地震救援官兵急性应激反应状况及其与应对方式的关系
|
摘要
目的调查地震救援官兵急性应激反应状况,探讨其急性应激反应与应对方式的相关关系。方法采用急性应激反应量表(ASRS)和应对方式问卷对地震救援官兵调查,所得数据采用SPSS16.0软件进行描述统计、Pearson相关分析。结果①地震救援官兵五种应激反应中,认知改变最重,生理反应次之,病理改变最轻。②地震救援官兵在难以决定、注意力减退、记忆缺失和疑惑症状上得分较高(>0.25),精神症状得分最低。③地震救援官兵在自责、退避和合理化的得分较高(>17.00),地震救援官兵采取求助的应对方式最少,总的来说,消极应对得分高于积极应对得分。④地震救援官兵急性应激总反应指数及各维度得分与积极应对、消极应对的相关性均具有统计学意义(P<0.01)。结论地震救援官兵最严重的急性应激反应是认知改变和生理反应。军人采取积极的应对方式有利于应对急性应激反应。危机干预策略的重点是官兵的认知改变和生理反应。
Objective To investigate the acute stress response status of the earthquake rescue troops and its relationships with coping styles. Methods The earthquake rescue troops were surveyed with acute stress response scale(ASRS) and coping style questionnaire.The obtained data were analyzed with SPSS software using descriptive statistics and Pearson correlation analysis. Results ①Of all aspects of acute stress response in earthquake rescue troops,the alteration of cognition was the most significant,then the physiological reaction,and pathological alteration was the least.②The scores were higher than 0.25 in difficult to make decision,dispersion of attention,deficit in memory and incertitude.The score of psychotic symptoms was the least.③The scores of self-accusation,withdraw and rationalization in earthquake rescue troops were higher than 17.00,and seeking help was the least adopted coping style.Additionally,scores of negative coping styles were higher than those of positive coping styles.④The acute stress response index and each dimension of acute stress responses were significantly related to the negative coping and positive coping scores(P<0.01). Conclusion ①The most serious aspects of acute stress response are the alteration of cognition and the physiological reaction,and the main symptoms are difficult to make decision,dispersion of attention,deficit in memory and incertitude.②Soldiers should develop the positive coping styles,which are better to deal with acute stress responses.Crisis intervention strategies should focus on the alteration of cognition and the physiological reaction.
Objective To investigate the acute stress response status of the earthquake rescue troops and its relationships with coping styles. Methods The earthquake rescue troops were surveyed with acute stress response scale(ASRS) and coping style questionnaire.The obtained data were analyzed with SPSS software using descriptive statistics and Pearson correlation analysis. Results ①Of all aspects of acute stress response in earthquake rescue troops,the alteration of cognition was the most significant,then the physiological reaction,and pathological alteration was the least.②The scores were higher than 0.25 in difficult to make decision,dispersion of attention,deficit in memory and incertitude.The score of psychotic symptoms was the least.③The scores of self-accusation,withdraw and rationalization in earthquake rescue troops were higher than 17.00,and seeking help was the least adopted coping style.Additionally,scores of negative coping styles were higher than those of positive coping styles.④The acute stress response index and each dimension of acute stress responses were significantly related to the negative coping and positive coping scores(P<0.01). Conclusion ①The most serious aspects of acute stress response are the alteration of cognition and the physiological reaction,and the main symptoms are difficult to make decision,dispersion of attention,deficit in memory and incertitude.②Soldiers should develop the positive coping styles,which are better to deal with acute stress responses.Crisis intervention strategies should focus on the alteration of cognition and the physiological reaction.
引文
[1]李权超,虢国泰,何英强.军人心理应激的发生机制及其控制[J].中国行为医学科学,2002,11(3):350-351.
[2]李军杰,叶平,骆雷鸣,等.驻戈壁某部军人应激状态与血压、血糖和血脂相关性的研究[J].中华保健医学杂志,2010,12(2):130-132.
