不同人群在震后不同阶段的心理状况研究  

The study of psychological situation on different people in different stages after the earthquake

作　　者：董强利[1] 叶兰仙[1] 张玉堂[1] 刘建斌[1] 荔志云[2] 杜欣柏 马显明 

机构地区：[1]兰州大学第二医院精神科,兰州730030 [2]兰州军区总医院神经外科,兰州730050 [3]青海省第三人民医院精神科,西宁810007

出　　处：《重庆医学》2014年第8期962-964,共3页Chongqing medicine

基　　金：甘肃省技术研究与开发专项计划(2010GS03590)

摘　　要：目的对玉树地震后亲身经历地震的受灾人群,远离震区的受灾人群亲属、救援人员,远离震区的普通人群分别在半年、1年、2年进行心理状况调查,为危机干预提供有力依据。方法使用创伤后应激障碍(PTSD)检查量表平民版(PCL-C)、焦虑自评量表(SAS)、抑郁自评量表(SDS)、症状自评量表(SCL-90)等对不同人群的不同阶段进行问卷调查。结果不同人群在不同阶段PTSD、焦虑症、抑郁症检出率不同,并且同一人群PTSD、焦虑症、抑郁症检出率及SCL-90项中各因子得分随着时间推移呈下降趋势。不同人群PTSD、焦虑症、抑郁症检出率及SCL-90项各因子得分也因离地震源距离增加而呈下降趋势。结论震后不同人群在不同阶段均存有不同程度的心理问题,应加大心理干预力度,提高对应激事件的应对能力。Objective To investigate the psychological situation on people who experienced after earthquake in yushu ,the rela-tives far away from the earthquake ,rescue workers ,the general population far away from the earthquake zone .From investigation to provide powerful evidence for the crisis intervention .Methods PTSD Checklist （PCL-C） ,Self-Rating Anxiety Scale（SAS） ,Self-Rating Depression Scale （SDS） ,Symptom Checklist 90（SCL-90）were used on the victims to survey different groups of people in different stages .Results The detection rate of PTSD ,anxiety ,depression about different groups of people in different stages were different ,The detection rate of PTSD ,anxiety ,depression and SCL-90 factor scores in the same crowd as the time went on showed a downward trend .The detection rate of PTSD ,anxiety ,depression and SCL-90 factor scores in different people showed a downward trend with the increase of distance from the hypocenter .Conclusion There are different degrees of psychological problems to differ-ent groups of people in different stages ,we should strengthen psychological intervention efforts to improve the ability to stress e-vents .

关 键 词：震后 心理状况 焦虑 抑郁 

分 类 号：R195[医药卫生—卫生统计学]