地震救援军人创伤后应激障碍的随访  

Follow-up on Post-Traumatic Stress Disorder in Rescue Soldiers Exposed to the Wenchuan 2008 Earthquake in China

作　　者：章华[1] 王亚丽[2] 黄永兰[1] 王晓萍[1] 王高华[1] 

机构地区：[1]武汉大学人民医院精神卫生中心 [2]郑州大学第一附属医院精神医学科

出　　处：《中国健康心理学杂志》2013年第1期75-77,共3页China Journal of Health Psychology

摘　　要：目的调查参加汶川地震救援的军人在震后7个月和14个月时创伤后应激障碍的检出率及心理健康状况。方法在参与地震救援的部队中随机抽取600人,在震后7个月和14个月时采用创伤后应激障碍症状自评量表、症状自评量表进行调查。采用SPSS13.0统计软件对第一次调查的497份有效问卷和第二次的491份有效问卷的数据进行统计分析。结果创伤后应激障碍症状的时点检出率,7个月为37.62%,14个月为26.28%,经卡方检验两组有显著性差异(χ2=14.633,P=0.000)。但其中中重度症状的检出率,7个月为2.01%,14个月为1.43%,两组无显著性差异(χ2=0.502,P=0.479)。创伤后应激障碍症状自评量表总均分7个月时(26.70±6.47);14个月时(25.77±5.86)。秩和检验差异有显著性(P=0.000)。结论对参与地震严重灾难救援的军人,应注意发现创伤后应激障碍症状尤其是有中重度症状者,并应予以个别心理治疗或药物治疗。Objective To estimate mental health status and detection rate for post-traumatic stress disorder in rescue soldiers exposed to the Wenchuan 2008 earthquake in 7 months and 14 months after the event.Methods Cluster randomized sampling method for selecting subjects and A chi-square test was used to analyze these data.600 soldiers were randomly sampled in troops,and the post-traumatic stress disorder self-rating scale and Symptom Checklist 90 were used to assess their mental health status in 7 months and 14 months after the event.We analyzed 497 effective questionnaires from 600 in 7 months and 491 in 14 months after the event by SPSS 13.0.Results Point detection rate on symptoms of post-traumatic stress disorder was 37.62% in 7 months,26.28% in 14 months（χ2=14.633,P=0.000）.Moderate and severe symptoms was 2.01% in 7 months,1.43% in 14 months（χ2=0.502,P=0.479）.Total scale score of the post-traumatic stress disorder self-rating scale was（26.70±6.47） in 7 months,（25.77±5.86） in 14 months（P=0.000）.Conclusions It is important to detect post-traumatic stress disorder symptoms,especially moderate to severe symptoms,in rescue soldiers exposed to the earthquake and to provide them individual psychotherapy or drugs.

关 键 词：地震 救援军人 创伤后应激障碍 检出率 

分 类 号：R641[医药卫生—外科学]