青海玉树中学生地震创伤应激反应症状及其影响因素研究  

Post-traumatic Stress Disorder Symptom and Its Influential Factors Among High School Students in Yushu Area

作　　者：于少萍[1] 游永恒[1] 

机构地区：[1]四川师范大学教师教育学院,成都610068

出　　处：《四川师范大学学报（社会科学版）》2011年第5期45-51,共7页Journal of Sichuan Normal University(Social Sciences Edition)

基　　金：四川省教师教育研究中心(课题编号:TER2010-010)之研究成果

摘　　要：为了了解青海玉树中学生创伤后应激反应症状及其影响因素,我们在地震后62天采用事件影响量表修订版(IES-R)、青少年心理弹性量表(HKRA)、应付方式问卷对玉树地区1000名中学生进行了问卷调查。结果显示:明显的创伤后应激反应症状检出率为73.1%,闯入、回避、高警觉三个维度均分超过预警分的学生人数分别为685例(75.7%)、692例(76.5%)、567例(62.7%);男女生在IES-R量表的各个维度及总分上均存在显著差异(P<0.001),女生显著高于男生;不同年级的中学生在IES-R量表的闯入、高唤醒两个维度及总分上存在显著差异(P<0.01);多元逐步回归数据显示,创伤后应激反应症状的主要影响因素为学校社会积极参与、社会能力、幻想、解决问题、退避、教师关怀,且预测力达15.9%。研究结果表明:近3/4的玉树中学生有创伤后应激反应症状,提高其心理弹性及引导其采取成熟的应付方式面对灾难,对降低其创伤后应激反应症状有积极作用。To investigate the situation and influential factors of post-traumatic stress disorder （ PTSD ） in high school students after Yushu earthquake, one thousand high school studentsin Yushu area were investigated by the Impact of Event Scale Revised （IESR）, the Healthy Kids Resilience Assessment（HKRA）, coping style questionnaire after 62 days of the earthquake. Results. The rate of PTSD positive symptom was 73.1 %,the number of students （percentage） in three symptom groups（intruslon, avoidance, high alert warning） over the warning line were. 685 cases （75.7%）, 692 cases （76.5%）, 567 cases （62.7%）. There were significant difference in male and female students in each dimension of IES-R （P〈0.001）, girls were significantly higher than boys; There were significant difference in different grade students in the intrusion, high a- rousal and total＇score of IES-R（P〈0.01）, multiple regression showed that the main influential factors which predict up to 15.9% of post-traumatic stress are the support of schools and social, social skills, imagination, problem solving, avoidance, teachers care. Conclusion： Nearly 3/4 of the Yushu high school students have PTSD symptoms, so it is positive to improve their mental flexibility and lead it to take the mature way to face and cope with the disaster response to reduce the PTSD.

关 键 词：玉树地震 玉树中学生 应激反应症状 

分 类 号：B845[哲学宗教—心理学]