驻疆官兵创伤后应激障碍及睡眠障碍的调查  

A survey of post-traumatic stress disorder and sleep disorder in military personnelin Xinjiang

作　　者：李国正 钟文波[2] 张志斌[3] 杨敏[1] 宋永斌[2] LI Guo-zheng;ZHONG Wen-bo;ZHANG Zhi-bin;YANG Min;SONG Yong-bin(Medical College,Shihezi University,Xinjiang 832000,China;Department of Neurology,General Hospital of Xinjiang Military Command,Wulumuqi 830000,China;Psychological Office,Xinjiang Military Region Health Center,Wulumuqi 830000,China)

机构地区：[1]石河子大学医学院,新疆石河子832000 [2]新疆军区总医院神经内科,乌鲁木齐830000 [3]新疆军区卫生中心心理办公室,乌鲁木齐830000

出　　处：《神经损伤与功能重建》2018年第3期138-141,共4页Neural Injury and Functional Reconstruction

基　　金：军队后勤科研计划(No.CLJ16J006)

摘　　要：目的:调查驻疆某部官兵创伤后应激障碍(PTSD)及焦虑、抑郁的共病症状,及睡眠状况。方法:通过结构式问卷调查和心理量表测评对400例驻疆官兵进行相关调查。PTSD诊断采用PTSD筛查量表(PCLC)进行初筛,然后精神心理科专家按美国精神疾病诊断统计手册第五版(DSM-V)标准中PTSD的诊断标准,对PCL-C评分阳性的士兵单独谈话并确定诊断。共病症状分别采用焦虑自评量表(SAS)、抑郁自评量表(SDS),以及睡眠情况采用阿森斯失眠量表(AIS)、军人心理应激自评问卷进行评估。调查的问卷结果使用SPSS17.0软件进行统计。结果:实际纳入356例,确诊PTSD 27例(7.58%)。PTSD组及非PTSD组在军龄、文化程度、婚姻、民族、训练伤史、骨干、岗位等方面差异无统计学意义(P<0.05),参加娱乐活动及干部管理情况差异有统计学意义(P<0.05)。与非PTSD组相比,PTSD组近半月应激状体及失眠情况均有显著性差异(P<0.001),PTSD组的焦虑与抑郁评分均较高,且有统计学差异。结论:新疆因地域特殊性,驻疆官兵PTSD的患病率较常人高。Objective:To investigate the symptoms of post-traumatic stress disorder(PTSD),anxiety,and depression,as well assleep quality status in military personnel stationed in Xinjiang.Methods:Four hundred military personnelstationed in Xinjiang were investigated through structural questionnaire survey and psychological scale evaluation.The diagnosis of PTSD was first determined withthe PTSD screening scale(PCL-C)then assessedby psychiatrists according to the Diagnostic and Statistical Manual of Mental Disorders,Fifth Edition(DSM-V)criteria for diagnosis of PTSD;one-on-one psychiatrist evaluation of patients whose PCL-C score indicate PTSD confirmed the diagnosis.The symptoms of comorbidity were assessed by the Self-Rating Anxiety Scale(SAS),Self-Rating Depression Scale(SDS),Athens Insomnia Scale(AIS)for sleep quality status,and psychological stress questionnaire.The data were analyzed by SPSS17.0 software.Results:Of the 356 valid questionnaires received,27 cases(7.58%)were confirmedwithPTSD.The PTSD group and non-PTSD group showed no statistical difference with respect tolength of service,education level,marital status,training injury history,ethnicity,essential personnel status,or position of post.Participation in entertainment and management status is associated with a significantly increased rate of PTSD diagnosis.There was significant difference in the two-week stress and insomnia status between the PTSD group and non-PTSD group(P<0.001);the PTSD group showed significantly higher levels of anxiety and depression.Conclusion:Due to Xinjiang’s regional uniqueness,its military personnel experience greater psychological stress and show a higher prevalence of PTSD than the general population.

关 键 词：创伤后应激障碍 焦虑 抑郁 睡眠障碍 

分 类 号：R741[医药卫生—神经病学与精神病学] R749[医药卫生—临床医学]