中华预防医学杂志
中華預防醫學雜誌
중화예방의학잡지
CHINESE JOURNAL OF
2011年
4期
354-358
,共5页
杨艳芳%刘潇霞%曾子倩%向莹君%刘之月%胡晓琴%李娟%李婷%侯丰苏%袁萍
楊豔芳%劉瀟霞%曾子倩%嚮瑩君%劉之月%鬍曉琴%李娟%李婷%侯豐囌%袁萍
양염방%류소하%증자천%향형군%류지월%호효금%리연%리정%후봉소%원평
自然灾害%应激障碍,创伤后%学生,公共卫生%随访研究
自然災害%應激障礙,創傷後%學生,公共衛生%隨訪研究
자연재해%응격장애,창상후%학생,공공위생%수방연구
Natural disasters%Stress disorders,post-traumatic%Students,public health%Follow-up studies
目的 了解汶川地震后1年内重灾区中学生创伤后应激障碍(PTSD)随时间变化趋势以及相关影响因素.方法 采用一般情况问卷和标准心理量表(PTSD自评量表、领悟社会支持量表),分别于震后3、6、9和12个月对汶川县3所中学1966名中学生进行自填式问卷随访调查,通过建立多水平随机系数模型,分析研究对象PTSD随时间的变化趋势及相关危险因素.结果 全程参与灾后PTSD随访研究并获得有效问卷者共1677名.震后3、6、9和12个月,研究对象PTSD总分分别为(35.14±11.08)、(32.90±11.03)、(30.67±11.28)和(29.75±11.22)分,筛查阳性率分别为36.6%(613/1677)、30.7%(515/1677)、24.8%(416/1677)和22.2%(373/1677).领悟社会支持系统得分中位数为60.00分,存在问题者筛查阳性率为17.20%(289/1677).震后1年内,随着时间的推移,研究对象的PTSD得分总体呈下降趋势(β时间=-1.879,x2=47.03,P＜0.05).男生4次随访平均分分别为33.71、31.61、29.66、28.83分,女生分别为36.33、33.98、31.51、30.52分,初中生分别为35.46、33.28、30.18、29.22分,高中生分别为34.89、32.62、31.04、30.15分.性别和年级因素对个体PTSD总分下降趋势有影响,其中,女生快于男生、高中学生快于初中学生(β性别-时间=-0.354,x2=4.83,P＜0.05;β年级-时间=0.622,x2=11.30,P＜0.05).结论灾后1年内调查对象PTSD患病率较高,PTSD存在随时间自行恢复的趋势,但男生和初中学生恢复速度更慢.
目的 瞭解汶川地震後1年內重災區中學生創傷後應激障礙(PTSD)隨時間變化趨勢以及相關影響因素.方法 採用一般情況問捲和標準心理量錶(PTSD自評量錶、領悟社會支持量錶),分彆于震後3、6、9和12箇月對汶川縣3所中學1966名中學生進行自填式問捲隨訪調查,通過建立多水平隨機繫數模型,分析研究對象PTSD隨時間的變化趨勢及相關危險因素.結果 全程參與災後PTSD隨訪研究併穫得有效問捲者共1677名.震後3、6、9和12箇月,研究對象PTSD總分分彆為(35.14±11.08)、(32.90±11.03)、(30.67±11.28)和(29.75±11.22)分,篩查暘性率分彆為36.6%(613/1677)、30.7%(515/1677)、24.8%(416/1677)和22.2%(373/1677).領悟社會支持繫統得分中位數為60.00分,存在問題者篩查暘性率為17.20%(289/1677).震後1年內,隨著時間的推移,研究對象的PTSD得分總體呈下降趨勢(β時間=-1.879,x2=47.03,P＜0.05).男生4次隨訪平均分分彆為33.71、31.61、29.66、28.83分,女生分彆為36.33、33.98、31.51、30.52分,初中生分彆為35.46、33.28、30.18、29.22分,高中生分彆為34.89、32.62、31.04、30.15分.性彆和年級因素對箇體PTSD總分下降趨勢有影響,其中,女生快于男生、高中學生快于初中學生(β性彆-時間=-0.354,x2=4.83,P＜0.05;β年級-時間=0.622,x2=11.30,P＜0.05).結論災後1年內調查對象PTSD患病率較高,PTSD存在隨時間自行恢複的趨勢,但男生和初中學生恢複速度更慢.
