玉树地震后受伤灾民心理状况及影响因素分析
摘要
目的评估玉树地震10 d后受伤灾民心理状况及影响因素。方法对166例地震10 d后受伤灾民应用SCL-90症状自评量表问卷进行评估,通过临床诊断急性应激障碍(ASD)。结果符合ASD诊断的为6例(3.6%)。症状中以抑郁为主,99例(59.6%),其次为焦虑96例(57.8%)。女性SCL-90总分得分及各项症状明显高于男性。中年人SCL-90总分及抑郁、焦虑得分明显高于青年组和老年组。结论受伤灾民在震后存在明显心理症状,因性别、年龄、婚姻的不同表现不同。
引文
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[2]赵国秋,汪永光,王义强,等.汶川地震后急性应激障碍发生率及影响因素[J].中华预防医学杂志,2008,42(11):802-805.
[3]王健,杨浦德,孙春云,等.地震后患者抑郁、焦虑及睡眠障碍发生状况的分析[J].中华内科杂志,2008,47(9):721-722.
[4]OQUENDOMA,FRIEND J M,HALBERSTAMB,etal.Associ-ation of comorbid posttraumatic stress disorder and major depres-sion with greater risk for suicidal behavior[J].Am J Psychiatry,2003,160(3):580-582.
[5]BRYANT R A.Early predictors of posttraumatic stress disorder[J].Biol Psychiatry,2003,53(9):789-795.
[6]SHAWR J,BERNARD R S,DEBLOIS T,etal.The relationshipbetween acute stress disorder and posttraumatic stress disorder inthe neonatal intensive care unit[J].Psychosomatics,2009,50(2):131-137.
[7]SPIRI,Z,OPACI,G,JOVI,V,et al.Gender differences in victimsof war torture:types of torture and psychological consequences[J].Vojnosanit Pregl,2010,67(5):411-418.
[8]VERGER P,DAB W,LAMPING D L,et al.The psychologicalimpact of terrorism:an epidemiologic study of posttraumatic stressdisorder and associated factors in victims ofthe1995-1996 bomb-ings in France[J].Am J Psychiatry,2004,161(8):1384-1389.
[9]YANG Y K,YEHTL,CHEN C C,et al.Psychiatric morbidityand posttraumatic symptoms among earthquake victims in primarycare clinics[J].Gen Hosp Psychiatry,2003,25(4):253-261.
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