中华预防医学杂志
中華預防醫學雜誌
중화예방의학잡지
CHINESE JOURNAL OF
2008年
11期
802-805
,共4页
赵国秋%汪永光%王义强%傅素芬%曹日芳%马宁祥%梁胜林%骆建忠%程艳华%李美园
趙國鞦%汪永光%王義彊%傅素芬%曹日芳%馬寧祥%樑勝林%駱建忠%程豔華%李美園
조국추%왕영광%왕의강%부소분%조일방%마저상%량성림%락건충%정염화%리미완
自然灾害%应急障碍%创伤性%急性%问卷调查
自然災害%應急障礙%創傷性%急性%問捲調查
자연재해%응급장애%창상성%급성%문권조사
Natural disasters%Stress disorders%traumatic%acute%Questionnaires
目的 研究地震后急性应激障碍(ASD)的发生率及影响因素.方法 用整群随机抽样方法,采用自行设计的ASD结构式访谈问卷对四川地震灾区891名群众进行ASD症状(包括:一般症状群、分离性症状群、再体验症状群、焦虑.警觉性增高症状群和回避症状)评估,并记录一般人口学资料.根据美国精神病学会出版的精神神经病诊断统计手册第4版进行ASD诊断,最后完成评估诊断和干预共874名.结果 ASD的发生率为12.59%(110/874),其中男性为9.52%(38/399)、女性为15.16%(72/475).女性发生率显著高于男性(x2=6.26,P=0.01).logistic回归分析结果显示,进入方程有统计学意义的变量有性别(β=0.58,P=0.01,OR=1.79)、亲属伤亡(β=0.60,P=0.01,OR=1.82)和重度财产损失(β=1.02,P=0.01,OR=2.76),女性、有亲属伤亡、存在重度财产损失的个体ASD危险性高.结论地震对灾区群众心理产生了严重的影响,灾后减少伤亡、降低灾区群众财产损失有助于降低ASD的发生率.灾害后心理行为反应的性别差异的原因仍需进一步研究.
目的 研究地震後急性應激障礙(ASD)的髮生率及影響因素.方法 用整群隨機抽樣方法,採用自行設計的ASD結構式訪談問捲對四川地震災區891名群衆進行ASD癥狀(包括:一般癥狀群、分離性癥狀群、再體驗癥狀群、焦慮.警覺性增高癥狀群和迴避癥狀)評估,併記錄一般人口學資料.根據美國精神病學會齣版的精神神經病診斷統計手冊第4版進行ASD診斷,最後完成評估診斷和榦預共874名.結果 ASD的髮生率為12.59%(110/874),其中男性為9.52%(38/399)、女性為15.16%(72/475).女性髮生率顯著高于男性(x2=6.26,P=0.01).logistic迴歸分析結果顯示,進入方程有統計學意義的變量有性彆(β=0.58,P=0.01,OR=1.79)、親屬傷亡(β=0.60,P=0.01,OR=1.82)和重度財產損失(β=1.02,P=0.01,OR=2.76),女性、有親屬傷亡、存在重度財產損失的箇體ASD危險性高.結論地震對災區群衆心理產生瞭嚴重的影響,災後減少傷亡、降低災區群衆財產損失有助于降低ASD的髮生率.災害後心理行為反應的性彆差異的原因仍需進一步研究.
목적 연구지진후급성응격장애(ASD)적발생솔급영향인소.방법 용정군수궤추양방법,채용자행설계적ASD결구식방담문권대사천지진재구891명군음진행ASD증상(포괄:일반증상군、분리성증상군、재체험증상군、초필.경각성증고증상군화회피증상)평고,병기록일반인구학자료.근거미국정신병학회출판적정신신경병진단통계수책제4판진행ASD진단,최후완성평고진단화간예공874명.결과 ASD적발생솔위12.59%(110/874),기중남성위9.52%(38/399)、녀성위15.16%(72/475).녀성발생솔현저고우남성(x2=6.26,P=0.01).logistic회귀분석결과현시,진입방정유통계학의의적변량유성별(β=0.58,P=0.01,OR=1.79)、친속상망(β=0.60,P=0.01,OR=1.82)화중도재산손실(β=1.02,P=0.01,OR=2.76),녀성、유친속상망、존재중도재산손실적개체ASD위험성고.결론지진대재구군음심리산생료엄중적영향,재후감소상망、강저재구군음재산손실유조우강저ASD적발생솔.재해후심리행위반응적성별차이적원인잉수진일보연구.
Objective To investigate the prevalence and predictors of acute stress disorder (ASD) in the victims affected by Wenchuan earthquake in China.Methods A random clustered sampling method was used.Of 891 victims enrolled in the study,874 were completely assessed with the ASD constructive questionnaire and diagnosed with DSM-IV criteria Sociodemographic variables were obtained.Also,the major symptoms of ASD (i.e.,general symptoms to a traumatic event; dissociative symptoms; re-experiencing symptoms; hyper-arousal symptoms; avoidance symptoms ) were recorded.Results The incidence rate of ASD was 12.59% (110/874).The incidence rates of ASD for female and male were 15.16% (72/475) and 9.52% (38/399) respectively.There was a significant difference between female and male on the incidence rate of ASD (X2 = 6.26,P =0.01).Logistic regression indicated that the ASD diagnosis was predicted by gender (β=0.58,P=0.01,OR=1.79) ,the condition of casualties of family members (β= 0.60,P=0.01,OR= 1.82),and the condition of sharp properties loss (β= 1.02,P =0.01,OR = 2.76). Conclusion The major earthquake should have great influence on mental health of victims.The efforts to reduce casualties and property loss might help to prevent ASD.Further research is needed on gender difference among traumatic events.