汶川特大地震应急期救灾人员躯体化和强迫症状调查
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摘要
目的了解汶川特大地震救灾人员强迫症状和躯体症状的特点及其影响因素。方法地震应急期,在灾区采用症状自评量表(SCL-90)对救灾人员进行测评,并选择救灾预备队人员作为对照,比较两组人员强迫和躯体因子分,并分析其相关因素。结果(1)两组人员强迫、躯体化因子分间差别有统计学意义(P<0.05);(2)躯体症状中,腰痛、感到身体软弱无力、肌肉酸痛的检出率最高;强迫症状中检出率较高的是忘性大、担心自己的衣饰及仪态、做事必须反复检查并做得很慢、不能集中注意力;(3)躯体因子分与救灾地区、参与救灾时间、军龄、文化程度相关(P<0.05);强迫因子分与救灾地区、参与救灾时间、文化程度相关(P<0.01)。结论在特大地震应急期,现场救灾人员躯体化和强迫症状突出,呈现明显时间、地域和文化背景特征。
Objective To investigate the characters and causes of mental health of succors in urgent period after earthquake in Wenchuan County and to improve their working efficiency.Methods In urgent period after Wenchuan earthquake,600 succors were investigated with Symptom Checklist 90(SCL-90),the positive items and index of somatization and obsessive-compulsive symptoms were contrasted with control group,the relative factors were evaluated.Results(1)The scores of somatization(1.3±0.4) and obsessive-compulsive symptoms(1.22±0.29)were higher than control group(1.2±0.4,1.14±0.28,respectively)(P<0.05).(2)Lumbago,atony,muscle ache had highest incidence in somatization symptoms;disremember,worrying about dresses or manners,absent minded were the most frequent obsessive-compulsive symptoms.(3)Somatization was correlated positively with working zones,education,and military age(P<0.05),and obsessive-compulsive symptoms were correlated with working zones and education(P<0.01).Conclusion In urgent period after earthquake,somatization and obsessive-compulsive symptoms of succors are outstanding,which have characters of education and localization.
Objective To investigate the characters and causes of mental health of succors in urgent period after earthquake in Wenchuan County and to improve their working efficiency.Methods In urgent period after Wenchuan earthquake,600 succors were investigated with Symptom Checklist 90(SCL-90),the positive items and index of somatization and obsessive-compulsive symptoms were contrasted with control group,the relative factors were evaluated.Results(1)The scores of somatization(1.3±0.4) and obsessive-compulsive symptoms(1.22±0.29)were higher than control group(1.2±0.4,1.14±0.28,respectively)(P<0.05).(2)Lumbago,atony,muscle ache had highest incidence in somatization symptoms;disremember,worrying about dresses or manners,absent minded were the most frequent obsessive-compulsive symptoms.(3)Somatization was correlated positively with working zones,education,and military age(P<0.05),and obsessive-compulsive symptoms were correlated with working zones and education(P<0.01).Conclusion In urgent period after earthquake,somatization and obsessive-compulsive symptoms of succors are outstanding,which have characters of education and localization.
引文
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4刘俊丽,刘云波,冯正直.12486名军人SCL-90测试结果分析[J].中国健康心理学杂志,2005,l2(6):423-427.
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7 Foa EB,Stein DJ,McFarlane AC.Symptomatology and psychopatholo-gy of mental health problems after disaster[J].J Clin Psychiatry,2006,67(Suppl 2):15-25.
2 Catani C,Jacob N,Schauer E,et al.Family violence,war,andnatural disasters:a study of the effect of extreme stress on children'smental health in Sri Lanka[J].BMC Psychiatry,2008,8(1):33.
3杨国愉,冯正直,任辉.军事应激条件下军人心理健康特点及其相关因素[J].解放军预防医学杂志,2004,22(1):25-29.
4刘俊丽,刘云波,冯正直.12486名军人SCL-90测试结果分析[J].中国健康心理学杂志,2005,l2(6):423-427.
5 DeSalvo KB,Hyre AD,Ompad DC,et al.Symptoms of posttraumaticstress disorder in a New Orleans workforce following Hurricane Katrina[J].J Urban Health,2007,84(2):142-152.
6张本,王学义,孙贺祥.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.
7 Foa EB,Stein DJ,McFarlane AC.Symptomatology and psychopatholo-gy of mental health problems after disaster[J].J Clin Psychiatry,2006,67(Suppl 2):15-25.
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