地震伤员PTSD及其影响因素的研究
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摘要
目的:调查汶川地震灾后伤员的创伤后应激障碍(Posttraumatic stress disorder,PTSD)相关症状的发生及其影响因素。方法:采用美国《精神障碍诊断与统计手册》第四版(DSM-Ⅳ)中关于PTSD的诊断标准,在地震后40d对伤员PTSD症状进行评定。结果:地震后40dPTSD症状的检出率为51.4%,其主要影响因素为性别(OR=2.364)、地震中被掩埋(OR=2.171)、目睹有人在地震中受伤(OR=0.338)。结论:此次地震后PTSD症状的检出率相当高,应采取针对性的干预措施。
Objective:To investigate the incidence of Posttraumatic stress disorder(PTSD) symptoms and its influencing factors in the transered wounded after Wenchuan earthquake.Methods:Diagnostic and Statistical Manual of Mental Disorders(Ⅳ Edition) were used to examine and diagnose the victims,at the 40th day after earthquake.Results:The positive rate of PTSD symptoms was 51.4% after 40 days.The results of logistic regression analysis showed that the main influencing factors included gender(OR=2.364),the experience of been buried in the earthquake(OR=2.171) and seeing people injured in the earthquake(OR=0.338).Conclusion:The positive rate of PTSD symptoms in the wounded in this earthquake is so high and psychosocial intervention is needed.
Objective:To investigate the incidence of Posttraumatic stress disorder(PTSD) symptoms and its influencing factors in the transered wounded after Wenchuan earthquake.Methods:Diagnostic and Statistical Manual of Mental Disorders(Ⅳ Edition) were used to examine and diagnose the victims,at the 40th day after earthquake.Results:The positive rate of PTSD symptoms was 51.4% after 40 days.The results of logistic regression analysis showed that the main influencing factors included gender(OR=2.364),the experience of been buried in the earthquake(OR=2.171) and seeing people injured in the earthquake(OR=0.338).Conclusion:The positive rate of PTSD symptoms in the wounded in this earthquake is so high and psychosocial intervention is needed.
引文
[1]American psychiatric association.Diagnostic and statistical manual of mental disorders[M],ⅣEdition,Washington DC:Author.1994.427-429.
[2]陈树林,高雪屏,李凌江,等.PTSD症状自评量表的信度效度初步评价[J].中国心理卫生杂志,2005,19(6):373-376.
[3]周建初,金初林,张世奎,等.巫溪县岩崩、吊桥事件后精神反应调查报告[J].中国心理卫生杂志,1988,2(2):72.
[4]何鸣,吴仁刚,章晓冬,等.翻车事故幸存者中精神创伤后应激障碍[J].中国心理卫生杂志,1993,7(4):148.
[5]刘光雄,杨来启,许向东,等.车祸事件后创伤后应激障碍的研究[J].中国心理卫生杂志,2002,16(1):18-20.
[6]Goenjian A,Roca V,Freeman T W.A mental health relief programme in Ar-menia after the1988earthquake[J].Imple2mentation and clinical observations1Br J Psychiatry,1993,163(8):230-239
[7]Green B L,Lindy J D,Grace M C,et al.Chronic post traumatic stress disorder and diagnostic CO morbidity in a disaster sample[J].Journal of Nervous and Mental Disease,1992,180(6):760.
[8]中国地震台网中心,地震数据管理与服务系统,四川汶川8.0级地震和4.0级以上余震统计,2008年6月[EB/OL]http://www.csndmc.ac.cn/newweb/wen chuan/wenchuan-aftershocks.htm,2008-6-22
[9]Davidson JR1.Recognition and treatment of posttraumatic stress disorder[J].JAMA,2001,286(5):584-588.
[10]赵丞智,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):145-141.
[11]刘光雄,杨来启,许向东,等.车祸事件后创伤后应激障碍的研究[J].中国心理卫生杂志,2002,16(1):18-20.
[12]伍志刚,刘爱忠,谭红专,等.洪灾区成人PTSD及其危险因素的研究[J].中国临床心理学杂志,2003,11(3):173-175.
[13]Connor K M,Davidson J R T.The role of serotonin in posttraumatic stress dis-order:neurobiology and pharmacotherapy[J].Inter J Neuropsychiatric Med,1998,3(Suppl2):43-51.
[14]Kessler H S,Kilpatrick D G,Dansky B S,et al.Posttraumatic stress disorder in the national CO morbidity survey[J].Archives General Psychiatry,1995,52(12):1048.
[15]Palinkas L A,Petterson J S,Russetl J,et al.Community patterns of psychiatric disordersaltertheExxonValdezoilspill[J].Am-J-Psychiatry,1993,150(10):1517-1523.
[2]陈树林,高雪屏,李凌江,等.PTSD症状自评量表的信度效度初步评价[J].中国心理卫生杂志,2005,19(6):373-376.
[3]周建初,金初林,张世奎,等.巫溪县岩崩、吊桥事件后精神反应调查报告[J].中国心理卫生杂志,1988,2(2):72.
[4]何鸣,吴仁刚,章晓冬,等.翻车事故幸存者中精神创伤后应激障碍[J].中国心理卫生杂志,1993,7(4):148.
[5]刘光雄,杨来启,许向东,等.车祸事件后创伤后应激障碍的研究[J].中国心理卫生杂志,2002,16(1):18-20.
[6]Goenjian A,Roca V,Freeman T W.A mental health relief programme in Ar-menia after the1988earthquake[J].Imple2mentation and clinical observations1Br J Psychiatry,1993,163(8):230-239
[7]Green B L,Lindy J D,Grace M C,et al.Chronic post traumatic stress disorder and diagnostic CO morbidity in a disaster sample[J].Journal of Nervous and Mental Disease,1992,180(6):760.
[8]中国地震台网中心,地震数据管理与服务系统,四川汶川8.0级地震和4.0级以上余震统计,2008年6月[EB/OL]http://www.csndmc.ac.cn/newweb/wen chuan/wenchuan-aftershocks.htm,2008-6-22
[9]Davidson JR1.Recognition and treatment of posttraumatic stress disorder[J].JAMA,2001,286(5):584-588.
[10]赵丞智,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):145-141.
[11]刘光雄,杨来启,许向东,等.车祸事件后创伤后应激障碍的研究[J].中国心理卫生杂志,2002,16(1):18-20.
[12]伍志刚,刘爱忠,谭红专,等.洪灾区成人PTSD及其危险因素的研究[J].中国临床心理学杂志,2003,11(3):173-175.
[13]Connor K M,Davidson J R T.The role of serotonin in posttraumatic stress dis-order:neurobiology and pharmacotherapy[J].Inter J Neuropsychiatric Med,1998,3(Suppl2):43-51.
[14]Kessler H S,Kilpatrick D G,Dansky B S,et al.Posttraumatic stress disorder in the national CO morbidity survey[J].Archives General Psychiatry,1995,52(12):1048.
[15]Palinkas L A,Petterson J S,Russetl J,et al.Community patterns of psychiatric disordersaltertheExxonValdezoilspill[J].Am-J-Psychiatry,1993,150(10):1517-1523.
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