5·12汶川大地震127例伤员心理健康状况分析
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摘要
目的了解地震伤员急性期应激心理状况,加强伤员的心理康复治疗。方法对2008年6月13~20日收治的127例5.12大地震伤员采用90症状清单(SCL-90)进行心理评定。结果52例伤员SCL-90总分>160分,最高分达298分,均存在不同程度的心理问题,主要表现为焦虑、抑郁、恐惧及其他症状。结论震后灾民存在不同程度的心理健康问题,应高度重视急性期创伤应激障碍。
Objective To investigate the psychological status of wounded patients in stress stage after earthquake and hence to enhance psychological rehabilitation treatment.Methods 127 patients from the 5.12 earthquake-hit areas admitted to our hospital during the period of June 13~20,2008 were given mental assessment by SCL-90.Results The score of SCL-90 was over 160 in 52(41%) patients and the highest was 298.They had the signs of anxiety,depression,fear and so on.Conclusion Patients who are wounded during earthquake are vulnerable to mental disorders.Great care should be taken to post-traumatic stress disorder.
Objective To investigate the psychological status of wounded patients in stress stage after earthquake and hence to enhance psychological rehabilitation treatment.Methods 127 patients from the 5.12 earthquake-hit areas admitted to our hospital during the period of June 13~20,2008 were given mental assessment by SCL-90.Results The score of SCL-90 was over 160 in 52(41%) patients and the highest was 298.They had the signs of anxiety,depression,fear and so on.Conclusion Patients who are wounded during earthquake are vulnerable to mental disorders.Great care should be taken to post-traumatic stress disorder.
引文
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[2]陈昌惠.症状自评量表[J].中国心理卫生杂志,1999,(增刊):31-35.
[3]Ranasinghe PD,Levy BR.Prevalence of and Sex Disparities in Posttrau-matic Stress Disorder in an Internally Displaced Sri Lankan Population 6Months After the 2004[J].Tsunami,2007,(1):34-41.
[4]张本,张凤阁,王丽萍,等.30年后唐山地震所致孤儿创伤后应激障碍现患率调查[J].中国心理卫生杂志,2008,22(4):469-473.
[5]Liao SC,Lee MB,Lee YJ,et al.Hyperleptinemia in Subjects With Persis-tent Partial Posttraumatic Stress Disorder After a Major Earthquake[J].Psychosomatic Medicine,2004,66(1):23-28.
[6]Kuo CJ,Tang HS,Tsay CJ,et al.Prevalence of Psychiatric Disorders A-mong Bereaved Survivors of a Disastrous Earthquake in Taiwan[J].Psy-chiatr Serv,2003,54(2):249-251.
[7]董惠娟,顾建华,杨彦波,等.印度洋地震海啸中国大陆受灾者心理状况调查与分析[J].中国综合临床,2007,23(2):147-149.
[8]Fullerton CS,Ursano RJ,Wang LM.Acute Stress Disorder,Posttraumat-ic Stress Disorder,and Depression in Disaster or Rescue Workers[J].Am J Psychiatry,2004,161(12):1370-1376.
[9]Eve Bender.Psychiatrists Find Tsunami MH Consequences Severe[J].Psychiatric News,2005,40(1):15-16.
[10]刘绍文.创伤后应急障碍的诊断与治疗[M]∥张明园.抑郁症和焦虑障碍的诊断和治疗.北京:中华电子音像出版社,2005.
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