汶川地震救援官兵的心理健康状况及述情障碍
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摘要
目的:探讨参与汶川地震救援官兵的心理健康状况及与述情障碍的关系。方法:采用症状自评量表(SCL-90)、创伤后应激障碍症状自评量表(PTSD)以及多伦多述情障碍量表(TAS-20)对西安某部队参与救援的官兵116人于救灾后3月时进行测查,并与同一部队未参与救援的144名官兵的测查结果进行比较。结果:①救援组SCL-90中的精神病性、偏执因子显著高于非救援组;救援组SCL-90筛查阳性率(28.45%)显著高于非救援组(15.27%)。②救援组在PTSD量表中的再体验因子显著高于非救援组;4.31%的救援组官兵符合PTSD症状标准,与非救援组的阳性率(2.78%)相比,差异无统计学意义。③对救援组SCL-90总分和PTSD总分做多元线性回归发现,TAS-20中的两个因子辨认情感困难(DIF)、描述情感困难(DDF)进入SCL-90回归方程,DIF和年龄进入PTSD回归方程。结论:救灾后3月救援官兵仍存在一定程度的心身症状,其心理健康状况与述情障碍存在中度相关。
Objective:To explore the mental health state and its relationship with alexithymia of officers and soldiers who involved in Wenchuan earthquake rescue.Methods:A cross-sectional study was performed in 116 rescue soldiers and 144 soldiers who didn't have rescue mission.All the 280 soldiers were tested with Symptom Checklist-90(SCL-90),Posttraumatic Stress Disorder Symptoms Self-rating Scale and the 20-item Toronto Alexithymia Scale(TAS-20).Results:①The factorial scores of psychoticism,paranoid ideation of SCL-90 of the rescue team were significantly higher than those of the non-rescue team.The positive rate of SCL-90 of the rescue team(28.45%) were significantly higher than that of the non-rescue team(15.27%).②The positive rate of PTSD between the two groups was not significantly different,the re-experience factor of the rescue team was significantly higher than that of the non-rescue team.③The multiple linear regression result of SCL-90 and PTSD of the rescue team was found that,DDF and DIF entered the regression equation of SCL-90,and DIF and age entered the regression equation of PTSD.Conclusion:There is a certain degree of psychosomatic symptoms in rescue officers and soldiers after 3 months of earthquake.Their mental health state is moderately correlated with the factors of DDF and DIF.
Objective:To explore the mental health state and its relationship with alexithymia of officers and soldiers who involved in Wenchuan earthquake rescue.Methods:A cross-sectional study was performed in 116 rescue soldiers and 144 soldiers who didn't have rescue mission.All the 280 soldiers were tested with Symptom Checklist-90(SCL-90),Posttraumatic Stress Disorder Symptoms Self-rating Scale and the 20-item Toronto Alexithymia Scale(TAS-20).Results:①The factorial scores of psychoticism,paranoid ideation of SCL-90 of the rescue team were significantly higher than those of the non-rescue team.The positive rate of SCL-90 of the rescue team(28.45%) were significantly higher than that of the non-rescue team(15.27%).②The positive rate of PTSD between the two groups was not significantly different,the re-experience factor of the rescue team was significantly higher than that of the non-rescue team.③The multiple linear regression result of SCL-90 and PTSD of the rescue team was found that,DDF and DIF entered the regression equation of SCL-90,and DIF and age entered the regression equation of PTSD.Conclusion:There is a certain degree of psychosomatic symptoms in rescue officers and soldiers after 3 months of earthquake.Their mental health state is moderately correlated with the factors of DDF and DIF.
引文
1彭树增,李凤珍,颜小焰,等.汶川大地震幸存者地震前后生理指标变化.中国临床心理学杂志,2010,18(1):82-84
2张本,王学义,孙贺祥,等.唐山大地震对人类心身健康远期影响.中国心理卫生杂志,1998,12(4):200-202
3Giannopoulou I,Strouthos M,Smith P,et al.Post-traumatic stress reactions of children and adolescents exposed to the Athens1999earthquake.EurPsychiatry,2006,21(3):160-166
4Chen HT,Chung H,Chen T,et al.The emotional distress in a community after the terrorist attack on the world trade center.Community Mental Health Journal,2003,13(9):157
