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解放军预防医学杂志  2016, Vol. 34 Issue (2): 183-186    
  研究论著 本期目录 | 过刊浏览 | 高级检索 |
地震后18个月救援武警创伤后应激障碍状况评估
单墨水,牛晟,潘昱,杨君,崔红①*
沈阳军区第四〇六医院215临床部, 辽宁大连 116041
Assessment of Posttraumatic Stress Disorder among Rescue Armed Polices Eighteen Months after Earthquake
SHAN Moshui, NIU Sheng, PAN Yu, YANG Jun, CUI Hong
The 215th Clinical Department, the 406th Hospital of PLA, Dalian 116041, China
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摘要 目的 探讨汶川地震救援后18个月救援武警创伤后应激障碍(PTSD)的发病率、症状严重程度及与人口学、创伤暴露和人格因素的关系,为制订特殊人群PTSD防治策略提供依据。方法 随机整群抽取地震救援武警官兵748名,采用一般资料调查表、创伤后应激障碍症状清单—平民版(PCL-C)、艾森克人格问卷简式量表中国版(EPQ-RSC)、特质焦虑量表(TAI)评估PTSD发病率、严重程度及影响因素。结果 地震救援后18个月救援武警PTSD阳性检出率1.7%(13/748),7.9%的救援官兵存在创伤重体验症状,3.1%的官兵存在警觉性增高症状,2.1%的官兵存在情感麻木和回避症状。不同暴露程度组间PCL-C总分差异有显著性(P<0.01);多元线性回归分析显示,年龄、暴露水平、是否有家人受灾、神经质、特质焦虑进入方程。结论 地震救援后18个月武警官兵PTSD发生率较低,但伴有PTSD症状比例仍较高。低年龄、高暴露水平、有家人受灾、神经质、高特质焦虑是创伤后应激障碍严重程度的预测因素。
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关键词 创伤后应激障碍心理预测因素    
Abstract:Objective To investigate prevalence, symptom severity of posttraumatic stress disorder (PTSD) and its relations with demographic factors, trauma factors and personality factors among rescue armed polices 18 months after Wenchuan earthquake, so as to provide the evidence for working out prevention and treatment strategies for special objects.Methords A total of 782 rescue armed polices selected by random cluster sampling method were administered general information questionnaire, PTSD Checklist-Civilian Version(PCL-C), Eysenck Personality Questionnaire Short Scale Chinese Version and Trait Anxiety Inventory to assess prevalence, symptom severity and related factors of PTSD.Results The prevalence of PTSD among rescue armed polices at 18 months after earthquake rescue was 1.7%(13/748), there was 7.9% of rescue armed polices with the symptoms of reexpericement of trauma, 3.1% with the symptoms of over vigilance, 2.1% with the symptoms of emotional bluntion and avoidance. There was significant difference in PCL-C total scores between high exposure group and low exposure group (P<0.01). Regression analysis showed that age, level of exposure, family being in earthquake areas, nervosity, and anxiety trait entered equation.Conclusion The prevalence of PTSD 18 months after earthquake is relatively low among rescue armed polices, but some rescue armed polices present symptoms of PTSD. Youth, high exposure, family being in earth areas, nervosity and high anxiety trait are predictors of posttraumatic stress symptoms.
Key wordsposttraumatic stress disorder    psychology    predictors
     出版日期: 2016-09-01
基金资助:科技支撑计划:(No:2013BAI08B03)
通讯作者: E-mail:cuih@sina.cn   
引用本文:   
单墨水,牛晟,潘昱,杨君,崔红. 地震后18个月救援武警创伤后应激障碍状况评估[J]. 解放军预防医学杂志, 2016, 34(2): 183-186.
SHAN Moshui, NIU Sheng, PAN Yu, YANG Jun, CUI Hong. Assessment of Posttraumatic Stress Disorder among Rescue Armed Polices Eighteen Months after Earthquake. Journal of Preventive Medicine of Chinese People's Liberation Army, 2016, 34(2): 183-186.
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