[3]张卫强,孙天胜,赵京,等.“便携式数字化心理健康筛查测评仪”对汶川抗震救灾部队军人心理健康状态的调查评估[J].中国健康心理学杂志,2011,19(1):32-34.
[4]沈兴华,黄俊龙,叶小飞,等.茂县政府机关干部与救灾部队震后7-9周刨伤后应激障碍(PTSD)症状比较[J].中国健康心理学杂志,2009,17(10):1212-1214.
[5]杨军.急性应激反应量表编制及实测研究[D].西安:第四军医大学,2010.
[6]Yang YB,Tang JJ,Jiang Y,et al.Development of the acute stressresponse scale[J].Soc Behav Pers,2011,39:713-720.
[7]汪向东,王希林,马弘.心理卫生评定量表手册.增订版[M].北京:中国心理卫生杂志出版社,1999:31-35.
[8]Weigold IK,Robitschek C.Agentic personality characteristics andcoping:their relation to trait anxiety in college students[J].Am JOrthopsychiatry,2011,81:25-264.
[9]朱霞,杨业兵,张华军,等.重大军事任务下军人急性应激反应特点[J].心理科学,2011,34(5):1269-1273.
[10]齐建林,郭琳,周晓梅,等.汶川地震后3个月和6个月男性救援者创伤后应激障碍比较研究[J].中国健康心理学杂志,2011,19(6):670-672.
[11]李敏,李培培,张丽丽,等.汶川地震救援武警消防官兵心理健康状况及影响因素[J].中华行为医学与脑科学杂志,2009,18(3):196-198.
[12]伊丽,武国城,万憬,等.抗震救灾官兵心理健康状况及相关因素分析[J].心理科学进展,2009,17(3):567-569.
[13]黄鹏,石蕊,朱霞,等.军校新生急性应激反应的相关因素研究[J].中华行为医学与脑科学杂志,2011,20(9):846-848.
[2]李军杰,叶平,骆雷鸣,等.驻戈壁某部军人应激状态与血压、血糖和血脂相关性的研究[J].中华保健医学杂志,2010,12(2):130-132.
[3]张卫强,孙天胜,赵京,等.“便携式数字化心理健康筛查测评仪”对汶川抗震救灾部队军人心理健康状态的调查评估[J].中国健康心理学杂志,2011,19(1):32-34.
[4]沈兴华,黄俊龙,叶小飞,等.茂县政府机关干部与救灾部队震后7-9周刨伤后应激障碍(PTSD)症状比较[J].中国健康心理学杂志,2009,17(10):1212-1214.
[5]杨军.急性应激反应量表编制及实测研究[D].西安:第四军医大学,2010.
[6]Yang YB,Tang JJ,Jiang Y,et al.Development of the acute stressresponse scale[J].Soc Behav Pers,2011,39:713-720.
[7]汪向东,王希林,马弘.心理卫生评定量表手册.增订版[M].北京:中国心理卫生杂志出版社,1999:31-35.
[8]Weigold IK,Robitschek C.Agentic personality characteristics andcoping:their relation to trait anxiety in college students[J].Am JOrthopsychiatry,2011,81:25-264.
[9]朱霞,杨业兵,张华军,等.重大军事任务下军人急性应激反应特点[J].心理科学,2011,34(5):1269-1273.
[10]齐建林,郭琳,周晓梅,等.汶川地震后3个月和6个月男性救援者创伤后应激障碍比较研究[J].中国健康心理学杂志,2011,19(6):670-672.
[11]李敏,李培培,张丽丽,等.汶川地震救援武警消防官兵心理健康状况及影响因素[J].中华行为医学与脑科学杂志,2009,18(3):196-198.
[12]伊丽,武国城,万憬,等.抗震救灾官兵心理健康状况及相关因素分析[J].心理科学进展,2009,17(3):567-569.
[13]黄鹏,石蕊,朱霞,等.军校新生急性应激反应的相关因素研究[J].中华行为医学与脑科学杂志,2011,20(9):846-848.
版权所有：© 2023 中国地质图书馆 中国地质调查局地学文献中心