汶川大地震急性应激障碍检出率及相关因素的调查研究

英文篇名：Investigation on the Prevalence of Acute Stress Disorder and Its Influencing Factors After a Violent Earthquake in Wenchuan
中文刊名：中国健康心理学杂志
英文刊名：China Journal of Health Psychology
作者：张本 ; 许瑞芬 ; 于振剑 ; 王刚 ; 王聪哲 ; 苗丽玲
英文作者：Zhang Ben ; Xu Ruifen ; Yu Zhenjian ; et al. Kailuan Mental Health Center Affiliated to North China Medical University ; Tangshan 063001 ; P.R.China
中文关键词：急性应激障碍 ; 汶川大地震 ; 地震幸存者
英文关键词：Acute stress disorder ; Wenchuan earthquake ; Survivors
出版日期：2009-10-15
机构：中国.华北煤炭医学院附属开滦精神卫生中心;
年：2009
期：10
出版单位：中国健康心理学杂志

摘要

目的调查汶川大地震所致急性应激障碍(ASD)的发生情况及其发生的影响因素。方法应用中国精神疾病分类方案与诊断标准第3版修订本中的ASD诊断标准,对经历汶川大地震的幸存者进行诊断。结果323名受试者中有164人(50.8%)符合ASD的诊断标准。其中135例男性中51例(37.8%)符合ASD的诊断标准;188例女性中有113例(61.1%)符合ASD的诊断标准。结论汶川大地震后ASD发生率高,女性ASD的发生率显著高于男性。
Objective To investigate the prevalence of acute stress disorder after a violent earthquake in Wenchuan. Methods A total of 373 subjects who experienced the Wenchun earthquake were investigated to determine whether they were suffering from ASD according to Chinese Classification and Diagnostic Criteria for Mental Disorder,and the third Revised Edition (CCMD-3). Results In 323 subjects,164(50.8%) subjects were diagnosed as acute stress disorder,51(37.8%) male subjects and 113(61.1%) female subjects were diagnosed as acute stress disorder. Conclusion There existed the high prevalence of acute stress disorder and the prevalence of acute stress disorder in female were much higher than male.

引文

[1]张本主编.心理应激与精神医学[M].呼和浩特:内蒙古科学技术出版社,2007
    [2]Classen C,Koopma C,Hales R,et al.Acute Stress disorder as a Predictor of Posttraumatic Stress Symptom,Am J Psychiatry,1998,155:620-624
    [3]中华医学会精神科分会.中国精神障碍分类与诊断标准[M].第3版.(CCMD-3).济南:山东科学技术出版社,2001:103-114
    [4]龚耀先.修订.艾森克个性问卷手册[M].长沙:湖南医学院,1986:1-14
    [5]张本,徐广明.评定创伤后应激障碍的两难[J].国外医学精神病学分册,2003,3(2):71
    [6]Brewin C R,Andrews B,Rose S,et al.Acute Stress disorder and posttraumatic Stress disorder in victims of Violent Crime[J].American J Psychiatry,1999,156:360-366
    [7]Tow-Year Prospective evaluation of the relationship between acute Stress disorder and Posttraumatic Stress disorder folling Mind traumatic brain Injury[J].Am J Psychiatry,157:626-628
    [8]张本,王学义,孙贺祥,等.唐山大地震心理创伤后应激障碍的抽样调查研究[J].中华精神科杂志,1999,32(2):106-108
    [9]Connor K M,Davidson J R T.The role of serotonin in posttraumatic Stress Disorder:neurobiology and Phamiacotherapy[J].Inter J Neuropsychiatric Med,1998,3(2):43-51
    [10]杨德森主编.基础精神医学[M].长沙:湖南科学技术出版社,1994:247