玉树地震后罹患创伤后应激障碍、焦虑症和抑郁症调查  

The study of post traumatic stress disorder,anxiety and depression on different groups after the Yushu 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,730030 [2]兰州军区总医院神经外科 [3]青海省第三人民医院精神科

出　　处：《临床精神医学杂志》2014年第2期80-82,共3页Journal of Clinical Psychiatry

基　　金：甘肃省技术研究与开发专项计划(2010GS03590)

摘　　要：目的:调查玉树地震后不同人群创伤后应激障碍(PTSD)、焦虑症、抑郁症的发生情况。方法:抽取震后灾区人群、其非灾区的亲属人群、灾区救援人群及非灾区人群为对象,每一人群进行随机分成两组,第1组每周进行1次集体心理干预;第2组每周进行3次集体心理干预。采用PTSD检查量表平民版(PCL-C)、焦虑自评量表(SAS)、抑郁自评量表(SDS)对不同人群在3个月、6个月进行问卷调查。结果:各人群在干预3个月和6个月均检出PTSD、焦虑症、抑郁症。各人群中第2组干预6个月时PTSD、焦虑症、抑郁症检出率明显低于干预3个月时(P均<0.05)。结论:震后不同人群均存有PTSD、焦虑症、抑郁症发生;随着时间推移及积极干预可明显降低其发生。Objective：To investigate the occurrence of post traumatic stress disorder（ PTSD）,anxiety and depression for different groups after the earthquake of Yushu. Method：The different population including stricken people,relatives of stricken people,relief workers and non-stricken people were selected. Each people was randomly divided into two groups,one of which received collective psychological intervention once a week, while the other three times a week. PTSD checklist（PCL-C）,self-rating anxiety scale（SAS）,self-rating depression scale（SDS）were used to investigate different groups of victims in 3 months and six months after the earthquake. Results：The detection rate of PTSD,anxiety,depression of different groups is different 3 or 6 months after the earthquake. The detection rate of PTSD,anxiety,and depression in people from the same group showed a downward trend as the time passed,the distance from the hypocenter increased and crisis intervention strength-en. Conclusion：There are different degrees of PTSD,anxiety,depression in different groups of people in dif-ferent stages. The psychological intervention can improve them.

关 键 词：创伤后应激障碍 抑郁症 焦虑症 

分 类 号：R749.4[医药卫生—神经病学与精神病学]