玉树地震后一周年创伤后应激障碍发生率、影响因素及伴发焦虑抑郁的研究

发布时间：2018-12-13 01:25

【摘要】：目的：对玉树地震后一周年创伤后应激障碍(post traumatic stress disorder, PTSD)的发生率、影响因素及其伴发的焦虑症状、抑郁症状进行分析研究,为危机干预提供有力依据。方法：采用自编一般情况问卷、PTSD检查量表平民版(PCL-C)、社会支持评定量表(SSRS)、焦虑自评量表(SAS)、抑郁自评量表(SDS),对玉树州县府驻地结古镇所辖镇东、镇南、镇北三个居委会的550名受灾人群进行问卷调查,共513人完成调查。其中男276名(53.80%),女237名(46.20%)；年龄18-68岁,平均为(35.73±12.49)岁。用SPSS17.0进行数据分析。采用的统计方法有：描述性统计、x2检验、Logistic回归、相关分析等。结果：所调查的受灾人群中,PTSD的发生率为11.50%,女性、中年、丧偶、躯体损伤、亲人丧失为PTSD发生的危险因素,社会支持满意度高为保护性因素(P0.01)。焦虑症状的发生率为15.01%,抑郁症状的发生率为15.40%, PTSD伴焦虑症状的发生率及PTSD伴抑郁症状的发生率均为7.02%, PTSD同时伴焦虑症状和抑郁症状的发生率为3.70%,PTSD、焦虑症状、抑郁症状三者之间有明显相关性(P0.01)。结论：受灾人群在地震后一周年PTSD发生率高,并焦虑症状、抑郁症状伴发率较高,因性别、年龄、婚姻、躯体损伤、亲人丧失、社会支持满意度等不同而不同。灾后心理干预应及时关注受灾人群,尤其女性、中年组、丧偶组、有躯体损伤、亲人丧失及对社会支持满意度低组。
[Abstract]:Objective: to study the incidence of post-traumatic stress disorder (post traumatic stress disorder, PTSD), influencing factors and their associated symptoms of anxiety and depression after the Yushu earthquake in order to provide a strong basis for crisis intervention. Methods: using self-made general situation questionnaire, PTSD examination scale civilian version (PCL-C), social support rating scale (SSRS), self-rating anxiety scale (SAS), self-rating scale (SDS), to Yushu county government resident Jiegu town jurisdiction east; A total of 513 people completed the survey of 550 people affected by the three neighborhood committees in the south and north of the town. 276 males (53.80%) and 237 females (46.20%) were aged 18-68 years with an average age of (35.73 卤12.49) years. The data were analyzed by SPSS17.0. Statistical methods are: descriptive statistics, x 2 test, Logistic regression, correlation analysis and so on. Results: the incidence of PTSD was 11.50, female, middle age, widowed, body injury, bereavement were risk factors of PTSD, and social support satisfaction was the protective factor (P0.01). The incidence of anxiety symptoms, depression symptoms, PTSD with anxiety symptoms and PTSD with depressive symptoms were 15.01, 15.40 and 7.02, respectively. The incidence of PTSD with anxiety and depression was 3.70%, and there was a significant correlation between anxiety and depression (P0.01). Conclusion: the incidence of PTSD, anxiety and depression were higher in the affected population one year after the earthquake, depending on sex, age, marriage, body injury, loss of relatives, satisfaction with social support, etc. Psychological intervention after disaster should pay attention to the affected people, especially women, middle age group, widowed group, the group with physical injury, the loss of loved ones and the low satisfaction with social support.
【学位授予单位】：兰州大学
【学位级别】：硕士
【学位授予年份】：2012
【分类号】：R749.5

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