汶川县中学生地震后1年创伤后应激障碍调查(1)
 |
| 第1页 |
参见附件(1887KB，3页)。
【摘要】 目的 了解汶川重灾区地震后1 a青少年创伤后应激障碍(Post-Traumatic Stress Disorder, PTSD)的现患情况，为制定干预措施提供科学依据。方法 采用创伤后应激障碍自评量表(PTSD Checklist-Civilian Version, PCL-C)，对汶川地震重灾区3所中学初一、初二、高一、高二年级的在校学生进行问卷调查，PTSD的诊断依据 DSM-Ⅳ标准。结果 地震后1 a重灾区中学生PTSD的筛查阳性率为6.1%，以警觉性过强所致易激惹症状(D组)阳性率最高(75.1%)。初二和高一年级，居住在农村、家庭有财产损失的学生PTSD阳性率及B，C，D 3组症候群阳性率较高；女生和地震中受伤学生B，C，D 3组症候群阳性率较高。结论 地震后1 a青少年PTSD阳性筛查率仍较高，继续采取有效干预措施降低重灾区青少年PTSD造成的长期心理危害十分必要。
【关键词】 应激障碍，创伤后；精神卫生；症状和体征；学生；自然灾害
【中图分类号】 R 395.6 P 315 【文献标识码】 A 【文章编号】 1000-9817(2010)10-1201-03
Prevalence of Posttraumatic Stress Disorder Among Middle School Students in the Disaster Region After One Year of the Wenchuan Earthquake/LI Juan, HU Xiao-Qin , LIU Xiao-xia, et al. West China School of Public Health, Sichuan University, Chengdu (610041), China
【Abstract】 Objective To investigate the prevalence of post-traumatic stress disorder in middle school students after one year of the Wenchuan earthquake， and to provide evidence for making the interventions. MethodsBy using the PTSD Checklist-Civilian Version, all the students in three middle schools in the disaster region. The PTSD patients diagnosis based on DSM-Ⅳ criteria.ResultsThe total positive screening rate of PTSD was 6.1%, and that of D group was the highest( 75.1%). The positive screening rate of PTSD in the total and the B,C,D group were higher in students of grade two in junior school and grade one in senior school, rural students and those who lost family property. The rates of the three groups were higher in girls and injured in earthquake than in boys and not injured in earthquake. ConclusionThe positive screening rate of PTSD in the middle school students is still high after one year of the earthquake, it is necessary to take effective interventions to reduce the long-term psychological influences on them due to the PTSD.
【Key words】 Stress disorders, post-traumatic; Mental health; Symptoms and signs; Students; Natural disasters
创伤后应激障碍(Post-traumatic stress disorder, PTSD)是指突发性、威胁性或灾难性生活事件导致个体延迟出现和长期持续存在的精神障碍，临床表现以再度体验创伤为特征，并伴有情绪的易激惹和回避行为[1]。2008年5•12汶川地震不仅给社会的发展带来巨大破坏性的影响，也给灾区居民的身心健康带来严重影响。该研究旨在了解地震后1 a重灾区中学生PTSD的现患率，为制定预防和降低青少年创伤后应急障碍的干预措施提供科学依据 ......
您现在查看是摘要介绍页，详见PDF附件(1887KB，3页)。