汶川地震后安县不同受灾地区女性受灾群众创伤后应激障碍(PTSD)的发生率及相关因素
|
摘要
目的:汶川地震震后6个月安县不同受灾地区女性受灾群众创伤后应激障碍(PTSD)发生率及其相关因素。方法:应用使用自编个人基本情况调查表、创伤后应激障碍症状清单平民版(PTSD Checklist-Civilian Version,PCL-C)调查表和标准化评定工具,对地震时在安县地区居住,在极重受灾乡镇、重受灾乡镇、一般受灾乡镇灾区女性受灾群众应用PCL-C调查表进行PTSD诊断检查及相关量表的测查,测定PTSD总的发生率,对比不同受灾乡镇影响因素。结果:完成调查共563名20～70岁女性人群中,PTSD总的发生率是19.54%,极重灾区、重灾区和一般灾区PTSD发生率分别为26.94%,18.85%,15.79%,均高于一般人群。影响因素为反复重现创伤性体验,持续性警觉性增高,持续的回避。极重灾区、重灾区和一般灾区这几种因素对比有显著性差异。结论:震后6个月女性受灾群众PTSD发生率较高,重灾区女性受灾群众尤其需要灾后心理干预工作的关注。
Objective:To investigate the post-traumatic stress disorder(PTSD)incidence and related factors in female refugees of different disaster area in An-town.Methods:Applied self-editing individual basic situation questionnaire,PTSD Checklist-Civilian Version,and standardization evaluation tool,the examination of PCL-C PTSD diagnostic tests and related scale to exam the total incidence of PTSD and compared the factors of victims in different disaster area for the female living in in the extremely heavy stricken towns,the heavy stricken towns,the general stricken towns of An-town region in the earthquake period.Results:Among the 563 cases of 20~70 year-old feminine crowd female surveys which had been completed,PTSD screening positive rate was 19.54%.The positire rate of the extremely heavy stricken towns,the heavy stricken towns,the general stricken towns were 26.94%,18.85%,15.79% respectively,which were significantly higher than those in the control group.The factors were the repeating appearance of the traumatic experience,the increase of the vigilance and sustainability.The three factors of different stricken towns had significantly difference.Conclusion:After wenchuan earthquake for 6 months,post-traumatic stress disorder(PTSD)incidence of female refugees is higher.The female refugees of heavy stricken towns especially need the attention of psychological intervention work.
Objective:To investigate the post-traumatic stress disorder(PTSD)incidence and related factors in female refugees of different disaster area in An-town.Methods:Applied self-editing individual basic situation questionnaire,PTSD Checklist-Civilian Version,and standardization evaluation tool,the examination of PCL-C PTSD diagnostic tests and related scale to exam the total incidence of PTSD and compared the factors of victims in different disaster area for the female living in in the extremely heavy stricken towns,the heavy stricken towns,the general stricken towns of An-town region in the earthquake period.Results:Among the 563 cases of 20~70 year-old feminine crowd female surveys which had been completed,PTSD screening positive rate was 19.54%.The positire rate of the extremely heavy stricken towns,the heavy stricken towns,the general stricken towns were 26.94%,18.85%,15.79% respectively,which were significantly higher than those in the control group.The factors were the repeating appearance of the traumatic experience,the increase of the vigilance and sustainability.The three factors of different stricken towns had significantly difference.Conclusion:After wenchuan earthquake for 6 months,post-traumatic stress disorder(PTSD)incidence of female refugees is higher.The female refugees of heavy stricken towns especially need the attention of psychological intervention work.
引文
[1]Grubaugh AL,Elhai FD,et al.Screening for PTSD in publicsect or mental health settings:the diagnosticutility of the PTSDchecklist(J).Depression Anxiety,2007,24:124-129.
[2]杨晓云,杨宏爱,刘启贵,等.创伤后应激检查量表平民版的效度、信度及影响因素的研究(J).中国健康心理学杂志,2007,15(1):6-9.
