唐山大地震所致截瘫患者远期心身健康状况调查研究
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摘要
目的 :研究唐山大地震所致截瘫患者远期心身健康状况。方法 :6 4例唐山大地震所致截瘫患者和 6 4例对照组完成了唐山大地震心身健康调查问卷和标准化评定工具的调查、评定和诊断。结果 :6 4例截瘫患者中有 6例患延迟性应激障碍 (posttraumaticstressdisorder ,PTSD)。PTSD现患率为 9 38%,显著高于正常人群中PTSD的抽样调查结果。 6 4例截瘫患者有 32例地震后发生急性应激性反应 (acutestressreaction ,ASR)。目前截瘫患者心身健康程度显著低于对照组 ,表现在SCL -90中的总分和部分因子分 ,SDS总分和标准分 ,SAS总分和标准分 ,CMI中部分因子分均显著高于对照组 (P均 <0 0 1～ 0 0 0 1)。结论 :心理创伤的严重程度与人类的心身健康之间存在着密切的关系。
Objective: To study the long-term effect of Tangshan earthquake on psychosomatic health of paraplegic suffers. Method: 64 paraplegic suffers of Tangshan earthquake and 64 normal controls were interviewed and assessed with self made questionnaire for psychosomatic health, SCL-90, SAS, SDS, CMI (Cornell Medical Index) and SSRS (Social Support Rating Scale). Results: 6 patients (9%) were diagnosed as PTSD according to CCMD-2-R, this rate was higher than that of normal citizen experienced the earthquake. 32 patients had Acute Stress Reaction. At present, patients' group had poorer mental health than control reflected by SCL-90, SAS, SDS and CMI. Conclusion: The severity of trauma both mentally and physically has great influence on mental health of suffers even after 25 years.
Objective: To study the long-term effect of Tangshan earthquake on psychosomatic health of paraplegic suffers. Method: 64 paraplegic suffers of Tangshan earthquake and 64 normal controls were interviewed and assessed with self made questionnaire for psychosomatic health, SCL-90, SAS, SDS, CMI (Cornell Medical Index) and SSRS (Social Support Rating Scale). Results: 6 patients (9%) were diagnosed as PTSD according to CCMD-2-R, this rate was higher than that of normal citizen experienced the earthquake. 32 patients had Acute Stress Reaction. At present, patients' group had poorer mental health than control reflected by SCL-90, SAS, SDS and CMI. Conclusion: The severity of trauma both mentally and physically has great influence on mental health of suffers even after 25 years.
引文
1 张本,王学义,孙贺祥等唐山大地震对人类心身健康的远期影响中国心理卫生杂志,1998,12(4):200～202
2 张本,王学义,孙贺祥等唐山大地震中丧偶再婚者远期心身健康调查中国心理卫生杂志,1998,12(1):43～44
3 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中华精神科杂志,1999,32(2):106～108
4 张本,张均正,王学义等经历大地震的开滦矿离退休干部心身健康状况调查健康心理学杂志,1999,7(1):51～54
5 张本,王学义,孙贺祥等唐山大地震孤儿远期心身健康的调查研究中国心理卫生杂志,2000,14(1):17～19
6 张本,王学义,孙贺祥等唐山大地震所致孤儿心理创伤后应激障碍的调查中华精神科杂志,2000,33(2):111～114
7 张本,王学义,孙贺祥等唐山大地震远期神经症抽样调查和病因学探讨,神经疾病与心理卫生杂志,2001,1(1):8～11
8 胡冰霜,梁友信,综述创伤性应激障碍国外医学精神病学分册1997,24(5):266～269
9 SharanP ,ChauharyG ,KavathekarSAetalPreliminaryReportofPsychiatricDisordersinSurvivorsofaSevereEarthquakeAmJPsychiatry,1996,153:556～558
10 李淑然,彭新盛,尹其羽等云南省澜沧县地震灾区人群心理健康状况调查中国心理卫生杂志,1991,5(1):11～14
2 张本,王学义,孙贺祥等唐山大地震中丧偶再婚者远期心身健康调查中国心理卫生杂志,1998,12(1):43～44
3 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中华精神科杂志,1999,32(2):106～108
4 张本,张均正,王学义等经历大地震的开滦矿离退休干部心身健康状况调查健康心理学杂志,1999,7(1):51～54
5 张本,王学义,孙贺祥等唐山大地震孤儿远期心身健康的调查研究中国心理卫生杂志,2000,14(1):17～19
6 张本,王学义,孙贺祥等唐山大地震所致孤儿心理创伤后应激障碍的调查中华精神科杂志,2000,33(2):111～114
7 张本,王学义,孙贺祥等唐山大地震远期神经症抽样调查和病因学探讨,神经疾病与心理卫生杂志,2001,1(1):8～11
8 胡冰霜,梁友信,综述创伤性应激障碍国外医学精神病学分册1997,24(5):266～269
9 SharanP ,ChauharyG ,KavathekarSAetalPreliminaryReportofPsychiatricDisordersinSurvivorsofaSevereEarthquakeAmJPsychiatry,1996,153:556～558
10 李淑然,彭新盛,尹其羽等云南省澜沧县地震灾区人群心理健康状况调查中国心理卫生杂志,1991,5(1):11～14
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