震后极重灾区幸存者创伤后应激障碍症状的结构探析
|
摘要
目的:探索本土化的灾后PTSD反应模式。方法:在震后1个月到2个月期间,对绵竹体育场安置点的956名受灾群众施测事件冲击量表—修改版(IES-R),并对回收的有效问卷随机分成两组分别进行探索性和验证性因素分析。结果:IES-R的探索性因素分析结果得出了PTSD的4因素反应模型—闯入,回避,高警觉和睡眠障碍,并且验证性因素分析也同样支持此四因素模型。结论:国人在遇到汶川地震这样的特大灾难时除了表现出闯入、回避和高警觉外,更表现出为在灾难事件后的睡眠质量严重下降的躯体症状,具有比较高的临床和科研意义。
Objective: To explore the localization reaction patterns of PTSD after the earthquake. Methods: In a month after the earthquake to 2-month period, in the refuge camp on the Sport Center of Mianzhu City, 956 survivors were interviewed with the Impact of Events Scale-revised (IES-R), and the valid questionnaires were randomly divided into two groups to accomplish exploratory factor analysis and confirmatory factor analysis separately. Results: The exploratory factor analysis of IES -R results of the 4 factors model of PTSD, included intrusion, avoidance, hyper-arousal and sleep disturbance, and was also supported by confirmatory factor analysis. Conclusion: Sleep disturbance is a most typical localization model of post-disaster psychological reactions with relatively good significance of scientific research and clinical diagnosis.
Objective: To explore the localization reaction patterns of PTSD after the earthquake. Methods: In a month after the earthquake to 2-month period, in the refuge camp on the Sport Center of Mianzhu City, 956 survivors were interviewed with the Impact of Events Scale-revised (IES-R), and the valid questionnaires were randomly divided into two groups to accomplish exploratory factor analysis and confirmatory factor analysis separately. Results: The exploratory factor analysis of IES -R results of the 4 factors model of PTSD, included intrusion, avoidance, hyper-arousal and sleep disturbance, and was also supported by confirmatory factor analysis. Conclusion: Sleep disturbance is a most typical localization model of post-disaster psychological reactions with relatively good significance of scientific research and clinical diagnosis.
引文
1Horowitz M,Wilner N,Alvarez W.Impact of event scale:A measure of subjective stress.Psychosom Med,1979,41(3):209-218
2Weiss D,The impact of event scale:Revised,in cross-cultural assessment of psychological trauma and PTSD.New York:Springer,2007
3黄国平,张亚林,向慧,等.事件影响量表-修订版(IES-R)在女性犯人中的信度、效度分析.中国心理卫生杂志,2006,20(1):28-31
4刘建君,白克镇,龚科,等.地震灾后幸存者心理健康状况调查.神经疾病与精神卫生,2008,8(6):62-63
5韩媛媛,田媛媛,梁黎,等.汶川地震后绵竹市高中学生心理健康状况及其相关因素研究.神经疾病与精神卫生,2009,9(1):41-44
6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):571-573
7Wu KK,et al.The development of the Chinese version of impact of event scale-revised(CIES-R).Social Psychiatry and Psychiatric Epidemiology,2003,38:94-98
8Asukai N,Kato H,Kawamura N,et al.Reliability and val-idity of the Japanese-language version of the impact of event scale-revised(IES-R-J):Four studies of different traumatic events.Journal of Nervous and Mental Disease,2002,190(3):175-182
9Olde EK,Rolf J,Van Der HO,Pop Victor JM.Childbirth and posttraumatic stress responses:A validation study of the dutch impact of event scale-revised.European Journal of Psychological Assessment,2006,22(4):259-267
10Báguena MJ,Villarroya E,Bele觡a,et al.Propiedades psicométricas de la versión espa觡ola de la Escala Revisada de Impacto del Estressor(EIE-R).Psychometric properties of the Spanish version of the impact of event scale-revised(IES-R).Análisis y Modificación de Conducta,2001,27(114):581-604
11Creamer M,Bell R,Failla S.Psychometric properties of the impact of event scale-revised.Behaviour Research and Therapy,2003,41(12):1489-1496
12Dawson J,Ariadurai A,Fernando A,et al.Exploratory factor analysis of a Sri Lankan version of the impact of event scale-revised(IES-R-SL).from TraumAid Intern-ational Web site http://www.traumaid.org/files/research.htm,2007
13Beck JG,Grant DM,Read JP,et al.The impact of event scale-revised:Psychometric properties in a sample of motor vehicle accident survivors.Journal of Anxiety Disorders,2008,22(2):187-198
