创伤后应激障碍影响因素及伴发焦虑抑郁的研究
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摘要
目的对玉树地震后一周年创伤后应激障碍(PTSD)的发生率、影响因素及伴发焦虑抑郁分析,为危机干预提供依据。方法采用自编一般情况问卷、PTSD检查量表平民版(PCL-C)、焦虑自评量表(SAS)、抑郁自评量表(SDS)等对玉树受灾人群问卷调查,共513名完成调查。结果调查的受灾人群中,PTSD的发生率为11.50%,焦虑症的发生率为15.01%,抑郁症的发生率为15.40%,PTSD伴焦虑的发生率及PTSD伴抑郁的发生率均为7.02%,PTSD同时伴焦虑和抑郁的发生率为3.70%。结论受灾人群在地震后一周年PTSD发生率高,并焦虑抑郁伴发率较高,因性别、年龄、婚姻、躯体损伤、亲人丧失、社会支持满意度等不同而不同。
Objective To investigate the incidence rate and influence factors for post traumatic stress disorder(PTSD) after the Yushu Earthquake one year,and analyze its concomitant symptom of anxiety and depression;and provide the evidence for the crisis intervention.Methods By using the self general questionnaire,PTSD check list-civilian version(PCL-C),self-rating anxiety scale(SAS),self-rating depression scale(SDS),we did an investigation on the victims.A total of 513 victims accomplished the survey.Results The incidence rate of PTSD was 11.50% after the yushu earthquake one year.The incidence rate of anxiety was 15.01%,and that of depression was 15.40%;The rate of PTSD′s concomitant symptom of anxiety or depression was all 7.02%;and rate of PTSD′s concomitant symptom of anxiety and depression was 3.70%.Conclusion The incidence rates of PTSD and rate of its concomitant symptom of anxiety and depression among the victims after the earthquake one year were significantly higher than the normal population.The incidence rate was different from the gender,age,marriage,physical injury,losing relatives and the satisfaction of social support.
Objective To investigate the incidence rate and influence factors for post traumatic stress disorder(PTSD) after the Yushu Earthquake one year,and analyze its concomitant symptom of anxiety and depression;and provide the evidence for the crisis intervention.Methods By using the self general questionnaire,PTSD check list-civilian version(PCL-C),self-rating anxiety scale(SAS),self-rating depression scale(SDS),we did an investigation on the victims.A total of 513 victims accomplished the survey.Results The incidence rate of PTSD was 11.50% after the yushu earthquake one year.The incidence rate of anxiety was 15.01%,and that of depression was 15.40%;The rate of PTSD′s concomitant symptom of anxiety or depression was all 7.02%;and rate of PTSD′s concomitant symptom of anxiety and depression was 3.70%.Conclusion The incidence rates of PTSD and rate of its concomitant symptom of anxiety and depression among the victims after the earthquake one year were significantly higher than the normal population.The incidence rate was different from the gender,age,marriage,physical injury,losing relatives and the satisfaction of social support.
引文
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[13]张锦黎,陈树林,李凌江.延迟性创伤后应激障碍的流行病学特征及相关因素[J].中国行为医学科学,2005,14(3):275-277.
[14]Lai TJ,Chang CM,Connor KM,et al.Full and partialPTSD among earthquake survivors in rural Tai wan[J].Psychiatr Res,2004,38(3):313-322.
[15]Kuo HW,Wu SJ,Ma TC,et al.Posttraumatic symptomswere worst among quake victims with injuries followingthe Chi-Chi quake in Tai wan[J].Psychosom Res,2007,62(4):495-500.
[16]鞠永彩.烧伤患者发生应激障碍的护理干预对策[J].黑龙江医学,2006,30(6):468-469.
[17]毛文君,袁茵,冉茂盛,等.都江堰地震灾后安置点人群心理健康状态分析[J].四川医学,2009,30(6):970-973.
[2]景璐石,黄颐,司徒明镜,等.汶川大地震后重灾区青少年创伤后应激反应和抑郁情绪的研究[J].中华行为医学与脑科学杂志,2009,18(3):193-195.
[3]陶炯,王相兰,温盛霖,等.汶川地震安置点灾民抑郁症状及影响因素分析[J].中国行为医学科学,2008,17(11):1023-1025.
[4]陶炯,范方,杨肖嫦,等.地震后6月灾区创伤后应激障碍中学生伴发焦虑及抑郁分析[J].中华行为医学与脑科学杂志,2009,18(11):991-993.
[5]Dobie DJ,Kivlahan DR,Maynard C,et al.Screening forpost traumatic stress disorder in female Veteran′s affairspatients:validation of the PTSD checklist[J].Gen HospPsychiatry,2002,24(6):367-374.
[6]周波,周东.5.12汶川大地震灾民创伤后应激障碍的特点分析[J].实用医院临床杂志,2009,1(6):32-34.
[7]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.
[8]Altindag A,Ozen S,Sir A.One-year follow-up study ofposttraumatic stress disorder among earthquake survivorsin Turkey[J].Compr Psychiatry,2005,46(5):328-333.
[9]John PB,Russell S,Russell PS,The prevalence of postt-raumatic stress disorder among children and adolescentsaffected by tsunami disaster in Tamil Nadu[J].DisasterManag Response,2007,5(1):3-7.
[10]Piyasil V,Ketumarn P,Prubrukarn R.Posttraumaticstress disorder in children after the tsunami disaster inThailand:a 5-year follow-up[J].Med Assoc Thai,2011,94(3):138-144.
[11]Breslau N.Epidemiologic studies of trauma,posttraumaticstress disorder,and other psychiatric disorders[J].Can JPsychiatry,2002,47(10):923-929.
[12]张宁,张雨青.汶川地震幸存者的创伤后应激障碍及其影响因素[J].中国临床心理学杂志,2010,18(1):69-72.
[13]张锦黎,陈树林,李凌江.延迟性创伤后应激障碍的流行病学特征及相关因素[J].中国行为医学科学,2005,14(3):275-277.
[14]Lai TJ,Chang CM,Connor KM,et al.Full and partialPTSD among earthquake survivors in rural Tai wan[J].Psychiatr Res,2004,38(3):313-322.
[15]Kuo HW,Wu SJ,Ma TC,et al.Posttraumatic symptomswere worst among quake victims with injuries followingthe Chi-Chi quake in Tai wan[J].Psychosom Res,2007,62(4):495-500.
[16]鞠永彩.烧伤患者发生应激障碍的护理干预对策[J].黑龙江医学,2006,30(6):468-469.
[17]毛文君,袁茵,冉茂盛,等.都江堰地震灾后安置点人群心理健康状态分析[J].四川医学,2009,30(6):970-973.
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