北川极重灾区小学生地震后创伤症状评估
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摘要
目的:了解地震半年后受灾地区小学生的心理健康状况,为进一步的干预和辅导提供依据。方法:使用儿童创伤症状量表(TSCC-A)和自编地震经历问卷对1027名北川3-6年级小学生进行评估。结果:震后小学儿童最为突出的症状倾向是焦虑,其次是抑郁和创伤后应激症状,具有地震中受伤经历、有亲人遇难、目睹亲人或他人死亡这些经历的小学生更容易出现高焦虑、高抑郁、创伤后应激障碍和高分离症状。结论:应向具有受伤、有亲人死亡、目睹了亲人或他人死亡经历的小学生提供有针对性的心理辅导和干预。
Objective: To examine the state of psychological health and risk factors for Beichuan children after the earthquake and make suggestions for further psychological intervention. Methods: 1027 subjects were surveyed to examine the background factors and traumatic symptoms following earthquake with Trauma Symptom Checklist for Children. Results: Anxiety, depression and post-traumatic stress were three focused symptoms for Beichuan children. The children who were injured or lost relatives or saw death of relatives or others in earthquake had greater likelihood of significant traumatic symptoms such as anxiety or depression or PTSD. Conclusion: More attention and effective psychological assistance should be provide for children who have experience mentioned above.
Objective: To examine the state of psychological health and risk factors for Beichuan children after the earthquake and make suggestions for further psychological intervention. Methods: 1027 subjects were surveyed to examine the background factors and traumatic symptoms following earthquake with Trauma Symptom Checklist for Children. Results: Anxiety, depression and post-traumatic stress were three focused symptoms for Beichuan children. The children who were injured or lost relatives or saw death of relatives or others in earthquake had greater likelihood of significant traumatic symptoms such as anxiety or depression or PTSD. Conclusion: More attention and effective psychological assistance should be provide for children who have experience mentioned above.
引文
1Cohen RE.Mental health services for victims of disasters.World Psychiatry,2002,1(3):149
2赵冬梅,申荷永,刘志雅.创伤性分离症状及其认知研究.心理科学进展,2006,14(6):895-900
3Wickrama KAS,Kaspar V.Family context of mental health risk in Tsunami-exposed adolescents:Findings from a pilot study in Sri Lanka.Social Science and Medicine,2007,64(3):713-723
4Yorbik O,Akbiyik DI,Kirmizigul P,Hmen T.Post-traumatic stress disorder symptoms in children after the1999Marm-ara earthquake in Turkey.International Journal of Mental Health,2004,33(1):46-58
5Briere J.Trauma symptom checklist for children.San Anto-nio,TX:Psychological Corporation,1996
6Lanktree CB,Briere J.Early data on the trauma symptom checklist for children(TSC-C).Paper presented at the ann-ual meeting of the American Psychological Association.Boston,MA,1990
7Lanktree CB,Briere J.Outcome of therapy for sexually abused children:A repeated measures study.Child Abuse and Neglect,1995,19(9):1145-1155
8Chen SH,Lin YH,Tseng HM,Wu YC.Posttraumatic stress reactions in children and adolescents one year after the1999Taiwan Chi-Chi earthquake.Journal of the Chinese Institute of Engineers,2002,25(5):597-608
9Giannopoulou I,Strouthos M,Smith P,Dikaiakou A,et al.Post-traumatic stress reactions of children and adolescents exposed to the Athens1999earthquake.European Psych-iatry,2006,21(3):160-166
10苏林雁,王凯,朱焱,罗学荣,杨志伟.儿童抑郁障碍自评量表的中国城市常模.中国心理卫生杂志,2003,17(8):547-549
11Roussos A,Goenjian AK,Steinberg AM,Sotiropoulou C,et al.Posttraumatic stress and depressive reactions among children and adolescents after the1999earthquake in Ano Liosia,Greece.American Journal of Psychiatry,2005,162(3):530-537
12Weinstein D,Staffelbach D,Biaggio M.Attention-deficit hyperactivity disorder and posttraumatic stress disorder differential diagnosis in childhood sexual abuse.Clinical Psychology Review,2000,20(3):359-378
2赵冬梅,申荷永,刘志雅.创伤性分离症状及其认知研究.心理科学进展,2006,14(6):895-900
3Wickrama KAS,Kaspar V.Family context of mental health risk in Tsunami-exposed adolescents:Findings from a pilot study in Sri Lanka.Social Science and Medicine,2007,64(3):713-723
4Yorbik O,Akbiyik DI,Kirmizigul P,Hmen T.Post-traumatic stress disorder symptoms in children after the1999Marm-ara earthquake in Turkey.International Journal of Mental Health,2004,33(1):46-58
5Briere J.Trauma symptom checklist for children.San Anto-nio,TX:Psychological Corporation,1996
6Lanktree CB,Briere J.Early data on the trauma symptom checklist for children(TSC-C).Paper presented at the ann-ual meeting of the American Psychological Association.Boston,MA,1990
7Lanktree CB,Briere J.Outcome of therapy for sexually abused children:A repeated measures study.Child Abuse and Neglect,1995,19(9):1145-1155
8Chen SH,Lin YH,Tseng HM,Wu YC.Posttraumatic stress reactions in children and adolescents one year after the1999Taiwan Chi-Chi earthquake.Journal of the Chinese Institute of Engineers,2002,25(5):597-608
9Giannopoulou I,Strouthos M,Smith P,Dikaiakou A,et al.Post-traumatic stress reactions of children and adolescents exposed to the Athens1999earthquake.European Psych-iatry,2006,21(3):160-166
10苏林雁,王凯,朱焱,罗学荣,杨志伟.儿童抑郁障碍自评量表的中国城市常模.中国心理卫生杂志,2003,17(8):547-549
11Roussos A,Goenjian AK,Steinberg AM,Sotiropoulou C,et al.Posttraumatic stress and depressive reactions among children and adolescents after the1999earthquake in Ano Liosia,Greece.American Journal of Psychiatry,2005,162(3):530-537
12Weinstein D,Staffelbach D,Biaggio M.Attention-deficit hyperactivity disorder and posttraumatic stress disorder differential diagnosis in childhood sexual abuse.Clinical Psychology Review,2000,20(3):359-378
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