汶川地震现场救援官兵创伤后应激障碍患者负性情绪表达及相关因素分析
发布时间：2019-06-14 13:50
【摘要】：目的：“5.12”汶川地震后,有研究报道一线救援官兵创伤后应激障碍(PTSD)发生率明显增高,然而尚未见专门探讨其负性情绪水平及特征的研究报道。本文调查了汶川地震6个月后现场救援官兵PTSD患者的焦虑抑郁状态及其特征,并探讨其相关因素,以便为更有针对性的干预提供理论依据。 方法：按整群分层抽样原则,选取重灾区现场救援官兵1125名,完成一般情况问卷、Davidson创伤量表(DTS)、Beck焦虑量表(BAI)、Beck抑郁量表-Ⅱ(BDI-Ⅱ)、地震经历量表(EES)。采用DTS确定诊断PTSD组(DTS≥40分)和非PTSD组,分析比较两组BAI、BDI测评结果,并分析军龄、独生子女、饮酒、吸烟、兵源、心理干预、EES评分与BAI、BDI-Ⅱ评分的相关性。采用t检验、χ2检验、Pearson相关性检验、Spearman相关性检验,应用SPSS13.0统计软件包完成数据处理。 结果：1、因自评调查工具填写不符合要求剔除69人,实查1056人,共检出PTSD69例,患病率为6.5%； 2、PTSD组的焦虑发生率91.3%(63/69),显著高于非PTSD组的19.4%(191/987),差异有统计学意义(P0.01)；PTSD组抑郁发生率为76.8%(53/69),显著高于非PTSD组的23.8%(235/987),差异有统计学意义(P0.01)； 3、PTSD组BAI/BDI-Ⅱ各单项症状发生率及评分、总分均显著高于非PTSD组,差异均有统计学意义(P0.05或P0.01)；PTSD组自杀意念发生率为50.7%(35/69),显著高于非PTSD组的8.8%(87/987),差异有统计学意义(P0.01)； 4、Pearson相关检验结果显示,EES总分与BAI总分、BDI-Ⅱ总分均无明显相关(分别r=0.070、P=0.567,r=0.077、P=0.529)；Spearman;相关检验结果显示,军龄、独生子女、吸烟、饮酒、心理干预、兵源与BAI总分均无明显相关(r=-0.024～0.112,均P0.05),与BDI-Ⅱ评分也无明显相关(r=-0.030～0.135,均P0.05)。 结论：救援官兵PTSD患者较非PTSD者存在更显著的焦虑、抑郁情绪和自杀倾向,提示进行干预和治疗时,对部分常见且症状重的负性情绪应予以更有针对性的处理。经相关性分析显示,军龄、独生子女、饮酒、吸烟、兵源、心理干预、EES总分与PTSD患者负性情绪表达均无明显相关,可能与PTSD组患者样本较小等因素有关,更多更深入的研究有待于进一步阐述。
[Abstract]:Objective: after the "5.12" Wenchuan earthquake, it has been reported that the incidence of (PTSD) in post-traumatic stress disorder of first-line rescue officers and soldiers has been significantly increased, but there is no special research report on the level and characteristics of negative emotion. In this paper, the anxiety and depression status and characteristics of PTSD patients in field rescue officers and soldiers after Wenchuan earthquake were investigated, and the related factors were discussed in order to provide theoretical basis for more targeted intervention. Methods: according to the principle of cluster stratified sampling, 1125 rescue officers and soldiers in the worst-hit areas were selected to complete the general situation questionnaire, Davidson trauma scale (DTS), Beck anxiety scale (BAI), Beck depression scale II (BDI- 鈪，
本文编号：2499438
[Abstract]:Objective: after the "5.12" Wenchuan earthquake, it has been reported that the incidence of (PTSD) in post-traumatic stress disorder of first-line rescue officers and soldiers has been significantly increased, but there is no special research report on the level and characteristics of negative emotion. In this paper, the anxiety and depression status and characteristics of PTSD patients in field rescue officers and soldiers after Wenchuan earthquake were investigated, and the related factors were discussed in order to provide theoretical basis for more targeted intervention. Methods: according to the principle of cluster stratified sampling, 1125 rescue officers and soldiers in the worst-hit areas were selected to complete the general situation questionnaire, Davidson trauma scale (DTS), Beck anxiety scale (BAI), Beck depression scale II (BDI- 鈪，
本文编号：2499438
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