地震灾区大学生创伤后应激障碍及其共病
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摘要
目的了解地震灾区大学生在汶川大地震1年时患创伤后应激障碍(PISD)及其共病程度。方法应用创伤后应激障碍自评量表(PTSD-SS)、焦虑自评量表(SAS)和抑郁自评量表(SDS)对2008年入学的191名灾区大学生进行测评,并对部分患者进行深度心理访谈。结果灾区191名大学生中男生48名,女生143名,平均年龄为(19.80±0.84)岁;患创伤后应激障碍的学生79人,占41.4%;其中,46人患焦虑症,75人患抑郁症,44人患2种共病,分别占58.2%,94.9%和55.7%,男女生之间只在焦虑症状上差异有统计学意义(P<0.05);创伤后应激障碍的变异与所测项目之间均呈正相关(P<0.01);亲人受伤使有无创伤后应激障碍的人数差异有统计学意义(P<0.01)。结论灾区大学生仍存在严重的创伤后应激障碍;创伤事件本身是致病的关键因素。
Objective To know the prevalence of post-traumatic stress disorder(PTSD) and its comorbidities among the students from Wenchuan earthquake-stricken area one year after the disaster.Methods Totally 191 college students from the earthquake-stricken area were measured with post-traumatic stress disorde self-rating scale(PTSD-SS),Self-rating Depression Scale(SAS) and Self-rating Anxiety Scale(SDS),and psychologic consullation.Results The number of the students with symptoms of PTSD was 79(41.4%).Of all PTSD sufferers,46(58.2%) had anxiety;75(94.9%) had depression;44(55.7%) had both of amxiety and depression.There was a significant differences in anxiety symptoms(P<0.05) between male and female students.There were positive correlations between PTSD and other symptoms(P<0.01).The occurence of PTSD related significantly to the death or injury of the relatives.Conclusion The prevalence of PTSD and its comorbidities are serious among the college students from the earthquake-stricken area.The traumatic events are key causes resulting in stress disorder.
Objective To know the prevalence of post-traumatic stress disorder(PTSD) and its comorbidities among the students from Wenchuan earthquake-stricken area one year after the disaster.Methods Totally 191 college students from the earthquake-stricken area were measured with post-traumatic stress disorde self-rating scale(PTSD-SS),Self-rating Depression Scale(SAS) and Self-rating Anxiety Scale(SDS),and psychologic consullation.Results The number of the students with symptoms of PTSD was 79(41.4%).Of all PTSD sufferers,46(58.2%) had anxiety;75(94.9%) had depression;44(55.7%) had both of amxiety and depression.There was a significant differences in anxiety symptoms(P<0.05) between male and female students.There were positive correlations between PTSD and other symptoms(P<0.01).The occurence of PTSD related significantly to the death or injury of the relatives.Conclusion The prevalence of PTSD and its comorbidities are serious among the college students from the earthquake-stricken area.The traumatic events are key causes resulting in stress disorder.
引文
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[3]Jordan NN,Hoge CW,Tobler SK,et al.Mental health impact of9/11Pentagon attack:validation of a rapid assessment tool[J].Am J Prev Med,2004,26(4):284-293.
[4]范一鸣,焦亭,宫瑞莹.创伤后应激障碍的诊断与测量[J].实用医药杂志,2009,26(1):59-61.
[5]赵丞智,汪向东,李俊福,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(3:145-147.
[6]于连政,那军,邢立莹,等.地震灾区中小学生心理应激状况调查[J].中国公共卫生,2009,25(3):282.
[2]Ehlers A,Clark DM,Hachmann A,et al.A randomized controlled trial of cognitive therapy,a self-help booklet,and repeated assess-ments as early interventions for post-traumatic stress disorder[J].Arch Gen Psychiat,2003,60(10):1024-1032.
[3]Jordan NN,Hoge CW,Tobler SK,et al.Mental health impact of9/11Pentagon attack:validation of a rapid assessment tool[J].Am J Prev Med,2004,26(4):284-293.
[4]范一鸣,焦亭,宫瑞莹.创伤后应激障碍的诊断与测量[J].实用医药杂志,2009,26(1):59-61.
[5]赵丞智,汪向东,李俊福,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(3:145-147.
[6]于连政,那军,邢立莹,等.地震灾区中小学生心理应激状况调查[J].中国公共卫生,2009,25(3):282.
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