舟曲泥石流灾后1年救援军人创伤后应激障碍状况的调查  

Investigation on PTSD of the rescue soldiers 1 year after the Zhouqu landslide

作　　者：周喜华[1] 

机构地区：[1]宝鸡文理学院教育科学与技术系,陕西省宝鸡市721016

出　　处：《职业与健康》2013年第8期909-911,共3页Occupation and Health

基　　金：宝鸡文理学院院级重点科研项目成果之一(项目编号:ZK081)

摘　　要：目的了解泥石流灾后1年救援军人的创伤应激障碍(PTSD)发生情况及影响因素。方法用创伤后应激症状问卷(Posttraumatic Stress Disorder Check-List,PCL)、艾森克人格问卷(Eysenck Personality Questionnaire Short Scale,EPQ-R)、领悟社会支持量表(Perceived Social Support Scale,PSSS)对部分救援军人进行测评。结果灾后1年救援军人的PTSD阳性检出率呈下降趋势,前后有显著差异(t=2.61,P<0.01)。PTSD症状总分及闯入症状、回避症状、高警觉状态分量表得分与领悟社会支持呈负相关(r=-0.36,-0.43,-0.22,-0.19;P<0.01)。PTSD症状总分及3个分量表得分均与EPQ中神经质(N)量表得分呈正相关(r=0.58,0.66,0.68,0.67;P<0.01),与精神质(P)、外向—内向(E)、掩饰性(L)量表得分呈负相关(P<0.01)。Logistic回归分析表明,N量表得分对PTSD具有显著的正向预测作用(β=2.06、wald=18.36、P<0.01);服役年限、救灾次数和社会支持对PTSD具有显著的负向预测作用(β=-0.903、-1.58、-0.72、wald=8.36、11.67、5.41,P<0.01)。结论救援军人的PTSD阳性率在1年内下降明显,心理干预应该注重军龄较短、救灾次数较少、领悟支持较少和神经质人格的军人。[ Objective ] To investigate the incidence and influencing factors of PTSD of the rescue soldiers 1 year after the Zhouqu landslide. [ Methods ] The Posttraumatic Stress Disorder Check-List （PCL）, Eysenck Personality Questionnaire Short Scale （ EPQ-R）, perceived social support scale （PSSS） were used to evaluate the rescue soldiers. [ Results] The incidence of PTSD in rescue soldiers were significantly decreased 1 year after Zhouqu landslide（t = 2.61 ,P 〈 0.01 ）. The total score of FISD and symp- tom of broke into, symptom of avoid, high alert subscales scores were negatively related to perceived social support （ r = - 0. 36, - 0.43,- 0. 22,- 0.19 ; P 〈 0.01 ） . The total score of PTSD and three subscale scores were positively associated with EPQ＇ s N Scale scores （ r = 0.58, 0.66, 0.68, 0.67 ;P 〈 0.01 ）, negatively correlated with P, E, L scale scores. Logistic regression analy- sis showed that the score of N scale could predict PTSD significantly（β = 2.06, wald = 18.36, P 〈 0.01 ） ; service life, the number of disaster relief and social support could predict PTSD negatively and significantly （ β = - 0. 903 ,- 1.58 ,- 0.72, wald = 8.36, 11.67,5.41 ,P 〈 0.01 ）. [ Conclusion] The incidence of PTSD shows a tendency of decreasing within 1 year. The soldiers whose service time is shorter, fewer relieves, less support and the neurotic personality should be paid more attention in psychological inter- vention.

关 键 词：PTSD 神经质人格 社会支持 LOGISTIC回归分析 

分 类 号：R395.6[哲学宗教—心理学]