鲁甸地震灾区学龄前儿童创伤后应激症状及其相关因素

发布时间：2018-03-07 19:15

本文选题：学龄前儿童　切入点：创伤后应激症状　出处：《中国心理卫生杂志》2017年03期 　论文类型：期刊论文

【摘要】：目的:探讨鲁甸地震灾区学龄前儿童创伤后应激症状的检出率及其与创伤暴露等因素的关系。方法:鲁甸震后1~2个月,在龙头山安置点及龙头山镇(地震中心)自西向东进行走访,共访谈62名学龄前儿童家长,采用学龄前儿童创伤后应激障碍半结构式访谈和由CBCL的15个条目组成的学龄前儿童创伤后行为量表(CBCL-PTSD),分别了解儿童创伤后应激症状和创伤后的行为反应。结果:根据CBCL-PTSD,震后1~2个月得分在9分及以上的学龄前儿童占51.9%(27/52)。而根据访谈(同时满足创伤后应激症状3个主要症状检出标准),学龄前儿童创伤后应激症状检出率为26.9%(14/52)。除闯入症状数与高警觉症状数的相关不具有统计学意义,创伤后应激症状数、各子症状数、CBCL-PTSD得分之间呈显著相关(0.30~0.73,P0.05)。经历地震个体的闯入症状检出率高于未经历地震的个体(96.2%vs.60.0%,P0.01),地震中受伤的个体闯入症状检出率高于未受伤的个体(100%vs.84.6%,P0.05),其他创伤暴露条件的各症状检出率差异无统计学意义(P0.05)。结论:学龄前儿童创伤后应激症状检出率相对较高,地震时目睹房屋倒塌或石头滚落以及有被困经历的学龄前儿童创伤后应激症状更多。
[Abstract]:Objective: to investigate the detection rate of post-traumatic stress symptoms of preschool children in Ludian earthquake area and their relationship with trauma exposure. Methods: 1 ~ 2 months after Ludian earthquake. In Longtou Mountain settlement and Longtoushan Town (earthquake Center) from west to east, a total of 62 parents of preschool children were interviewed. The posttraumatic stress disorder (PTSD) of preschool children and the posttraumatic behavior scale (CBCL-PTSD) composed of 15 items of CBCL were used to investigate the posttraumatic stress symptoms and behavioral responses of children respectively. According to CBCL-PTSDs, 51.9% of preschool children with scores of 9 or more at 1 ~ 2 months after the earthquake accounted for 27 / 52 of the total. However, according to the interview, the detection rate of post-traumatic stress symptoms in preschool children was 26.914 / 52.According to the criteria for checking out three main symptoms of post-traumatic stress symptoms, the detection rate of post-traumatic stress symptoms in preschool children was 26.9%. The correlation between the number of intrusive symptoms and the number of high-alert symptoms was not statistically significant. Number of post-traumatic stress symptoms, There was a significant correlation between CBCL-PTSD scores and the scores of CBCL-PTSD. The detection rate of intrusive symptoms of individuals experienced earthquakes was higher than that of individuals without earthquake. The detection rate of intrusive symptoms of individuals injured in earthquakes was higher than that of individuals without injuries, and other traumatic storms were higher than those of uninjured individuals. There was no significant difference in the detectable rate of symptoms among the exposed children (P 0.05). Conclusion: the detection rate of post-traumatic stress symptoms in preschool children is relatively high. Post-traumatic stress symptoms are more common in preschool children who experience earthquakes as they witness house collapses or rock falls.
【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;
【分类号】：R749.5

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