军人军事行动创伤后应激障碍的流行病学调查  

Epidemiological Investigation of Post-traumatic Stress Disorder in Military Personnel after Military Operation

作　　者：卢家春 王文春[2] 陈喆思[2] 张安仁[2] 卢豪[3] 江玥[2] 袁青[4] 庞日朝[2] 王倩[2] 呼永河[2] 

机构地区：[1]成都市慢性病医院康复医学科,成都610083 [2]成都军区总医院康复医学科 [3]成都军区疾病预防控制中心 [4]成都市第五人民医院康复医学科

出　　处：《西南军医》2016年第3期204-208,共5页Journal of Military Surgeon in Southwest China

基　　金：全军医学科技"十二五"重点项目(No.BWS11J067);成都军区"十二五"医学科研计划重大项目(No.A12003);军队心理卫生应用性科研课题面上课题(No.12XLZ325)

摘　　要：目的了解某部参加军事演习的官兵3个月后创伤后应激障碍(PTSD)的患病率及相关因素。方法2011年4月—2014年7月通过结构式问卷调查和心理量表测评对某部参加军事演习3个月的690名官兵进行相关因素调查。PTSD诊断采用PTSD筛查量表-军人版(PCL-M)进行初筛,再由精神科医师依据美国精神疾病诊断统计手册第四版(DSM-Ⅳ)标准中PTSD的诊断标准,对初筛结果高于划界分者进行一对一晤谈确定诊断,使用SPSSl3.0软件对调查资料进行单因素和Logistic回归分析。结果实际调查690人,收回有效问卷637例,确诊病例30例,占4.71%。个体阳性心理症状与中国男性青年常模相比有统计学意义(包括躯体化、强迫症状、抑郁、焦虑、人际关系、敌对、恐怖、偏执、精神病性因子,P<0.05);影响心理健康状况的因素有:独生子女、居住城镇、服役满意度低、遇到困难时不能获取经济帮助、受伤、演习任务过重、不满意上级指示;应激事件对个体短期内的性格因素没有影响(P>0.05)。结论军事演习官兵3个月后PTSD的患病率较常人高,加强官兵的心理防护和危机干预十分必要。Objective To investigate the occurrence of post-traumatic stress disorder（PTSD） in military personnel 3 months after a military exercise and the related factors. Methods Structured questionnaire and psychological scale assessment were applied to 690 soldiers 3 months after a military exercise in relative factor investigation during the period from April, 2011 to July, 2014; for those with high cut-off points in the primary screen by PTSD checklist-military version（PCL-M）,a one-to-one interview was carried out by psychiatrists, and the diagnosis of PTSD was confirmed based on DSM-IV; logistic regression analysis was made to the materials with the software SPSS13.0. Results 690 soldiers were enrolled in the investigation while 637 questionnaires were effective, and there were 30 cases of confirmed diagnosis of PTSD, taking up 4.71%; positive individual psychological symptoms, including somatization, obsessive-compulsive, depression, anxiety, interpersonal relationship, hostility, fright, paranoid idea and psychoticism, were statistically different from those of Chinese male norm（P〈0.05）; the factors impacting mental health were： only child, living in cities and towns, low service satisfaction, failing to get economic help when having difficulties, injury, too heavy exercise task, dissatisfied with the superior instruction;stressful events had no impact on individual character in a short time（P〈0.05）. Conclusions The occurrence of PTSD in military personnel 3 months after military exercises is higher than that in norm; it is necessary to strengthen the psychological protection and crisis intervention

关 键 词：创伤后应激障碍 军事演习 流行病学调查 

分 类 号：R828.4[医药卫生—临床医学]