对受洪灾群体创伤后应激反应的调查  

Posttraumatic stress response and its influencing factors in a rural community sample affected by a flood

作　　者：高岚 罗颖 汪向东[1] 胡武昌 吴红东 曹火军 沈渔邨[1] 

机构地区：[1]北京医科大学精神卫生研究所,100083 [2]江西省九江市第五人民医院

出　　处：《中华精神科杂志》2000年第2期107-110,共4页Chinese Journal of Psychiatry

摘　　要：目的　探讨洪灾中受灾程度、灾前社会支持、应付方式等变量与灾后应激反应的关系。方法　于 1998年 11月采用整群抽取的方法 ,对 1998年夏季长江中下游受洪灾程度不同的两个村18～ 6 0岁的村民 5 6 4人 ,进行创伤后应激反应的调查 ,并测评事件影响量表 (IES)、社会支持量表、应付方式量表。结果　 (1)受灾群体普遍存在创伤后应激反应 ,受试中 6 1 5 %IES总分超过 19分 ;(2 )受灾突然、损失大的组创伤后应激反应更严重 ;(3)日常生活中的社会支持有利于减轻创伤后应激反应 ;(4)应付方式与创伤后应激反应存在复杂的关系 ,通常定义的积极应付方式并不预示较轻的创伤后应激反应。结论　受灾群体心理损伤明显 ,与灾害程度有关 ,并受多种因素影响 ,社会支持有保护作用 ,而应付方式的作用与机制有待进一步研究。Objective This study investigated posttraumatic stress symptoms(PTSS) in victim of two villages affected by flood disaster, in the area of middle Yangzi River, nearby Jiujiang city, Jiang Xi province And major factors associated with PTSS were determined Methods A total of 564 subjects was conducted in two villages of different exposures three months after the flood, and Impact of Event Scale (IES), Social Support Questionnaire, Coping Styles Questionnaire were completed by them Results The flood affected population was bothered by PTSS quite often, 61 5% of subjects was recorded with score over 19 in IES The subjects who exposed to flood more suddenly and suffered more losses reported more PTSS including intrusion and avoidance symptoms Higher IES score was associated with female, more losses, less social support, and more uses of both positive and negative coping styles Conclusions The results suggest the importance to assess PTSS in post disaster psychopathology study in China More research is warranted to identify high risk subjects for PTSS

关 键 词：应激障碍 创伤后 自然灾害 社会支持 

分 类 号：R749[医药卫生—神经病学与精神病学]