火灾灾民创伤后应激障碍的发生及其影响因素  

The prevalence and influencing factors of PTSD in victims of the fire

作　　者：陈树林[1] 李凌江[1] 卢原[2] 高雪屏[1] 张锦黎[1] 李晏[1] 李卫晖[1] 

机构地区：[1]中南大学湘雅二医院精神卫生研究所 [2]南华大学附属第一医院精神科

出　　处：《中国神经精神疾病杂志》2005年第3期198-201,共4页Chinese Journal of Nervous and Mental Diseases

基　　金：教育部博士点基金(编号:20030533022);湖南省自然科学基金(编号:03JJY3055);国家自然科学基金(编号:30470621)的资助

摘　　要：目的调查火灾创伤后应激障碍(PTSD)的发生及其影响因素。方法采用PTSD症状自评和诊断工具,在灾后40天对87名火灾的直接受害者进行评估。结果40天后有人21.8%的灾民发生PTSD,女性明显多于男性;而且在不符合PTSD诊断的灾民中,71.7%存在再体验症状,51.7%存在麻木/回避症状,65%存在过度唤起症状;既往有创伤事件经历的灾民更容易产生PTSD。结论经历火灾后,有相当一部分灾民存在PTSD症状。Objective To explore the prevalence and influencing factors of post traumatic stress disorder(PTSD) in victims of the fire. Methods At the 40 thday after a fire disaster, 87 survivors were evaluated by PTSD Symptoms Self Rating Scale and SCID.Results After 40 days, the prevalence of PTSD in these survivors was 21.8%, the prevalence in women was significantly higher than that in men; In those non-PTSD survivors, 71.7% had re-experienced symptoms, 51.7% had numbness/exaping symptoms, 65% had excessive arousing symptoms; those survivors who had traumas exposing history in life time were prone to PTSD. Conclusions The prevalence of PTSD after the fire disaster was high; survivors after the fire disaster need to be intervened effectively.

关 键 词：火灾 灾民 创伤后应激障碍 

分 类 号：R749.2[医药卫生—神经病学与精神病学]