江西省洪涝灾害后1149名受灾居民心理健康状况调查

发布时间：2018-03-25 03:22

本文选题：心理健康　切入点：创伤后应激症状　出处：《现代预防医学》2012年07期

【摘要】：目的了解江西地区洪涝灾区部分居民灾害后的心理健康状况及应激反应,为出台完善重大自然灾害心理干预预案提供依据。方法采用分层整群抽样方法,使用自编的一般情况调查表、症状自评量表(SCL-90)、事件影响量表-修订版(IES-R)对江西省南昌市西湖区和安义县15～70岁受灾居民进行调查。结果共调查1149人,受灾人群中有41.69%存在不同程度的心理问题,有15.06%的人可能存在某种明显的心理问题。受灾居民除躯体化及抑郁因子得分外与全国常模差异无统计学意义(P㧐0.05),焦虑、敌对等症状因子得分和总分、总均分均高于全国常模,差异有统计学意义(P㩳0.05);抑郁和敌对症状因子得分男女差异无统计学意义(P㧐0.05),男性受灾居民人际关系敏感因子得分较女性为低,而躯体化、强迫症状、焦虑、恐怖、偏执、精神病性及总分、总均分均高于女性受灾居民,差异有统计学意义(P㩳0.05);除人际关系敏感、敌对、偏执因子外(P㧐0.05),南昌地区受灾居民躯体化、强迫症状等因子及总分、总均分均高于安义县受灾居民,差异有统计学意义(P㩳0.05)。受灾居民创伤后应激症状阳性检出率为12.71%。不同性别受灾居民各应激反应症状因子及总分、总均分差异均无统计学意义(P㧐0.05);南昌地区受灾居民除闯入因子外,回避、高警觉性症状因子及总分、总均分均高于安义县受灾居民,差异有统计学意义(P㩳0.05)。结论极端恶劣天气对受灾居民的心理健康影响普遍而严重,尽早建立极端恶劣天气下心理干预机制十分必要。
[Abstract]:Objective to understand the mental health status and stress response of some residents in the flood-stricken areas of Jiangxi Province, and to provide the basis for making and perfecting the psychological intervention plan of major natural disasters. Methods the stratified cluster sampling method was used. A self-designed general information questionnaire, symptom checklist (SCL-90) and event impact scale (EIAL-RV) were used to investigate the disaster-stricken residents aged 1570 years old in Xihu District and Anyi County, Nanchang City, Jiangxi Province. Results 1149 people were investigated. 41.69% of the affected population had different degree of psychological problems, and 15.06% of the people might have some obvious psychological problems. Except for somatization and depression factors, there was no significant difference between the affected population and the national norm. The scores and total scores of symptom factors such as anxiety and hostility were higher than that of the national norm, and the difference was statistically significant (P < 0.05). There was no significant difference in the scores of depression and hostility between male and female. The scores of interpersonal sensitivity factor of male affected residents were lower than that of women, but somatization, obsessive compulsion, anxiety, phobia, paranoid ideation, psychosis and total scores were higher than that of female affected residents. In addition to interpersonal sensitivity, hostility, paranoid factors, P? 0. 05%, somatization, compulsive symptoms and total scores of affected residents in Nanchang area were higher than those in Anyi County, and the difference was statistically significant (P < 0. 05). The positive rate of post-traumatic stress symptoms was 12.71.There were no significant differences in the stress symptom factors and total scores of the affected residents of different genders, and there was no significant difference in the total mean score between the two groups. In Nanchang area, in addition to intrusive factor, avoidance, high alert symptom factor and total score, the total average score was higher than that in Anyi county, the difference was statistically significant. Conclusion extreme severe weather has a widespread and serious impact on the mental health of the affected residents. It is necessary to establish psychological intervention mechanism in extreme severe weather as soon as possible.
【作者单位】：南昌大学第一附属医院心身医学科;江西省心理康复中心;江西省疾病预防控制中心;
【基金】：“十一五”国家科技支撑计划项目(2008BAI68B08)
【分类号】：B844.2

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