震后三年慢性创伤后应激障碍中学生抑郁状况与社会支持、家庭功能的关系研究
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摘要
研究5.12震后三年灾区慢性创伤后应激障碍(PTSD)中学生的抑郁状况及其影响因素。结果:83例慢性创伤后应激障碍学生均存在重度抑郁;抑郁各维度及其总分与主观支持、支持总分及家庭功能的问题解决和沟通维度存在显著的负相关(P<0.01),且抑郁总分与客观支持和家庭功能的角色维度存在显著的负相关(P<0.05)。多元逐步回归分析后发现,支持总分及家庭功能的沟通维度对抑郁的解释贡献率达34.7%,结论:抑郁是慢性创伤后应激障碍的主要共病症状,社会和家庭应给予其更多的社会支持和交流沟通,逐渐降低其抑郁等不良情绪反应。
This paper surveyed the depressive situation of the students suffering from Post-Traumatic Stress Disorder(PTSD) after 5.12 earthquake and its influencing factors.Results: all the 83 surveyed students with chronic PTSD show ed symptoms of depression.There is a significant negative correlation(P < 0.01) among depression,subjective support,the total score of support,the family's function of problem-solving and communication.There is also a significant negative correlation(P < 0.05) between the total score of depression and objective support and family function.Stepwise multiple regressions reveal that communication and the total score of support contribute to 34.7% of depression.Conclusion: Depression is the main comorbidity symptom of chronic PTSD,the society and family should provide the sufferers more support and communicate with them more,so as to reduce their negative emotions such as depression.
This paper surveyed the depressive situation of the students suffering from Post-Traumatic Stress Disorder(PTSD) after 5.12 earthquake and its influencing factors.Results: all the 83 surveyed students with chronic PTSD show ed symptoms of depression.There is a significant negative correlation(P < 0.01) among depression,subjective support,the total score of support,the family's function of problem-solving and communication.There is also a significant negative correlation(P < 0.05) between the total score of depression and objective support and family function.Stepwise multiple regressions reveal that communication and the total score of support contribute to 34.7% of depression.Conclusion: Depression is the main comorbidity symptom of chronic PTSD,the society and family should provide the sufferers more support and communicate with them more,so as to reduce their negative emotions such as depression.
引文
[1]吴顺领,蒋洪波.浅论当代大学生生命教育——由5·12汶川大地震引发的思考[J].西南交通大学学报:社会科学版,2008,9(4):39-42.
[2]Basoglu M,Kilic C,Salcioglu E,et al.Prevalence of posttraumatic stress disorder and comorbid depression in earthquake survivors in Turkey:an epidemiological study[J].Trauma Stress,2004,17(2):133-141.
[3]Bulut S,Tayli A.The does of exposure and prevalence rates of Post Traumatic Stress Disorder in a sample of Turkish children eleven months after the 1999 Marmara earthquakes[J].School Psychology International,2005,26:55-70.
[4]Erdur O.Psychological reactions of turkish earthquake survivors[D].Austin:University of Texas,2002.
[5]Gokler I.The predictor variables of post-traumatic stress symptoms in children and adolescents following 1999 Marmara Earth-quake:exposure to traumatic experiences and coping[D].Ankara:Middle East Technical University,2001.
[6]张本,张凤阁,王丽萍,等.30年后唐山地震所致孤儿创伤后应激障碍现患率调查[J].中国心理卫生杂志,2008,22(6):469-473.
[7]Perkonigg A,Pfister H,Stein MB,et al.Longitudinal course of posttraumatic stress disorder and posttraumatic stress disorder symptoms in a community sample of adolescents and young adults[J].Am J Psychiatry,2005,162(7):1320-1327.
[8]仝小玲,高静芳.创伤后应激障碍[J].全科医学临床与教育,2008,6(5):355-359.
[9]汪智艳,高隽,邓晶,等.修订版儿童事件影响量表在地震灾区初中学生中的信效度[J].中国心理卫生杂志,2010,24(6):463-466.
[10]汪向东.心理卫生评定量表手册[M].北京:中国心理卫生杂志社,1999.
[11]Feinstein AR.The pre-therapeutic classification of co-morbidity in chronic disease[J].J Chron Dis,1970,23(7):455-468.
[12]Dean A,Ensel W M.Modelling social support,life events,competence,and depression in the context of age and sex[J].American Journal of Community Psychology,1982,10(4):392–408.
[2]Basoglu M,Kilic C,Salcioglu E,et al.Prevalence of posttraumatic stress disorder and comorbid depression in earthquake survivors in Turkey:an epidemiological study[J].Trauma Stress,2004,17(2):133-141.
[3]Bulut S,Tayli A.The does of exposure and prevalence rates of Post Traumatic Stress Disorder in a sample of Turkish children eleven months after the 1999 Marmara earthquakes[J].School Psychology International,2005,26:55-70.
[4]Erdur O.Psychological reactions of turkish earthquake survivors[D].Austin:University of Texas,2002.
[5]Gokler I.The predictor variables of post-traumatic stress symptoms in children and adolescents following 1999 Marmara Earth-quake:exposure to traumatic experiences and coping[D].Ankara:Middle East Technical University,2001.
[6]张本,张凤阁,王丽萍,等.30年后唐山地震所致孤儿创伤后应激障碍现患率调查[J].中国心理卫生杂志,2008,22(6):469-473.
[7]Perkonigg A,Pfister H,Stein MB,et al.Longitudinal course of posttraumatic stress disorder and posttraumatic stress disorder symptoms in a community sample of adolescents and young adults[J].Am J Psychiatry,2005,162(7):1320-1327.
[8]仝小玲,高静芳.创伤后应激障碍[J].全科医学临床与教育,2008,6(5):355-359.
[9]汪智艳,高隽,邓晶,等.修订版儿童事件影响量表在地震灾区初中学生中的信效度[J].中国心理卫生杂志,2010,24(6):463-466.
[10]汪向东.心理卫生评定量表手册[M].北京:中国心理卫生杂志社,1999.
[11]Feinstein AR.The pre-therapeutic classification of co-morbidity in chronic disease[J].J Chron Dis,1970,23(7):455-468.
[12]Dean A,Ensel W M.Modelling social support,life events,competence,and depression in the context of age and sex[J].American Journal of Community Psychology,1982,10(4):392–408.
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