汶川地震后成都军区总医院住院高龄老干部创伤后应激障碍调查
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摘要
目的调查汶川地震后军队高龄老干部创伤后应激障碍(PTSD)发生情况及特点。方法采用PTSD诊断工具、症状自评量表(SCL-90),在震后30d对170名亲历地震的军队住院老干部进行评估。结果根据DSM-Ⅳ诊断标准,震后30d有20.59%的老干部发生PTSD;PTSD患者年龄与非PTSD组患者年龄相比,明显较大(P<0.05);PTSD组患者的躯体化、焦虑、抑郁因子分均显著高于非PTSD组(P<0.01)。结论地震后30d,军队老干部PTSD的发生率是20.59%,PTSD组老干部平均年龄比非PTSD组明显更大。因此,有必要主动对受灾老干部进行精神心理干预。
Objective To investigate the prevalence of post traumatic stress disorder (PTSD) among elderly hospitalized veterans in our hospital after Wenchuan earthquake.Methods At 30 days after the earthquake,the evaluation of PTSD was conducted among 170 hospitalized veterans (≥65years) with DSM-IV criteria and symptoms Checklist-90. Results After 30 days,the prevalence of PTSD among these veterans was 20.59%. The average ages of the veterans with PTSD was significantly higher than those without PTSD.SCL-90 scores were significantly higher in the veterans with PTSD than those without PTSD (P< 0.01). Conclusion The prevalence of PTSD in the elderly veterans who experienced Wenchuan earthquake was 20.59% at 30 days latter. It is necessary to conduct mental health intervention among them.
Objective To investigate the prevalence of post traumatic stress disorder (PTSD) among elderly hospitalized veterans in our hospital after Wenchuan earthquake.Methods At 30 days after the earthquake,the evaluation of PTSD was conducted among 170 hospitalized veterans (≥65years) with DSM-IV criteria and symptoms Checklist-90. Results After 30 days,the prevalence of PTSD among these veterans was 20.59%. The average ages of the veterans with PTSD was significantly higher than those without PTSD.SCL-90 scores were significantly higher in the veterans with PTSD than those without PTSD (P< 0.01). Conclusion The prevalence of PTSD in the elderly veterans who experienced Wenchuan earthquake was 20.59% at 30 days latter. It is necessary to conduct mental health intervention among them.
引文
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[3]Sharan P,Chaudhary G,Kavathekar SA,et al.Preliminary report of psychiatric disorders in survivors of a severe earth-quake[J].J Am Psychiatry,1996,153:556-558.
[4]Chou FH,Wu HC,Chou P,et al.Epidemiologic psychiatric studies on post-disaster impact among Chi-Chi earthquake sur-vivors in Yu-Chi,Taiwan[J].Psychiatry Clin-Neurosci,2007,61(4):370-378.
[5]赵丞智,汪向东,高岚,等.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.
[6]汪向东,赵丞智,新福尚隆,等.地震后创伤性应激障碍的发生率及影响因素[J].中国心理卫生杂志,1999,13(1):28-30.
[7]Shalrv AY,Tuvia Peri,Laura Canetti,et al.Predictors of PTSD in Injured Trauma Survivor:A Prospective study[J].J Am Psychiatry1996,153:219-225
[8]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因素[J].中山大学学报(医学科学版),2008,29(4):367-371.
[9]江琴普,栗克清,崔利军,等.河北省创伤后应激障碍的流行病学调查[J].中国心理卫生杂志,2008,22(1):16.
[2]Green BL,Lindy JD,Grace MC,et al.Chronic post traumat-ic stress disorder and diagnostic co morbidity in a disaster sample[J].Journal of Nervous and Mental Disease,1992,180:760-766.
[3]Sharan P,Chaudhary G,Kavathekar SA,et al.Preliminary report of psychiatric disorders in survivors of a severe earth-quake[J].J Am Psychiatry,1996,153:556-558.
[4]Chou FH,Wu HC,Chou P,et al.Epidemiologic psychiatric studies on post-disaster impact among Chi-Chi earthquake sur-vivors in Yu-Chi,Taiwan[J].Psychiatry Clin-Neurosci,2007,61(4):370-378.
[5]赵丞智,汪向东,高岚,等.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.
[6]汪向东,赵丞智,新福尚隆,等.地震后创伤性应激障碍的发生率及影响因素[J].中国心理卫生杂志,1999,13(1):28-30.
[7]Shalrv AY,Tuvia Peri,Laura Canetti,et al.Predictors of PTSD in Injured Trauma Survivor:A Prospective study[J].J Am Psychiatry1996,153:219-225
[8]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因素[J].中山大学学报(医学科学版),2008,29(4):367-371.
[9]江琴普,栗克清,崔利军,等.河北省创伤后应激障碍的流行病学调查[J].中国心理卫生杂志,2008,22(1):16.
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