湖南省青少年心理创伤的流行与分布特征  

Characteristics of Psychological Trauma among Adolescents in Hunan Province

作　　者：彭玮婧 张成成 胡宓 肖水源 PENG Wei-jing;ZHANG Cheng-cheng;HU Mi;XIAO Shui-yuan(Hunan Academy of Education Sciences,Changsha 410007,China;Department of Social Medicine and Health Management,Xiangya School of Public Health,Central South University,Changsha 410013,China;National Clinical Research Center for Mental Disorder,the Second Xiangya Hospital of Central South University,Changsha 410011,China)

机构地区：[1]湖南省教育科学院,长沙410007 [2]中南大学湘雅公共卫生学院社会医学与卫生事业管理系,长沙410013 [3]中南大学湘雅二医院,国家精神心理疾病临床研究中心,长沙410011

出　　处：《中国临床心理学杂志》2024年第4期810-817,共8页Chinese Journal of Clinical Psychology

基　　金：湖南省教育科学“十四五”规划重点资助课题(XJK24ASM001):“健康促进”理念下中小学教师心理健康教育行为的培育策略研究;国家自然科学基金青年科学基金项目(81903404):联合经典统计学与机器学习方法构建和检验青少年自杀危险性动态预测模型:前瞻性队列研究。

摘　　要：目的:了解湖南省青少年创伤事件和创伤体检的现状及其在不同人群中的分布特征。方法:采用横断面设计,在湖南省十四市/州选取青少年为研究对象。对青少年的创伤事件、创伤体验、精神健康问题以及其他相关因素进行测量。结果:创伤事件的终生报告率和过去一年报告率分别为89.7%和69.5%。创伤体验为极重度的占比最高的是性侵犯/性骚扰事件(7.39%)。女生、来自城市、父母的受教育程度低、家庭年收入<3万元、教养方式为冷漠型、抽烟、饮酒、低体力活动、玩电子游戏>4小时/天、有精神健康症状者心理创伤更高。结论:应重点关注报告率高及有严重创伤体验的创伤事件,识别高风险人群并提供有效的干预以预防和减轻心理创伤带来的影响。Objective:The aim of this study was to examine the prevalence of traumatic events and psychological trauma among adolescents,and to explore the distribution characteristics among different populations.Methods:This was a cross-sectional study of adolescents from junior or high school across Hunan province cities during November 2022 to May2023.Adolescents'traumatic events,psychological trauma,mental health problems,and other related factors were measured.Results:A total of 15105 adolescents were included in the final analysis,with lifetime and past year prevalence of89.7%and 69.5%for at least one traumatic event,respectively.The single event with the highest proportion of psychological trauma as extremely severe was sexual assault/harassment(7.39%).Lifetime traumatic event prevalence and psychological trauma were higher in the group that was female,from an urban area,had parents with primary or below,had an annual household income<30,000 CNY,did not reside with parents,had neglecting parenting styles,smoking,drinking,was lower physical activity,electronic games>4 hours/day,and had mental health symptoms.Conclusion:The results indicated that attention should be focused on traumatic events with high prevalence and severe psychological trauma to identify the vulnerable subgroup and then develop appropriate interventions for adolescents.

关 键 词：创伤事件 创伤体验 青少年 

分 类 号：R395.2[哲学宗教—心理学]