5·12地震后一般灾区大学生创伤后应激障碍症状调查
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摘要
目的调查"5·12"汶川地震后,一般灾区大学生创伤后应激障碍(post-traumatic stress disorder,PTSD)症状的发生率及其相关因素,为进一步开展大学生的心理咨询与救助提供参考依据。方法以成都某医学院校300名学生为调查对象,采用一般情况调查问卷(自编)、事件影响量表(IES)进行集体施测。结果 PTSD症状的发生率为8.52%(23/270)。经单因素分析与创伤后应激障碍症状相关的影响因素有:震后家人情况(2χ=44.502,P=0.00)、震后亲戚/朋友情况(χ2=44.690,P=0.00)、家乡受灾情况(χ2=47.192,P=0.00)、震后房屋受损状况(χ2=31.193,P=0.00)、震后财产受损状况(χ2=26.433,P=0.00)5个因素。经非条件逐步Log istic回归筛选出创伤后应激障碍症状的影响因素有:震后家人情况(t=4.326,P=0.00)、震后亲戚/朋友情况(t=5.240,P=0.00)、家乡受灾情况(t=-5.805,P=0.00)。结论在灾后重建过程中,一般灾区大学生心理健康状况值得关注,特别是家在重灾区,有家人或亲戚、朋友伤亡的学生更值得关注。
Objective To survey the incidence and releated facters of post-traumatic stress disorder(PTSD) symptoms among general disaster college students after the "5·12"Wenchuan earthquake,and to provide some information for psychological counsel and succor.Methods A total of 300 college students among one medical college of Chengdu were collective investigated by general questionnaire and Impact of Event Scale(IES).Results The ratio of PTSD symptoms was 8.52%(23/270).With the univariate analysis,PTSD symptoms had significant correlation with such five related factors as family situation(χ2=44.502,P=0.00),relatives or friends situation (χ2=44.690,P=0.00),home disaster situation(χ2=47.192,P=0.00),houses damaged situation(χ2=31.193,P=0.00),property damaged situation(χ2=26.433,P=0.00).Nonprogressive logistic regression analysis showed that family member casualties(t=4.326,P=0.00),relatives or friends casualties(t=5.240,P=0.00),home disaster situation(t=-5.805,P=0.00)were the factors for PTSD.Conclusion In the post-disaster reconstruction process,some students still have a high PTSD symptoms ratio in the general disaster.Their mental health need concern,especially for the students who are in the harder-hit area,family,relatives or friends are injuried.
Objective To survey the incidence and releated facters of post-traumatic stress disorder(PTSD) symptoms among general disaster college students after the "5·12"Wenchuan earthquake,and to provide some information for psychological counsel and succor.Methods A total of 300 college students among one medical college of Chengdu were collective investigated by general questionnaire and Impact of Event Scale(IES).Results The ratio of PTSD symptoms was 8.52%(23/270).With the univariate analysis,PTSD symptoms had significant correlation with such five related factors as family situation(χ2=44.502,P=0.00),relatives or friends situation (χ2=44.690,P=0.00),home disaster situation(χ2=47.192,P=0.00),houses damaged situation(χ2=31.193,P=0.00),property damaged situation(χ2=26.433,P=0.00).Nonprogressive logistic regression analysis showed that family member casualties(t=4.326,P=0.00),relatives or friends casualties(t=5.240,P=0.00),home disaster situation(t=-5.805,P=0.00)were the factors for PTSD.Conclusion In the post-disaster reconstruction process,some students still have a high PTSD symptoms ratio in the general disaster.Their mental health need concern,especially for the students who are in the harder-hit area,family,relatives or friends are injuried.
引文
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[5]黄蔚,花琦,吴吴,等.感染SARS的医护人员及其他职业人员患者心理状态的研究[J].中华流行病学杂志,2004,25(1):23-26
[6]Kuo H W,Wu S J,Ma T C,et al.Posttraumatic symptoms wereworst among quake victims with injuries following the Chi-Chiquake in Taiwan[J].J Psychosom Res,2007,62(4):495-500
[7]Ehlers A,Clark D M,Hackmann A,et a1.A randomized controlledtrial of cognitive therapy,a self-help booklet,and repeated assess-ments as early interventions for posttraumatic stress disorder[J].Arch Gen Psychiat,2003,60(10):1024-1032
[2]王相兰,陶炯,温盛霖,等.汶川地震灾民的心理健康状况及影响[J].中山大学学报:医学科学版,2008,29(4):367-371
[3]汪向东,高岚,Naotaka S.灾害后的精神及行为障碍[J].中华精神科杂志,1999,32(3):186-188
[4]关念红,王昆,魏钦令,等.汶川地震异地治疗伤员创伤后应激症状及影响因素分析[J].中山大学学报:医学科学版,2008,29(4):361-366
[5]黄蔚,花琦,吴吴,等.感染SARS的医护人员及其他职业人员患者心理状态的研究[J].中华流行病学杂志,2004,25(1):23-26
[6]Kuo H W,Wu S J,Ma T C,et al.Posttraumatic symptoms wereworst among quake victims with injuries following the Chi-Chiquake in Taiwan[J].J Psychosom Res,2007,62(4):495-500
[7]Ehlers A,Clark D M,Hackmann A,et a1.A randomized controlledtrial of cognitive therapy,a self-help booklet,and repeated assess-ments as early interventions for posttraumatic stress disorder[J].Arch Gen Psychiat,2003,60(10):1024-1032
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