地震救援军人创伤后应激症状发生的相关因素  

Correlative Factors of PTSD Symptoms in Earthquake Related Military Rescuers

作　　者：刘庆峰[1] 郭小朝[1] 苏芳[1] 武国城[1] 

机构地区：[1]空军航空医学研究所,北京100142

出　　处：《中国心理卫生杂志》2009年第7期484-487,共4页Chinese Mental Health Journal

摘　　要：目的:探讨地震救援军人创伤后应激症状的发生情况及其与相关因素之间的关系。方法:在一线救援官兵执行抗震救灾任务并接受专业心理保障6周后,随机抽取206人(军龄<2年者54人,军龄>2年者152人),用创伤后应激症状问卷(Posttraumatic stress disorder Check-List,PCL)、简易应付方式问卷(Simple Coping Styles Questionnaire,SCSQ)和简式艾森克人格问卷(Eysenck Personality QuestionnaireShort Scale,EPQ-R)进行调查。结果:PCL得分高于分界值的有4人,占1.94%;PCL得分与消极应付方式、EPQ的N量表得分呈正相关(r=0.48、0.67,P<0.01),与EPQ的E量表得分负相关(r=0.30,P<0.01);军龄<2年者的PCL总分及闯入性症状、回避症状因子分均高于军龄>2年者[如总分(31.0±14.9)vs.(26.3±8.6),P<0.05]。结论:在执行抗震救灾任务并接受专业心理保障6周后部队创伤后应激症状阳性率较低;军龄<2年者及消极应付方式和神经质人格人群应是心理服务关注的重点对象。Objective ： To study the incidence and related factors of （PTSD） symptom in the earthquake related military rescuer. Methods ： Altogether 206 earthquake related military rescuer who had got psychological service were investigated with the Posttraumatic stress disorder Check-List （ PCL ）, Simple Coping Styles Questionnaire （ SCSQ ） and Eysenck Personality Questionnaire Short Scale （ EPQ-R ） after 6 weeks of rescue. Results ~ Fottr res- cuers＇total score of PCL were higher than 50, which suggested PTSD. The incidence was 1.94%. The significant factors impacting on PTSD were negative score of SCSQ （ r = 0. 476 ） and N score （ r = 0. 671 ） , E score （ r = 0. 299 ） of EPQ-R. The score of soldiers who served in the army less than 2 years was significant higher than who served in the army more than 2years （ P 〈 0. 05） . Conclusion： After 6 week rescue, the occurrence of PTSD in the earthquake related military rescuer is lower. The soldiers who served in the army less than 2 years and the ones who had negative coping styles or instable personality should be cared in psychological service.

关 键 词：创伤后应激障碍 自然灾害 地震 人格 应付方式 军队援救人员 横断面调查 

分 类 号：R749.055[医药卫生—神经病学与精神病学]