[3]Aker AT.1999Marmara Earthquakes:A Review of epidemio-logic findings and community mental health policies(J).TurkishJournal of Psychiatry,2006,17(3):204-212.
[4]Basoglu M,Salciolu E,Livanou M.Traumtic stress responses inearthquake sunrivors in Turkey(J).J Trauma Stress,2002,15:269-276.
[5]樊毫军,侯世科,彭碧波,等.印度海啸后难民心理状况调查(J).中国行为医学科学,2006,15(1):74.
[6]Chou FH,Wu HC,Chou P,et al.Epidemiologic psychiatricstudies on post-disaster impact among Chi-Chi earthquake sur-vivors in Yu-Chi.Taiwan(J).Psychiatry Clin Neurosi,2007,61(4);370-378.
[7]Kuo HW,WU SJ,Ma TC,et al.Pesttraumatic symptoms wereworst among quake victims with injuries following the Chi-chiquake in Taiwan(J).J Psychosom Res,2007,62(4):495-500.
[8]赵丞智,汪向东,高岚.张北尚义地震后创伤后应激障碍随访研究(J).中国心理卫生杂志,2000,14(6):361-363.
[9]John PB,Russell S,Russell PS.The prevalence of posttraumaticstress disorder among children and adolescents affected by tsu-nami disaster in Tamil Nadu(J).Disaster Msnag Response,2007,5(1):3-7.
[10]Giannopoulou I,Strouthos M,Smith P,et al.Post-traumaticstress reactions of children and adolescents exposed to theAthens 1999earthquake(J),Eur Psychiatry,2006,21(3):160-166.
[11]Yilmaz V,Cangur s,Clik HE.Sex difference and earthquakeexpericnce effects on earthquake victims(J).Pets Individ Dif,2005,39(2):341-348.
[12]Kessler RC,Sonnega A,Bromet E,et al.Posttraumatic stressdisorder in the national comorbidity survey(J).Arch Gen Psy-chiatry,1995,52(12):1048-1060.
[13]Foa FB.Street GP.Women and traumatic events(J).J ClinPsychiatry,2001,62(suppl 17):29-34.
[14]赵承智,李俊福,王明山,等.地震后17个月受灾青少年PTSD及其相关因素(J).中国心理卫生杂志,2001,15(3):145-151.
[15]Sattler DN,et al.El Salvador earthquakes:Relationships a-mong acute Stress disorder symptoms,depression,traumaticevent exposure,and resource loss(J).Journal of TraumaticStress,2006,19(6):879-893.
[16]王友平.生活事件、应激与疾病(J).中国社会医学,1989,2(21):57.
[17]黄河清,杨惠琴,韩布新.汶川地震后不同灾情地区老年人创伤后应激障碍发生率及影响因素(J).中国老年学杂志,2009,5(29):1275-1277.
[18]Carr VJ,Lewin TJ,Webster RA,et al.Psychosocial sequelaeof the 1989New castle earthquak eI Community disaster expe-riences and psychological morbidity 6 months post disaster(J).Psychol Med,1995,25(3):539-555.
[19]GoenJian AK,Najarian LM,Pynoos RS,et al.Posttraum at icstress disorder in elderly and younger adults after the 1988earthquake in Armenia(J).Am J Psych iatry,1994,151(6):895-910.
[20]Armenian HK,Morikawa M,Melkonian AK,et al.Loss as adeterminant of PTSD in a cohort of adult survivors of the 1988earthquake in Armenia implications for policy(J).Acta Psy-chiatr Scand,2000,102(1):58-64.
[21]Chen CH,Tan HK,Liao LR,et al.Long-term psychologicalout come of 1999Taiwan earthquake survivors a survey of ahigh-risk sample with property damage(J).Compr Psychiatry,2007,48(3):269-275.
[22]Lai TJ,Chang CM,Connor KM,et al.Full and partial PTSDamong earthquake survivors in rural Taiwan(J).J PsychiatrRes,2004,38(3):313-322.
[2]杨晓云,杨宏爱,刘启贵,等.创伤后应激检查量表平民版的效度、信度及影响因素的研究(J).中国健康心理学杂志,2007,15(1):6-9.
