震后远期青少年创伤后应激障碍与社会支持的关系研究

发布时间：2018-07-13 16:00

【摘要】：目的探讨震后远期青少年创伤后应激障碍(PTSD)的流行程度及其与社会支持的关系。方法于2014年1月,采用分层随机抽样的方法在汶川地震极重灾区抽取青少年(年龄14~35岁)暴露者135例。采用结构式问卷对其进行调查,内容包括人口社会学信息、创伤后应激障碍测量量表平民版(PCL-C)、领悟社会支持量表(PSSS),其中PCL-C包括B组、C组、D组3个分量表,PSSS包括家庭支持、朋友支持、其他支持3个分量表。采用多元线性回归分析、典型相关分析探讨社会支持与PTSD的关系。结果青少年PCL-C总量表的平均得分为(29.6±12.9)分,以44分为截断值的PTSD阳性率为15.6%(21/135)。B组、C组、D组症状的阳性率分别为69.6%(94/135)、49.6%(67/135)、57.8%(78/135),B组症状阳性率高于C组、D组,差异有统计学意义(P0.05)。多元线性回归分析结果显示,PSSS总量表得分及其他支持分量表得分是PCL-C总量表得分的影响因素;其他支持得分是B组、C组、D组分量表得分的影响因素,家庭支持得分是B组分量表得分的影响因素(P0.05)。典型相关分析中1组典型变量具有统计学意义,相关系数为0.446(P0.001)。来自社会支持的第1组典型变量公式为:U1=-0.359×家庭支持+0.302×朋友支持-0.949×其他支持,来自PTSD的第1组典型变量公式为:V1=0.456×B组+0.293×C组+0.363×D组。结论震后远期青少年PTSD仍然需要得到关注,来自于家庭外社会支持较少的个体在PTSD B组、D组上表现明显,强化震后远期青少年领悟社会支持有助于缓解PTSD症状。
[Abstract]:Objective to investigate the prevalence of post traumatic stress disorder (PTSD) and its relationship with social support. Methods in January 2014, 135 young people (aged 14 ~ 35 years) exposed to Wenchuan earthquake disaster area were selected by stratified random sampling. They were investigated by structured questionnaire, including demographic sociology information, post traumatic stress disorder measurement scale (PCL-C), perceived social support scale (PSSS), and PCL-C including 3 subscales of group B (group C) and group D (group D), including family support. Friends support, other support 3 subscales. The relationship between social support and PTSD was studied by multiple linear regression analysis and canonical correlation analysis. Results the average score of total PCL-C in adolescents was (29.6 卤12.9). The positive rate of PTSD in group B was 15.6% (21 / 135). The positive rate of symptoms in group D was 69.6% (94 / 135) or 49.6% (67 / 135) respectively. The positive rate of symptoms in group B was higher than that in group C (P 0.05). The results of multiple linear regression analysis showed that PSSS total score and other support scale scores were the influencing factors of PCL-C total score, and other support scores were the influencing factors of group B and C group. Family support score was the influencing factor of B component scale (P0.05). In the canonical correlation analysis, a group of typical variables had statistical significance, the correlation coefficient was 0.446 (P0. 001). The formula of the first group of typical variables from social support was: 1: U1- 0.359 脳 family support 0.302 脳 friends support -0.949 脳 other support, and the first group of typical variables formula from PTSDs was: 1: V1 0.456 脳 B 0.293 脳 C 0.363 脳 D group. Conclusion the post-earthquake long-term adolescent PTSD still needs to be paid attention to. The individuals with less social support outside the family are obviously in group D of PTSD B, and the reinforcement of long-term social support for post-earthquake adolescents is helpful to alleviate the symptoms of PTSD.
【作者单位】：川北医学院管理学院公共管理教研室四川省基层卫生事业发展研究中心;川北医学院外国语言文化系高年级教研室;
【基金】：教育部人文社会科学研究青年基金项目(13YJCZH071) 四川省软科学项目(2013ZR0088) 成都医学院四川应用心理学研究中心资助项目(CSXL-112011)
【分类号】：R749.5

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