汶川地震救援官兵的心理健康状况及述情障碍  

Mental Health State and Alexithymia of Wenchuan Earthquake Rescue Officers and Soldiers

作　　者：廖莎[1] 江琛[1,2] 唐秋萍[1] 

机构地区：[1]中南大学湘雅三院临床心理科,湖南长沙410013 [2]南京审计学院

出　　处：《中国临床心理学杂志》2010年第4期495-497,共3页Chinese Journal of Clinical Psychology

摘　　要：目的:探讨参与汶川地震救援官兵的心理健康状况及与述情障碍的关系。方法:采用症状自评量表(SCL-90)、创伤后应激障碍症状自评量表(PTSD)以及多伦多述情障碍量表(TAS-20)对西安某部队参与救援的官兵116人于救灾后3月时进行测查,并与同一部队未参与救援的144名官兵的测查结果进行比较。结果:①救援组SCL-90中的精神病性、偏执因子显著高于非救援组;救援组SCL-90筛查阳性率(28.45%)显著高于非救援组(15.27%)。②救援组在PTSD量表中的再体验因子显著高于非救援组;4.31%的救援组官兵符合PTSD症状标准,与非救援组的阳性率(2.78%)相比,差异无统计学意义。③对救援组SCL-90总分和PTSD总分做多元线性回归发现,TAS-20中的两个因子辨认情感困难(DIF)、描述情感困难(DDF)进入SCL-90回归方程,DIF和年龄进入PTSD回归方程。结论:救灾后3月救援官兵仍存在一定程度的心身症状,其心理健康状况与述情障碍存在中度相关。Objective：To explore the mental health state and its relationship with alexithymia of officers and soldiers who involved in Wenchuan earthquake rescue.Methods：A cross-sectional study was performed in 116 rescue soldiers and 144 soldiers who didn＇t have rescue mission.All the 280 soldiers were tested with Symptom Checklist-90（SCL-90）,Posttraumatic Stress Disorder Symptoms Self-rating Scale and the 20-item Toronto Alexithymia Scale（TAS-20）.Results：①The factorial scores of psychoticism,paranoid ideation of SCL-90 of the rescue team were significantly higher than those of the non-rescue team.The positive rate of SCL-90 of the rescue team（28.45%） were significantly higher than that of the non-rescue team（15.27%）.②The positive rate of PTSD between the two groups was not significantly different,the re-experience factor of the rescue team was significantly higher than that of the non-rescue team.③The multiple linear regression result of SCL-90 and PTSD of the rescue team was found that,DDF and DIF entered the regression equation of SCL-90,and DIF and age entered the regression equation of PTSD.Conclusion：There is a certain degree of psychosomatic symptoms in rescue officers and soldiers after 3 months of earthquake.Their mental health state is moderately correlated with the factors of DDF and DIF.

关 键 词：SCL-90 PTSD 述情障碍 

分 类 号：R395.6[哲学宗教—心理学]