突发群体事件后社区居民创伤后应激障碍及抑郁症的相关因素

发布时间：2018-02-25 06:34

本文关键词： 群体事件社区居民创伤后应激障碍抑郁症现况调查　出处：《中国心理卫生杂志》2014年04期 　论文类型：期刊论文

【摘要】：目的:探讨突发群体事件后社区居民创伤后应激障碍(PTSD)和抑郁症发病的相关因素。方法:乌鲁木齐市某突发群体事件后2个月,对事发地之一沿街社区年龄≥15岁的居民931人进行调查。由精神科医生以美国精神障碍诊断与统计手册第4版修订版(DSM-IV-TR)轴I障碍临床定式检查患者版进行检查,使用DSM-IV对各类精神障碍进行诊断,计算PTSD和抑郁症的检出率。用创伤后应激障碍筛查表(PTSD7)、艾森克人格问卷(EPQ)和应付方式问卷(CSQ)评估应激症状和人格及应付方式,分析PTSD和抑郁症发病的相关因素。结果:PTSD检出率为13.5%,抑郁症为8.7%,排在所有精神障碍检出率的前两位。将931人按诊断结果分4组,即无病组(n=705)、PTSD组(n=72)、抑郁症组(n=28)和PTSD抑郁症共病组(n=53)。无病组EPQ神经质得分小于其他3组[(5.8±4.8)vs.(10.6±5.1),(10.9±4.9),(14.0±5.2)],PTSD组和抑郁症组小于共病组(均P0.01)。无病组的CSQ退避、幻想、自责、合理化4个因子得分均低于其他3组,共病组的自责因子得分高于其他3组,无病组和抑郁症组的求助因子得分高于共病组。Logistic回归分析显示,年龄大、事发时暴露程度高,神经质、掩饰性和自责得分高者更容易出现PTSD(OR=1.03~3.95)和抑郁症(OR=1.04~4.33)。结论:突发群体事件后社区居民PTSD和抑郁症检出率较高,心理创伤后PTSD和抑郁症发病的危险因素有年龄大、事发时暴露程度高,以及较高水平的神经质、掩饰性和自责。
[Abstract]:Objective: to investigate the related factors of PTSD and depression in community residents after emergency group event. Methods: two months after an unexpected group event in Urumqi city. A survey was conducted on 931 residents aged more than 15 years old in one of the street communities where the accident occurred. The psychiatrist examined it with the DSM-IV-TR4 revision of the American Diagnostic and Statistical Manual for Mental Disorders. DSM-IV was used to diagnose all kinds of mental disorders and to calculate the detection rate of PTSD and depression. PTSD 7, Eysenck Personality questionnaire and coping style questionnaire were used to evaluate stress symptoms, personality and coping style. Results the detectable rate of PTSD was 13.5and that of depression was 8.7. 931 patients were divided into 4 groups according to the diagnostic results. The scores of EPQ neuroticism in the disease-free group were lower than those in the other three groups (P < 0.01). The scores of EPQ neuroticism in the disease-free group were lower than those in the other three groups [(5.8 卤4.8 卤5.8 卤5.1 卤10.6 卤4.914.0 卤5.2)]. The CSQ abstinence, fantasy, self-responsibility in the non-disease group were significantly lower than those in the other three groups (all P0.01. The scores of four factors of rationalization were lower than those of the other three groups, the scores of self-blame factors in the total disease group were higher than those in the other three groups, and the help factor scores of the disease-free group and the depression group were higher than those of the co-disease group. Logistic regression analysis showed that the age was older and the exposure degree was high at the time of the accident. Patients with high scores of neuroticism, concealment and self-reproach were more likely to develop PTSD OR1. 03 + 3. 95) and depression. Conclusion: the detection rate of PTSD and depression was higher in community residents after emergency group events, and the risk factors of PTSD and depression after trauma were older. High levels of exposure, as well as high levels of neuroticism, concealment and self-blame.
【作者单位】：新疆精神卫生中心;
【分类号】：R749.5

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