创伤后应激障碍症状阳性者的人格特征与创伤后应激障碍预后的关系

发布时间：2018-07-23 16:47

【摘要】：目的:了解洪灾13年后创伤后应激障碍症状阳性者的预后情况,以及人格特征与创伤后应激障碍预后的关系。方法:本研究为横断面研究,采用多阶段随机抽样法,对200例经历1998-1999年湖南省洞庭湖区特大洪灾且经2000年流行病学调查被归类为创伤后应激障碍症状阳性的灾民再次进行调查。采用创伤后应激障碍量表平民版(PCL-C)对创伤后应激障碍再次进行筛查,实际入组184例,将研究对象分为康复组(n=162例)和PTSD症状阳性组(n=22例);采用艾森克人格问卷简式量表中国版(EPQ-RSC)测查两组的人格特征。用logistic回归模型分析人格特征与创伤后应激障碍预后的关系。结果:洪灾13年后PTSD症状持续阳性比率为12.0%(22/184)。康复组EPQ-RSC外向人格得分高于PTSD症状阳性组[(51.8±10.7)vs.(45.1±13.2),P0.05],神经质人格得分低于PTSD症状阳性组[(46.5±10.1)vs.(58.3±12.2),P0.05]。Logistic回归分析显示,在调整性别、年龄等变量后,神经质高是创伤后应激障碍症状持续阳性的危险因素(OR=3.63,95%CI:1.05~12.54)。结论:洪灾后创伤后应激障碍症状阳性持续存在的情况值得重视,神经质人格与创伤后应激障碍预后相关。
[Abstract]:Objective: to investigate the prognosis of post-traumatic stress disorder (PTSD) patients with positive symptoms and the relationship between personality traits and post-traumatic stress disorder (PTSD) prognosis. Methods: a cross-sectional study was conducted to investigate 200 victims who had experienced severe flood in Dongting Lake region of Hunan Province in 19981999 and were classified as positive symptoms of post-traumatic stress disorder (PTSD) by epidemiological survey in 2000. The post traumatic stress disorder scale (PCL-C) was used to screen the posttraumatic stress disorder again. The subjects were divided into rehabilitation group (n = 162) and PTSD positive group (n = 22). The personality characteristics of the two groups were measured by Eysenck Personality questionnaire Chinese version (EPQ-RSC). Logistic regression model was used to analyze the relationship between personality traits and the prognosis of post traumatic stress disorder (PTSD). Results: the persistent positive rate of PTSD symptoms was 12.0% (22 / 184) 13 years after flood. The EPQ-RSC outward personality score of rehabilitation group was higher than that of PTSD positive group [(51.8 卤10.7) vs. (45.1 卤13.2) P 0.05], and the score of neurotic personality was lower than that of PTSD positive group [(46.5 卤10.1) vs. (58.3 卤12.2) P 0.05]. Logistic regression analysis showed that after adjusting gender, age and other variables, High neuroticism was the risk factor of persistent positive symptoms of post-traumatic stress disorder (ORO 3.63% 95 CI: 1.05C 12.54). Conclusion: the persistence of post-traumatic stress disorder symptoms is worthy of attention. Neurotic personality is related to the prognosis of post-traumatic stress disorder.
【作者单位】：中南大学湘雅公共卫生学院流行病与卫生统计学系;珠海市疾病预防控制中心应急管理办公室;
【分类号】：R749.5

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