芦山地震后儿童急性应激障碍症状、创伤后应激障碍症状与抑郁症状的交叉滞后分析

发布时间：2018-03-14 19:27

本文选题：急性应激障碍症状　切入点：创伤后应激障碍症状　出处：《中国心理卫生杂志》2017年07期 　论文类型：期刊论文

【摘要】：目的:考察芦山地震后儿童的急性应激障碍(ASD)症状、创伤后应激障碍(PTSD)症状和抑郁症状的关系,并探讨地震后2周儿童ASD症状和抑郁症状对地震后6周PTSD症状和抑郁症状是否存在预测作用。方法:选取经历芦山地震的10~14岁儿童197例(男生93例,女生104例),使用急性应激障碍量表(ASDS)、加州大学创伤后应激障碍反应指数修改版(UCLA PTSD-RI)和简版抑郁-焦虑-压力量表(DASS)分别于地震后2周和6周进行测查。采用交叉滞后分析方法对数据进行分析。结果:地震后2周儿童在ASDS上得分为(36.5±10.9),检出率为28.6%,在DASS抑郁维度上得分为(3.3±2.8);6周儿童在UCLA PTSD-RI上得分为(18.5±12.6),检出率为8.2%,在DASS的抑郁维度上得分为(3.3±3.5)。交叉滞后分析结果显示,2周儿童ASDS得分对6周UCLA PTSD-RI得分(β=0.59,P0.001)和DASS抑郁维度得分(β=0.29,P0.001)的预测作用具有统计学意义,而2周儿童DASS抑郁维度得分对6周儿童UCLA PTSD-RI得分的预测作用无统计学意义。结论:地震后儿童ASD症状对随后PTSD症状和抑郁症状具有正向的预测作用,地震后6周内的抑郁症状可能相对稳定。
[Abstract]:Objective: to investigate the relationship between symptoms of acute stress disorder (ASD), post-traumatic stress disorder (PTSD) and depression in children after Lushan earthquake. To explore whether the symptoms of ASD and depression in children at 2 weeks after the earthquake can predict the symptoms of PTSD and depression at 6 weeks after the earthquake, 197 children (93 males) with 10 or 14 years of age who experienced the Lushan earthquake were selected. 104 female students were tested with the Acute stress Disorder scale (ASDS), the modified UCLA PTSD-RI and the simple version of the Depression, anxiety and stress scale (DASS) at 2 and 6 weeks after the earthquake, respectively. Results: at 2 weeks after the earthquake, the score of children on ASDS was 36.5 卤10.9 and the detectable rate was 28.6. The score of depression dimension of DASS was 3.3 卤2.8 weeks. The score of children on UCLA PTSD-RI was 18.5 卤12.60.The detection rate was 8.2% in DASS. The results of cross-lag analysis showed that the ASDS scores of children at 2 weeks had a significant predictive effect on the scores of UCLA PTSD-RI at 6 weeks (尾 -0.59 卤P 0.001) and DASS depression dimensions (尾 -0.29, P 0.001). However, there was no significant difference in predicting the score of UCLA PTSD-RI in children at 2 weeks after the earthquake. Conclusion: the ASD symptoms of children after the earthquake have a positive predictive effect on the subsequent PTSD symptoms and depressive symptoms. Depressive symptoms may be relatively stable within 6 weeks after the earthquake.
【作者单位】：中国科学院大学;中国科学院心理研究所心理健康重点实验室;
【基金】：中国科学院“率先行动”计划特色研究所项目(TSS-2015-06)
【分类号】：R749.5

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