舟曲泥石流灾区居民创伤后应激障碍症状调查  

Post-traumatic Stress Disorder Symptoms of Residents in Large Debris Flow Disaster Area in Zhouqu

作　　者：李铿[1] 蒋霞[1] 王成[1] 潘卫民[1] 康芬艳[1] 刘边儿 闫金栋 

机构地区：[1]甘肃省疾病预防控制中心,中国兰州市730000 [2]甘肃省舟曲县疾病预防控制中心

出　　处：《中国健康心理学杂志》2013年第2期181-183,共3页China Journal of Health Psychology

摘　　要：目的调查舟曲泥石流灾区居民创伤后应激障碍症状(PTSD)的发生率,为灾区居民进行心理干预和心理健康教育提供科学依据。方法按随机抽样的原则,采用创伤后应激障碍检查量表平民版(PCL-C),对293名灾区居民进行自填式调查问卷调查,按照有无PTSD分为PTSD组和正常组,比较两组在社会人口学资料和受灾程度方面的心理健康状况。用logistic回归分析筛选PTSD的危险因素。结果 1灾区居民PTSD症状群筛查总阳性率为34.47%,创伤经历反复重现组阳性率最高(86.35%);2两组在性别、婚姻状况、受教育程度、职业、有无亲人死亡、房屋是否倒塌、有无伤残等方面存在显著性差异(P=0.000,0.016,0.000,0.000,0.000,0.017,0.026);3Logistic回归分析筛选出5个PTSD的预测因素,分别为女性、未婚、亲人死亡、受教育程度相对低和有房屋倒塌者(OR=2.34,0.34,0.45,0.77,0.71)。结论舟曲泥石流灾区居民PTSD症状发生率较高,不同特征的受灾居民创伤后应激障碍症状表现及严重程度不同,应采取有针对性的心理干预措施。Objective To investigate the prevalence of post-traumatic stress disorder（PTSD）symptoms of residents in disaster area after large debris flow in Zhouqu,and provide a scientific basis for further psychological intervene and mental health education of the people in disaster area.Methods The PTSD Checklist-Civilian version（PCL-C）was used to investigate the PTSD symptoms in 293 residents in disaster area through self-questionnaire.All the subjects were divided into two groups：PTSD group and normal group.Their mental health were analyzed in social demographic data and extend of the damage.Logistic regression analysis was conducted to identify risk factors of PTSD.Results ① The general positive rate of PTSD symptoms was 34.47%,and traumatic experiences repeated group was the highest（86.35%）.②There were significant differences between sex,marital status,educational level,occupation,family death,houses collapsed,disability,et al（P=0.000,0.016,0.000,0.000,0.000,0.017,0.026）.③Logistic regression analysis selected five predictors of PTSD.The risk factors were significantly correlated with PTSD including female（OR=2.34）,unmarried（OR=0.34）,death of relatives（OR=0.45）,low levels of education（OR=0.77）and experience of trapped（OR=0.71）.Conclusion The prevalence of PTSD symptoms of residents in disaster area is still high.The PTSD symptoms of different characteristics of residents is different.Psychological interventions should be taken to protect affected residents in Zhouqu.

关 键 词：特大泥石流 灾区居民 创伤后应激障碍 创伤后应激障碍(PTSD)检查量表平民版 

分 类 号：R641[医药卫生—外科学]