Memory in posttraumatic stress disorder:properties of voluntary and involuntary,traumatic and nontraumatic autobiographi-cal memories in people with and without posttraumatic stress disorder symptoms〔J〕.J Exp Psychol Gen,2008;137(4):591-614.
2Myers D.Disaster response and recovery:a handbook for mental health professionals〔M〕.Menol park,California:National center for post-trau-matic stress disorder,1994:2.
3Rothermund K,Brandstadter J.Coping with deficits and losses in later life:From compensatory action to accommodation〔J〕.Psychol Aging,2003;18:896-905.
4Deeg DJ,Huizink AC,Comijs HC,et al.Disaster and associated changes in physical and mental health in older residents.Eur J Public Health,2005;15(2):170-4.
5李娟,吴振云,韩布新.《中国心理健康量表(老年版)》的编制与标准化参数〔J〕.中国心理卫生杂志(待发表).
6温盛霖,王相兰,陶炯,等.四川江油太平镇安置点北川、平武地震灾民1周后心理症状分析〔J〕.中国神经精神疾病杂志,2008;34(9):525-7.
7赵高锋,杨彦春,张树森.汶川地震极重灾区780名受灾群众心理状况调查〔J〕.中国循证医学杂志,2008;8(10):815-9.
8罗兴伟,高雪屏,蔡太生,等.汶川地震亲历者心理健康状况调查〔J〕.中国临床心理学杂志,2008;16(6):571-3.
9郭阳,陈爱敏,林浩春,等.5.12汶川大地震伤员心理应激状况调查〔J〕.南方医科大学学报,2008;28(7):1114-6.
10姚林燕,吴卫利,章迎春.45例地震伤员的心理健康状况评估及处理〔J〕.中华护理杂志,2008;43(12):1067-9.
11刘静,肖军,陈祥慧,等.地震对焦虑抑郁患者的影响〔J〕.实用医院临床杂志,2009;6(1):55-6.
12陶炯,温盛霖,王相兰,等.汶川地震安置点灾民急性应激障碍及影响因素分析〔J〕.中国神经精神疾病杂志,2008;34(10):618-20.
13王相兰,陶炯,温盛霖,等.汶川地震灾民的心理健康状况及影响因素〔J〕.中山大学学报(医学科学版),2008;29(4):367-71.
14刘艳,于秀,金丽.35名高龄地震伤骨折患者的心理反应及护理干预〔J〕.西南军医,2008;10(5):32-3.
15任凯,彭龙颜,刑济春.什邡地震灾区984名灾民心理健康调查〔J〕.中国公共卫生管理,2008;24(3):243-5.
16杨戎,刘平,吴振云.从汶川地震看灾难中老年人的弱点及救灾和重建策略〔J〕.中国老年学杂志,2009;29(1):123-5.
17Curtis A,Mills JW,Leitner M.Katrina and vulnerability:the geography of stress〔J〕.J Health Care Poor Underserved,2007;18(2):315-30.
18Kim SC,Plumb R,Gredig QN,et al.Medium-term post-Katrina health sequelae among New Orleans residents:predictors of poor mental and physical health〔J〕.J Clin Nurs,2008;17:2335-42.
19Kuwabara H,Shioiri T,Tovabe S,et al.Factors impacting on psychologi-cal distress and recovery after the2004Niigata-Chuetsu earthquake〔J〕.Psychiatry Clin Neurosci,2008;52:503-7.
20Rubin DC,Berntsen D,Bohni MK.A memory-based model of Posttrau-matic stress disorder:evaluating basic assumptions underlying the PTSD diagnosis〔J〕.Psychological Review,2008;115(4):985-1011.
21Rubin DC,Boals A.Memory in posttraumatic stress disorder:properties of voluntary and involuntary,traumatic and nontraumatic autobiographi-cal memories in people with and without posttraumatic stress disorder symptoms〔J〕.J Exp Psychol Gen,2008;137(4):591-614.
版权所有：© 2023 中国地质图书馆 中国地质调查局地学文献中心