14Baumert J,Simon H,Gündel H,et al.The impact of event scale-revised:Evaluation of the subscales and correlations to psychophysiological startle response patterns in survivors of a life-threatening cardiac event:An analysis of129patients with an implanted cardioverter defibrillator.Journal of Affective Disorders,2004,82(1):29-41
15Lim H,Woo J,Kim T,et al.Reliability and validity of the Korean version of the impact of event scale-revised.Com-prehensive Psychiatry,2009.1-6
16Maercker A,Schützwohl M.Erfassung von psychischen Belastungsfolgen:Die impact of event Skala-revidierte version(IES-R).Assessment of post-traumatic stress react-ions:The impact of event scale-revised(IES-R).Diagno-stica,1998,44(3):130-141
17Rafael Gargurevich PL,Jean-Francois Fils,Jozef Corveleyn.Factor structure of the Impact of event scale-revised in two different peruvian samples.Depression and Anxiety,2009.1-8
18Suvak M,Maguen S,Litz B,et al.Indirect exposure to the September11terrorist attacks:Does symptom structure resemble PTSD?Journal of Traumatic Stress,2008,21(1):
19王孟成,戴晓阳,万娟.创伤后应激障碍的因子结构:对地震灾区青少年PCL数据的分析.中国临床心理学杂志,2009,17(4):38-41
2Weiss D,The impact of event scale:Revised,in cross-cultural assessment of psychological trauma and PTSD.New York:Springer,2007
3黄国平,张亚林,向慧,等.事件影响量表-修订版(IES-R)在女性犯人中的信度、效度分析.中国心理卫生杂志,2006,20(1):28-31
4刘建君,白克镇,龚科,等.地震灾后幸存者心理健康状况调查.神经疾病与精神卫生,2008,8(6):62-63
5韩媛媛,田媛媛,梁黎,等.汶川地震后绵竹市高中学生心理健康状况及其相关因素研究.神经疾病与精神卫生,2009,9(1):41-44
6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):571-573
7Wu KK,et al.The development of the Chinese version of impact of event scale-revised(CIES-R).Social Psychiatry and Psychiatric Epidemiology,2003,38:94-98
8Asukai N,Kato H,Kawamura N,et al.Reliability and val-idity of the Japanese-language version of the impact of event scale-revised(IES-R-J):Four studies of different traumatic events.Journal of Nervous and Mental Disease,2002,190(3):175-182
9Olde EK,Rolf J,Van Der HO,Pop Victor JM.Childbirth and posttraumatic stress responses:A validation study of the dutch impact of event scale-revised.European Journal of Psychological Assessment,2006,22(4):259-267
10Báguena MJ,Villarroya E,Bele觡a,et al.Propiedades psicométricas de la versión espa觡ola de la Escala Revisada de Impacto del Estressor(EIE-R).Psychometric properties of the Spanish version of the impact of event scale-revised(IES-R).Análisis y Modificación de Conducta,2001,27(114):581-604
11Creamer M,Bell R,Failla S.Psychometric properties of the impact of event scale-revised.Behaviour Research and Therapy,2003,41(12):1489-1496
12Dawson J,Ariadurai A,Fernando A,et al.Exploratory factor analysis of a Sri Lankan version of the impact of event scale-revised(IES-R-SL).from TraumAid Intern-ational Web site http://www.traumaid.org/files/research.htm,2007
13Beck JG,Grant DM,Read JP,et al.The impact of event scale-revised:Psychometric properties in a sample of motor vehicle accident survivors.Journal of Anxiety Disorders,2008,22(2):187-198
14Baumert J,Simon H,Gündel H,et al.The impact of event scale-revised:Evaluation of the subscales and correlations to psychophysiological startle response patterns in survivors of a life-threatening cardiac event:An analysis of129patients with an implanted cardioverter defibrillator.Journal of Affective Disorders,2004,82(1):29-41
15Lim H,Woo J,Kim T,et al.Reliability and validity of the Korean version of the impact of event scale-revised.Com-prehensive Psychiatry,2009.1-6
16Maercker A,Schützwohl M.Erfassung von psychischen Belastungsfolgen:Die impact of event Skala-revidierte version(IES-R).Assessment of post-traumatic stress react-ions:The impact of event scale-revised(IES-R).Diagno-stica,1998,44(3):130-141
17Rafael Gargurevich PL,Jean-Francois Fils,Jozef Corveleyn.Factor structure of the Impact of event scale-revised in two different peruvian samples.Depression and Anxiety,2009.1-8
18Suvak M,Maguen S,Litz B,et al.Indirect exposure to the September11terrorist attacks:Does symptom structure resemble PTSD?Journal of Traumatic Stress,2008,21(1):
19王孟成,戴晓阳,万娟.创伤后应激障碍的因子结构:对地震灾区青少年PCL数据的分析.中国临床心理学杂志,2009,17(4):38-41
版权所有：© 2023 中国地质图书馆 中国地质调查局地学文献中心