汶川地震后军队住院高龄老干部创伤后应激障碍调查
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摘要
目的调查汶川地震后军队高龄老干部创伤后应激障碍(PTSD)发生情况及特点。方法采用PTSD诊断工具、症状自评量表(SCL-90),在震后第30天对170名亲历地震的军队住院老干部进行评估。结果根据DSM-Ⅳ诊断标准,震后第30天有20.59%的老干部发生PTSD;PTSD患者年龄与非PTSD组患者年龄相比,明显较大(P<0.05);PTSD组患者的躯体化、焦虑、抑郁因子分均显著高于非PTSD组(P<0.01)。结论地震后1个月,军队老干部PTSD的发生率是20.59%,PTSD组老干部平均年龄比非PTSD组明显更大。有必要主动对受灾老干部进行精神心理干预。
Objective To discuss the prevalence of post traumatic stress disorder(PTSD) in elderly veterans of Wenchuan earthquake.Methods At the 30th day after the earthquake,170 inpatients were assessed for PTSD with the DSM-IV criteria.Symptoms Checklist-90 was also administered.Results After 30 days,the prevalence of PTSD in these inpatients was 20.59%.The average ages of patients in PTSD group were significantly higher than those in non-PTSD group.SCL-90 scores were significantly higher in patients with PTSD than patients without (P< 0.01).Conclusion The prevalence of PTSD in elderly veterans experienced Wenchuan earthquake 1 months before is 20.59%.These veterans need early psychological assessment and intervention.
Objective To discuss the prevalence of post traumatic stress disorder(PTSD) in elderly veterans of Wenchuan earthquake.Methods At the 30th day after the earthquake,170 inpatients were assessed for PTSD with the DSM-IV criteria.Symptoms Checklist-90 was also administered.Results After 30 days,the prevalence of PTSD in these inpatients was 20.59%.The average ages of patients in PTSD group were significantly higher than those in non-PTSD group.SCL-90 scores were significantly higher in patients with PTSD than patients without (P< 0.01).Conclusion The prevalence of PTSD in elderly veterans experienced Wenchuan earthquake 1 months before is 20.59%.These veterans need early psychological assessment and intervention.
引文
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[2]Green BL,Lindy JD,Grace MC,et al.Chronic posttraumatic stress disorder and diagnostic comorbidity in a disaster sample[J].J Nerv Ment Dis,1992,180(12):760～766
[3]Sharan P,Chaudhary G,Kavathekar SA,et al.Preliminary report ofpsychiatric disorders in survivors of a severe earthquake[J].Am J Psychiatry,1996,153(4):556～558
[4]Chou FH,Wu HC,Chou P,et al.Epidemiologic psychiatric studies on postdisaster impact among Chi-Chi earthquake survivors in Yu-chi,Taiwan[J].Psychiatry Clin Neurosci,2007,61(4):370～378
[5]赵丞智,汪向东,高岚,等.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
[6]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[J].中国心理卫生杂志,1999,13(1):28～30
[7]王相兰,陶炯,温盛霖,等.汶川地震灾民的心理健康状况及影响因素[J].中山大学学报(医学科学版),2008,29(4):367～371
[8]江琴普,栗克清,崔利军,等.河北省创伤后应激障碍的流行病学调查[J].中国心理卫生杂志,2008,22(1):16
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