地震后17个月受灾青少年PTSD及其相关因素
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摘要
目的 :研究地震后 17个月受灾青少年创伤后应激障碍 (PTSD)的发生率、症状分布及其相关因素。方法 :在张北地震震中一所中学随机抽取 2 0 5名中学生 ,进行DSM -IVPTSD诊断检查及相关量表的测查。结果 :灾后 17个月PTSD发生率为 9 4% ,女性明显高于男性。PTSD症状出现频率较高的有 :似乎事件重现的动作或感受 (74 5 % )、警觉性过高 (6 8 8% ) ,强烈的生理反应 (6 6 7% )、强烈的心理痛苦和烦恼(6 3 0 % )及反复闯入的痛苦回忆 (6 0 9% ) ,出现较少的症状是情感范围有所限制 (10 4% )、脱离或觉得他人陌生的感觉 (13 5 % )。与PTSD发生相关的因素有心理痛苦水平、感受到生命危险程度、受伤程度及女性。结论 :地震后青少年PTSD的发生率是 9 4% (17个月 ) ,而且PTSD的发生具有可预测性
Objective: To examine the prevalence and related factors of PTSD in adolescents 17 months after earthquake Method: 205 school-aged (14-18 years old) victims were assessed with the PTSD module of CIDI for DSM-IV, SCL-90, and scale of event severity and demographic characteristic scale Results: Eighteen subjects (9 4%) met PTSD diagnostic criteria of DSM-IV The prevalence of PTSD in female was higher than that in male The most frequently reported PTSD symptom was the acting and feeling of the traumatic event recurring (74 5%) The least frequently reported symptom was the restricted range of affect (10 4%) Multi-linear regression indicated that the relationship of the numbers and severity of PTSD symptoms were anxiety of the coming earthquake, severity of injury, fear of loss of life and stress of real estate Logistic regression showed that the predictors of PTSD were female, sad levels, fears of loss of life and severity of injury Conclusion: The prevalence of PTSD in adolescents experienced earthquake 17 months before is 9 4% PTSD is predictable in some sense
Objective: To examine the prevalence and related factors of PTSD in adolescents 17 months after earthquake Method: 205 school-aged (14-18 years old) victims were assessed with the PTSD module of CIDI for DSM-IV, SCL-90, and scale of event severity and demographic characteristic scale Results: Eighteen subjects (9 4%) met PTSD diagnostic criteria of DSM-IV The prevalence of PTSD in female was higher than that in male The most frequently reported PTSD symptom was the acting and feeling of the traumatic event recurring (74 5%) The least frequently reported symptom was the restricted range of affect (10 4%) Multi-linear regression indicated that the relationship of the numbers and severity of PTSD symptoms were anxiety of the coming earthquake, severity of injury, fear of loss of life and stress of real estate Logistic regression showed that the predictors of PTSD were female, sad levels, fears of loss of life and severity of injury Conclusion: The prevalence of PTSD in adolescents experienced earthquake 17 months before is 9 4% PTSD is predictable in some sense
引文
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8 PynoosR S ;GoenjianA ;TashjianM ;etal Post -traumaticstressreactioninchildrenafterthe 1988Armenianearthquakeinarmenia JAmPsychiatry ,1994,15 1:895 -90 1
9 ShalrvA Y ;TuviaPeri ;LauraCanetti,,etal,PredictorsofPTSDinInjuredTraumaSurvivor :AProspectivestudy JAmPsy chiatry 1996 ,15 3 :2 19-2 2 5
10 张家口市地震局 ,张北地震序列地震活动分析 ;2 0 0 0年 6月
2 GreenBL ,KorolM ,GraceMC ,etal Childrenanddisaster :age ,grender,andparentaleffectsonPTSDsymptoms JAmAcadChildAdolescPsychiatry 1991;30 :945 -5 1
3 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) :2 8-30
4 汪向东 心理卫生量表评定手册 第一版 中国心理卫生杂志增刊 1993 31-35
5 WorldHealthOrganization Psychologicalconsquencesofdisasters :PreventionandManagement WHO Geneva ,1992
6 GarrisonC Z ;BryantE S :AddyC L ;etal PosttraumaticstressdisorderinadolescentsafterHurricaneAndrew JAmAcadChildAdolescPsychairy 1995 ,34:1193 -2 0 1
7 GreenB L ;LindyJ D ;GraceM C ,etal Chronicposttraumaticstressdisorderanddiagnosticcomorbidityinadisastersample JNervMentDis 1992 ,180 :76 0 -6
8 PynoosR S ;GoenjianA ;TashjianM ;etal Post -traumaticstressreactioninchildrenafterthe 1988Armenianearthquakeinarmenia JAmPsychiatry ,1994,15 1:895 -90 1
9 ShalrvA Y ;TuviaPeri ;LauraCanetti,,etal,PredictorsofPTSDinInjuredTraumaSurvivor :AProspectivestudy JAmPsy chiatry 1996 ,15 3 :2 19-2 2 5
10 张家口市地震局 ,张北地震序列地震活动分析 ;2 0 0 0年 6月
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