中华行为医学与脑科学杂志
中華行為醫學與腦科學雜誌
중화행위의학여뇌과학잡지
CHINESE JOURNAL OF BEHAVIORAL MEDICINE AND BRAIN SCIENCE
2009年
3期
193-195
,共3页
景璐石%黄颐%司徒明镜%张毅%方慧%王丹%张伟%孙学礼%邱昌健
景璐石%黃頤%司徒明鏡%張毅%方慧%王丹%張偉%孫學禮%邱昌健
경로석%황이%사도명경%장의%방혜%왕단%장위%손학례%구창건
地震%青少年%创伤后应激反应%抑郁
地震%青少年%創傷後應激反應%抑鬱
지진%청소년%창상후응격반응%억욱
Earthquake%Adolescent%Post-traumatic stress reaction%Depressive reaction
目的 评估"5.12"汶川大地震1个月后重灾区青少年的创伤后应激反应和抑郁障碍的严重性,并对其暴露因素进行相关分析,为早期心理干预提供依据.方法 采用自编地震暴露问卷、创伤后压力反应症状量表(UCLA PTSD Index for DSM-IV)、儿童抑郁自评量表(DSRSC),对278名汶川地震重灾区青少年进行调查.结果 青少年抑郁障碍检出率28.8%(80/278).创伤后应激反应检出率23.0%(64/278),创伤后应激反应指数和抑郁自评量表总数呈显著正相关( r =0.707,P <0.01).青少年抑郁障碍的影响因素为:性别( r =0.227,P <0.01)、以前对地震知识知道情况( r =-0.142,P <0.05)、受伤/死亡的老师/同学与自己的关系( r =0.133,P <0.05).引起青少年创伤后应激反应的影响因素为:性别( r =0.207,P <0.01)、受伤/死亡的老师/同学与自己的关系( r =0.159,P <0.01)、地震时是否在楼内( r =-0.137,P <0.05)、以前对地震知识知道情况( r =-0.122,P <0.05).结论 发现重灾区青少年的心理健康状况受到一定影响,其影响程度与灾难暴露程度等因素显著相关;需要进一步进行相关的随访研究,从而最大限度地减少地震灾难对青少年带来的不利影响.
目的 評估"5.12"汶川大地震1箇月後重災區青少年的創傷後應激反應和抑鬱障礙的嚴重性,併對其暴露因素進行相關分析,為早期心理榦預提供依據.方法 採用自編地震暴露問捲、創傷後壓力反應癥狀量錶(UCLA PTSD Index for DSM-IV)、兒童抑鬱自評量錶(DSRSC),對278名汶川地震重災區青少年進行調查.結果 青少年抑鬱障礙檢齣率28.8%(80/278).創傷後應激反應檢齣率23.0%(64/278),創傷後應激反應指數和抑鬱自評量錶總數呈顯著正相關( r =0.707,P <0.01).青少年抑鬱障礙的影響因素為:性彆( r =0.227,P <0.01)、以前對地震知識知道情況( r =-0.142,P <0.05)、受傷/死亡的老師/同學與自己的關繫( r =0.133,P <0.05).引起青少年創傷後應激反應的影響因素為:性彆( r =0.207,P <0.01)、受傷/死亡的老師/同學與自己的關繫( r =0.159,P <0.01)、地震時是否在樓內( r =-0.137,P <0.05)、以前對地震知識知道情況( r =-0.122,P <0.05).結論 髮現重災區青少年的心理健康狀況受到一定影響,其影響程度與災難暴露程度等因素顯著相關;需要進一步進行相關的隨訪研究,從而最大限度地減少地震災難對青少年帶來的不利影響.
목적 평고"5.12"문천대지진1개월후중재구청소년적창상후응격반응화억욱장애적엄중성,병대기폭로인소진행상관분석,위조기심리간예제공의거.방법 채용자편지진폭로문권、창상후압력반응증상량표(UCLA PTSD Index for DSM-IV)、인동억욱자평량표(DSRSC),대278명문천지진중재구청소년진행조사.결과 청소년억욱장애검출솔28.8%(80/278).창상후응격반응검출솔23.0%(64/278),창상후응격반응지수화억욱자평량표총수정현저정상관( r =0.707,P <0.01).청소년억욱장애적영향인소위:성별( r =0.227,P <0.01)、이전대지진지식지도정황( r =-0.142,P <0.05)、수상/사망적로사/동학여자기적관계( r =0.133,P <0.05).인기청소년창상후응격반응적영향인소위:성별( r =0.207,P <0.01)、수상/사망적로사/동학여자기적관계( r =0.159,P <0.01)、지진시시부재루내( r =-0.137,P <0.05)、이전대지진지식지도정황( r =-0.122,P <0.05).결론 발현중재구청소년적심리건강상황수도일정영향,기영향정도여재난폭로정도등인소현저상관;수요진일보진행상관적수방연구,종이최대한도지감소지진재난대청소년대래적불리영향.
Objective To evaluate the severity of the adolescents's post-traumatic stress and depressive reactions of adolescents in the severe disaster areas 1 months after the 5.12 earthquake, and to find it's exposure factors.Methods Based on the classes,using the earthquake exposure questionnaire that made by ourselves,UCLA PTSD Index for DSM-IV,Depression Self-rating Scale for Children(DSRSC);278 adolescents were investigated adopting stratified random cluster sampling method.Results The incidence of adolescents on depressive disorder was 28.8%(80/278) and the incidence on post-traumatic stress reaction was 23.0% (64/278). There were positively corrections between the reaction index of post-traumatic stress disorder and the scores of DSRSC( r =0.707,P <0.001).Depression in adolescents influencing factors were sex( r =0.227,P <0.001), his/her former knowledge of earthquake( r =-0.142,P <0.05),the relation between the student and the hurt/dead teacher/classes( r =0.133,P <0.05).Arising from post-traumatic stress disorder of adolescents influencing factors were sex( r =0.207,P <0.001),the relation between the student and the hurt/dead teacher/classes( r =0.159,P <0.05),where he/she was when the earthquake happened( r =-0.137,P <0.05),his/her former knowledge of earthquake( r =-0.122,P <0.05).Conclusion The mental health of adolescents in the severe disaster areas are seriously impacted. There are significent corrections between the impact degree and the extent of disaster exposure.For further follow-up study will be explored in order to minimize the earthquake disaster on the negative impact of young people.