[3]Aker AT.1999Marmara Earthquakes:A Review of epidemio-logic findings and community mental health policies(J).TurkishJournal of Psychiatry,2006,17(3):204-212.
[4]Basoglu M,Salciolu E,Livanou M.Traumtic stress responses inearthquake sunrivors in Turkey(J).J Trauma Stress,2002,15:269-276.
[5]樊毫军,侯世科,彭碧波,等.印度海啸后难民心理状况调查(J).中国行为医学科学,2006,15(1):74.
[6]Chou FH,Wu HC,Chou P,et al.Epidemiologic psychiatricstudies on post-disaster impact among Chi-Chi earthquake sur-vivors in Yu-Chi.Taiwan(J).Psychiatry Clin Neurosi,2007,61(4);370-378.
[7]Kuo HW,WU SJ,Ma TC,et al.Pesttraumatic symptoms wereworst among quake victims with injuries following the Chi-chiquake in Taiwan(J).J Psychosom Res,2007,62(4):495-500.
[8]赵丞智,汪向东,高岚.张北尚义地震后创伤后应激障碍随访研究(J).中国心理卫生杂志,2000,14(6):361-363.
[9]John PB,Russell S,Russell PS.The prevalence of posttraumaticstress disorder among children and adolescents affected by tsu-nami disaster in Tamil Nadu(J).Disaster Msnag Response,2007,5(1):3-7.
[10]Giannopoulou I,Strouthos M,Smith P,et al.Post-traumaticstress reactions of children and adolescents exposed to theAthens 1999earthquake(J),Eur Psychiatry,2006,21(3):160-166.
[11]Yilmaz V,Cangur s,Clik HE.Sex difference and earthquakeexpericnce effects on earthquake victims(J).Pets Individ Dif,2005,39(2):341-348.
[12]Kessler RC,Sonnega A,Bromet E,et al.Posttraumatic stressdisorder in the national comorbidity survey(J).Arch Gen Psy-chiatry,1995,52(12):1048-1060.
[13]Foa FB.Street GP.Women and traumatic events(J).J ClinPsychiatry,2001,62(suppl 17):29-34.
[14]赵承智,李俊福,王明山,等.地震后17个月受灾青少年PTSD及其相关因素(J).中国心理卫生杂志,2001,15(3):145-151.
[15]Sattler DN,et al.El Salvador earthquakes:Relationships a-mong acute Stress disorder symptoms,depression,traumaticevent exposure,and resource loss(J).Journal of TraumaticStress,2006,19(6):879-893.
[16]王友平.生活事件、应激与疾病(J).中国社会医学,1989,2(21):57.
[17]黄河清,杨惠琴,韩布新.汶川地震后不同灾情地区老年人创伤后应激障碍发生率及影响因素(J).中国老年学杂志,2009,5(29):1275-1277.
[18]Carr VJ,Lewin TJ,Webster RA,et al.Psychosocial sequelaeof the 1989New castle earthquak eI Community disaster expe-riences and psychological morbidity 6 months post disaster(J).Psychol Med,1995,25(3):539-555.
[19]GoenJian AK,Najarian LM,Pynoos RS,et al.Posttraum at icstress disorder in elderly and younger adults after the 1988earthquake in Armenia(J).Am J Psych iatry,1994,151(6):895-910.
[20]Armenian HK,Morikawa M,Melkonian AK,et al.Loss as adeterminant of PTSD in a cohort of adult survivors of the 1988earthquake in Armenia implications for policy(J).Acta Psy-chiatr Scand,2000,102(1):58-64.
[21]Chen CH,Tan HK,Liao LR,et al.Long-term psychologicalout come of 1999Taiwan earthquake survivors a survey of ahigh-risk sample with property damage(J).Compr Psychiatry,2007,48(3):269-275.
[22]Lai TJ,Chang CM,Connor KM,et al.Full and partial PTSDamong earthquake survivors in rural Taiwan(J).J PsychiatrRes,2004,38(3):313-322.
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