邓欣童,刘雯,刘璠.汶川地震后广元地区创伤后应激障碍调查[J].四川精神卫生杂志,2019,32(2):160-162.,Investigation of post - traumatic stress disorder in Guangyuan area after Wenchuan earthquake[J].SICHUAN MENTAL HEALTH,2019,32(2):160-162
汶川地震后广元地区创伤后应激障碍调查
Investigation of post - traumatic stress disorder in Guangyuan area after Wenchuan earthquake
  
DOI:10.11886/j.issn.1007-3256.2019.02.014
中文关键词:  汶川地震  高二学生  创伤后应激障碍  检出率
英文关键词:Wenchuan earthquake  Senior sophomore  PTSD  Detection rate
基金项目:
作者单位
邓欣童 广元市精神卫生中心 
刘雯 广元市精神卫生中心 
刘璠 广元市精神卫生中心 
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中文摘要:
      【摘要】 目的 了解汶川地震9年后广元地区高二学生创伤后应激障碍(PTSD)阳性检出情况,为进一步分析震后PTSD持续存在的影响因素、对存在PTSD的学生进行心理干预提供参考。方法 采用整群抽样方法,选取广元地区地震重灾区和一般灾区的1492名高二学生为研究对象。采用创伤后应激障碍自评量表(PTSD-SS)和社会支持量表(PSSS)调查PTSD发生率和社会支持情况。结果 广元地区高二学生PTSD阳性检出率为3.69%,男生和女生PTSD阳性检出率比较差异有统计学意义(2.24%vs.5.82%,χ2=12.47,P<0.01),重灾区和一般灾区PTSD阳性检出率比较差异有统计学意义(4.89%vs.2.84%,χ2=4.27,P<0.05);男生和女生PTSD-SS评分比较差异有统计学意义[(12.71±9.01)分vs.(14.02±8.52)分,t=-6.43,P<0.01];PTSD阳性者和非阳性者PSSS评分比较差异有统计学意义[(57.52±7.53)分vs.(61.11±8.19)分,t=-5.36,P<0.01]。结论 汶川地震后9年,广元地区部分高二学生仍存在PTSD症状,创伤暴露程度、性别和社会支持可能与现患PTSD相关。
英文摘要:
      Objective To detect the positive detection rate of post - traumatic stress disorder ( PTSD) among high school students in Guangyuan area after 9 years of Wenchuan earthquake, so as to further analysis of the influencing factor of the PTSD after earthquake and to provide references for psychological intervention for students with PTSD. Methods A total of 1 492 senior high school students from severe disaster areas and general disaster areas in Guangyuan were selected as research group by cluster sampling method. Post - Traumatic Stress Disorder Self - rating Scale ( PTSD - SS) and Perceived Social Support Scale ( PSSS) were adopted to investigate the incidence of PTSD and social support. Results The positive detection rate of PTSD among the high school students in Guangyuan area was 3 . 69% , and the difference between male and female students was statistically significant ( 2. 24% vs. 5. 82% ,χ2= 12. 47, P < 0. 01 ) . There were statistically significant differences in the positive detection rates of PTSD between the severe disaster areas and the general disaster areas ( 4. 89% vs. 2. 84% , χ2 = 4. 27, P < 0. 05) . The PTSD - SS scores between male and female students were statistically significant [ ( 12. 71 ± 9. 01 ) vs. ( 14. 02 ± 8. 52) , t = - 6. 43, P < 0. 01 ] . The difference in PSSS scores between students with positive and negative PTSD was statistically significant [ ( 57. 52 ± 7. 53) vs. ( 61 . 11 ± 8. 19) , t = - 5. 36,P < 0. 01 ] . Conclusion After 9 years of Wenchuan earthquake, there is still PTSD incidence in senior high school students of Guangyuan area, and it is relate to traumatic exposure, gender and social support.
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