5范方,柳武妹,郑裕鸿,等.震后6月都江堰地区青少年心理问题及影响因素.中国临床心理学杂志,2010,18(1):56-59
6辛玖岭,祝卓宏,王力,等.汶川地震重灾区青少年创伤后应激障碍及其相关因素.中国临床心理学杂志,2010,18(1):63-65
7李春秋,柳铭心,王力,等.北川极重灾区小学生地震后创伤症状评估.中国临床心理学杂志,2010,18(1):66-68
8孙源泉,范一鸣,王鹏,宫瑞莹,等.震区丧亲儿童羞怯、创伤后应激障碍症状和心理健康之间的关系.中国临床心理学杂志,2009,17(4):53-55
9张宁,张雨青,吴坎坎,等.汶川地震幸存者的创伤后应激障碍及其影响因素.中国临床心理学杂志,2010,18(1):69-72
10朱明婧,张兴利,汪艳艾,等.汶川地震孤儿的创伤后应激障碍和自我意识.中国临床心理学杂志,2010,18(1):73-75
11陈伟,王龙,张兴利,等.汶川地震后青少年幸存者PTSD症状的特点及其发展.中国临床心理学杂志,2010,18(1):85-87
12罗兴伟,高雪屏,蔡太生,等.汶川地震亲历者心理健康状况调查.中国临床心理学杂志,2008,16(6):84-86
13冯春,辛勇,吴坎坎,等.地震后灾区乡镇基层干部心理健康状况的调查.中国临床心理学杂志,2010,18(1):88-90
14张富洪,辛勇,等.地震重灾区后一年公安民警心理健康状况及及影响因素研究.中国临床心理学杂志,2010,18(1):76-78
15袁水平,黄圣排,赵学军,等.某部5.12抗震救灾战士的心理健康状况以及应付方式调查.中国临床心理学杂志,2010,18(1):91-93
16张作记.行为医学量表手册.中国行为医学科学,2001,136(194):118
17陈树林,高雪屏,李凌江,等.PTSD症状自评量表的信效度初步评价.中国心理卫生杂志,2005,19(6):373-376
18蚁金瑶,姚树桥,朱熊兆.TAS-20中文版的信度、效度分析.中国心理卫生杂志,2005,17(11):763-766
19Witeyeen AB,Bramsen I,Twisk JWR,et al.Psychological distress of rescue workers eight and one-half years after professional involvement in the Amsterdam air disaster.Journal of Nervous and Mental Disease,2007,195(1):31-40
20Armen K,Luis M,Alan M,et al.Posttraumatic stress and depressive reactions among Nicaraguan adolescents after Hurricane Mitch,2000,587(2):788-795
21伍志刚,刘爱忠,谭红专,等.洪灾区成人PTSD及其危险因素的研究.中国临床心理学杂志,2003,11(3):34-36
22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.中国心理卫生杂志,1999,13(1):28-30
23Yehuda R,Steiner A,Kahana B.Alexithymia in Holocaust survivors with and without PTSD.Traumatic Stress,1997,10:93-100
2张本,王学义,孙贺祥,等.唐山大地震对人类心身健康远期影响.中国心理卫生杂志,1998,12(4):200-202
3Giannopoulou I,Strouthos M,Smith P,et al.Post-traumatic stress reactions of children and adolescents exposed to the Athens1999earthquake.EurPsychiatry,2006,21(3):160-166
4Chen HT,Chung H,Chen T,et al.The emotional distress in a community after the terrorist attack on the world trade center.Community Mental Health Journal,2003,13(9):157
5范方,柳武妹,郑裕鸿,等.震后6月都江堰地区青少年心理问题及影响因素.中国临床心理学杂志,2010,18(1):56-59
6辛玖岭,祝卓宏,王力,等.汶川地震重灾区青少年创伤后应激障碍及其相关因素.中国临床心理学杂志,2010,18(1):63-65
7李春秋,柳铭心,王力,等.北川极重灾区小学生地震后创伤症状评估.中国临床心理学杂志,2010,18(1):66-68
8孙源泉,范一鸣,王鹏,宫瑞莹,等.震区丧亲儿童羞怯、创伤后应激障碍症状和心理健康之间的关系.中国临床心理学杂志,2009,17(4):53-55
9张宁,张雨青,吴坎坎,等.汶川地震幸存者的创伤后应激障碍及其影响因素.中国临床心理学杂志,2010,18(1):69-72
10朱明婧,张兴利,汪艳艾,等.汶川地震孤儿的创伤后应激障碍和自我意识.中国临床心理学杂志,2010,18(1):73-75
11陈伟,王龙,张兴利,等.汶川地震后青少年幸存者PTSD症状的特点及其发展.中国临床心理学杂志,2010,18(1):85-87
12罗兴伟,高雪屏,蔡太生,等.汶川地震亲历者心理健康状况调查.中国临床心理学杂志,2008,16(6):84-86
13冯春,辛勇,吴坎坎,等.地震后灾区乡镇基层干部心理健康状况的调查.中国临床心理学杂志,2010,18(1):88-90
14张富洪,辛勇,等.地震重灾区后一年公安民警心理健康状况及及影响因素研究.中国临床心理学杂志,2010,18(1):76-78
15袁水平,黄圣排,赵学军,等.某部5.12抗震救灾战士的心理健康状况以及应付方式调查.中国临床心理学杂志,2010,18(1):91-93
16张作记.行为医学量表手册.中国行为医学科学,2001,136(194):118
17陈树林,高雪屏,李凌江,等.PTSD症状自评量表的信效度初步评价.中国心理卫生杂志,2005,19(6):373-376
18蚁金瑶,姚树桥,朱熊兆.TAS-20中文版的信度、效度分析.中国心理卫生杂志,2005,17(11):763-766
19Witeyeen AB,Bramsen I,Twisk JWR,et al.Psychological distress of rescue workers eight and one-half years after professional involvement in the Amsterdam air disaster.Journal of Nervous and Mental Disease,2007,195(1):31-40
20Armen K,Luis M,Alan M,et al.Posttraumatic stress and depressive reactions among Nicaraguan adolescents after Hurricane Mitch,2000,587(2):788-795
21伍志刚,刘爱忠,谭红专,等.洪灾区成人PTSD及其危险因素的研究.中国临床心理学杂志,2003,11(3):34-36
22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.中国心理卫生杂志,1999,13(1):28-30
23Yehuda R,Steiner A,Kahana B.Alexithymia in Holocaust survivors with and without PTSD.Traumatic Stress,1997,10:93-100
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