四川汶川地震男性救援者创伤后应激障碍患病情况调查
摘要
目的:调查了解参加四川汶川地震男性救援者创伤后应激障碍(PTSD)患病率及其症状表现。方法:采用分层随机抽样方法,对1590例男性救援者分为PTSD组69例和非PTSD组1521例,进行创伤后应激障碍问卷(PLC-C)调查,比较两组社会人口学资料、抑郁自评量表(SDS)和焦虑自评量表(SAS)测评结果,并采用Logistic回归分析筛选PTSD危险因素。结果:四川汶川地震男性救援者的PTSD患病率为4%左右。PTSD患者与其他男性救援者SDS和SAS分值分别为(60.54±8.26)、(45.15±9.99)和(54.75±12.94)、(38.19±7.25),两者比较差异非常显著(P<0.01)。采用Logistic回归分析,筛选出运送炸药、排除危房和SDS3个预测因素。结论:四川汶川抗震救灾6个月后男性救援者的PTSD患病率显著低于其他人群,且与执行运送炸药、排除危房以及抑郁情绪显著相关。
引文
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[2]Schnyder U.Post.traumatic stress disorder:Diagnostic andtherapeu.tic principles[J].Schweiz Rundsch Med Prax,2003,92(8):337.343.
[3]Costello EJ,Erkanli A,Fairbank JA,et al.The prevalence of poten.tially traumatic events in childhood and adolescence[J].J Trauma Stress,2002,15(2):99.112
[4]Bokszczanin A.Parental support,family conflict,and overprotective.ness:Predicting PTSDsymptomlevels of adolescents28months after a natural disaster[J].Anxiety Stress Coping,2008,21(4):325.335.
[5]Kessle KT,Mc Farlance AC.Psychiatry[M].1995,52:1048.1060.
[6]汪向东,王希林,马弘.心理卫生量表评定手册[M].中国心理卫生杂志增刊,1993:194.197.
[7]汪向东,王希林,马弘.心理卫生量表评定手册[M].中国心理卫生杂志增刊,1993:235.238.
[8]Dobie DJ,Kivlahan DR,Maynard C,et al.Screening for post.trau.matic stress disorder infemale Veteran’s Affairs patients:Validation of the PTSDchecklist[J].J General Hospital Psychiatry,2002,24(6):367.374.
[9]汪向东,赵丞智,新福尚隆,等.地震后创伤性应激障碍的发生率及影响因素[J].中国心理卫生杂志,1999,13(1):28.30.
[10]Johnsen GE,Asbjornsen AE.Consistent i mpaired verbal memoryin PTSD:A Meta.analysis[J].J Affect Disord,2008,111(1):74.82.
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