목적 료해문천지진후1년내중재구중학생창상후응격장애(PTSD)수시간변화추세이급상관영향인소.방법 채용일반정황문권화표준심리량표(PTSD자평량표、령오사회지지량표),분별우진후3、6、9화12개월대문천현3소중학1966명중학생진행자전식문권수방조사,통과건립다수평수궤계수모형,분석연구대상PTSD수시간적변화추세급상관위험인소.결과 전정삼여재후PTSD수방연구병획득유효문권자공1677명.진후3、6、9화12개월,연구대상PTSD총분분별위(35.14±11.08)、(32.90±11.03)、(30.67±11.28)화(29.75±11.22)분,사사양성솔분별위36.6%(613/1677)、30.7%(515/1677)、24.8%(416/1677)화22.2%(373/1677).령오사회지지계통득분중위수위60.00분,존재문제자사사양성솔위17.20%(289/1677).진후1년내,수착시간적추이,연구대상적PTSD득분총체정하강추세(β시간=-1.879,x2=47.03,P＜0.05).남생4차수방평균분분별위33.71、31.61、29.66、28.83분,녀생분별위36.33、33.98、31.51、30.52분,초중생분별위35.46、33.28、30.18、29.22분,고중생분별위34.89、32.62、31.04、30.15분.성별화년급인소대개체PTSD총분하강추세유영향,기중,녀생쾌우남생、고중학생쾌우초중학생(β성별-시간=-0.354,x2=4.83,P＜0.05;β년급-시간=0.622,x2=11.30,P＜0.05).결론재후1년내조사대상PTSD환병솔교고,PTSD존재수시간자행회복적추세,단남생화초중학생회복속도경만.
Objective This study was to identify the post-traumatic stress disorder(PTSD)changes and the relative risk factors within one year after Wenchuan earthquake among middle school students in the disaster area.Methods A total of 1966 students from 3 schools in Wenchuan earthquake region were selected as the target population.For each student,personal basic information and standard psychological scale(PCL-C,PSSS)were investigated by a self-administrated questionnaire in the 3rd,the 6th,the 9th and the 12th month after the earthquake,respectively.PTSD trends over the time and the associated risk factors were analyzed through the establishment of multi-level random coefficient model.Results There were 1677middle school students fully participated in the PTSD follow-up study by turning in the valid questionnaires.The averaged scores of PTSD at the time of the 3rd,the 6th,the 9th and the 12th month after the earthquake were 35.14 ± 11.08,32.90 ± 11.03,30.67 ± 11.28 and 29.75 ± 11.22,respectively.Meanwhile,the general incidences of PTSD were 36.6%(613/1677),30.7%(515/1677),24.8%(416/1677)and 22.2%(373/1677),respectively.The median score of perceived social support system was 60.00 and the general incidences of PSS was 17.20%(289/1677).The PTSD scores for the students had a decreasing trend during the period of our observation(βtime =-1.879,x2 = 47.03,P ＜0.05).The averaged scores for boys for the 4 follow-up studies were 33.71,31.61,29.66,28.83 ;for girls were 36.33,33.98,31.51,30.52; for junior school students were 35.46,33.28,30.18,29.22; for senior school students were 34.89,32.62,31.04,30.15.Moreover,two factors,gender and grade,were related with the decreasing trend(the trend for girls and senior school students was sharper than that for boys and junior school students)(βgender-time =-0.354,x2 = 4.83,P ＜0.05; βgrade-time = 0.622,x2 = 11.30,P ＜0.05).Conclusions The prevalence of PTSD was high.Meanwhile,there was a trend of self-recovery for adolescent's PTSD during the first year of post-earthquake,but boys and junior school students recovered more slowly.
