CAJ | 학술논문

目的调查抗震救灾一线救援军人任务完成6个月创伤后应激障碍(PTSD)的患病率及相关因素.方法采用目前美国PTSD流行病学调查和诊断工具,按整群分层抽样原则对1125名汶川抗震救灾现场救援军人PTSD的患病率及相关因素进行调查.PTSD诊断采用Davidson创伤量表(DTS)症状发生频率和严重程度总分≥40分标准确定,并使用美国精神障碍诊断与统计手册第4版(DSM-Ⅳ)诊断标准复查,使用SPSS13.0软件对调查资料和DTS诊断结果进行单因素和Logistic回归分析.结果实际调查1056人;DTS诊断PTSD 69例,患病率6.53%;DSM-Ⅳ复查符合诊断63例,患病率5.97%;独生子女、服役满意度低、吸烟、创伤暴露阶段未进行心理干预及有饮酒习惯者PTSD患病率显著高于相对应的人群(P＜0.05);地震经历暴露程度高(P＜0.01,OR=6.258)、创伤暴露阶段未进行心理干预(P=0.019,OR=3.106)是抗震救灾现场救援军人PTSD的显著危险因素,而独生子女是PTSD潜在的危险因素(P=0.057,OR=2.235).结论 PTSD是抗震救灾现场军人常见的心理障碍,加强创伤暴露者的心理防护和危机干预十分必要.
목적 조사항진구재일선구원군인임무완성6개월창상후응격장애(PTSD)적환병솔급상관인소.방법 채용목전미국PTSD류행병학조사화진단공구,안정군분층추양원칙대1125명문천항진구재현장구원군인PTSD적환병솔급상관인소진행조사.PTSD진단채용Davidson창상량표(DTS)증상발생빈솔화엄중정도총분≥40분표준학정,병사용미국정신장애진단여통계수책제4판(DSM-Ⅳ)진단표준복사,사용SPSS13.0연건대조사자료화DTS진단결과진행단인소화Logistic회귀분석.결과 실제조사1056인;DTS진단PTSD 69례,환병솔6.53%;DSM-Ⅳ복사부합진단63례,환병솔5.97%;독생자녀、복역만의도저、흡연、창상폭로계단미진행심리간예급유음주습관자PTSD환병솔현저고우상대응적인군(P＜0.05);지진경력폭로정도고(P＜0.01,OR=6.258)、창상폭로계단미진행심리간예(P=0.019,OR=3.106)시항진구재현장구원군인PTSD적현저위험인소,이독생자녀시PTSD잠재적위험인소(P=0.057,OR=2.235).결론 PTSD시항진구재현장군인상견적심리장애,가강창상폭로자적심리방호화위궤간예십분필요.
Objective To determine the prevalence of post-traumatic stress disorder (PTSD) and its impact factors 6 months after Wenchuan earthquake in a group of military first responders.Method A total of 1125 military first responders serving in the earthquake were screened and enrolled in the study.The social-demographic characteristics, Davidson Trauma Scale ( DTS), earthquake exposure screening scale, Beck Anxiety Inventory (BAI) and Beck Depression Inventory ( BDI- Ⅱ ) were assessed to every first responder 6 months after the earthquake.The PTSD diagnosis was based on both DTS ≥ 40 and DSM-Ⅳ criteria.Results The final analysis was carried out on 1056 first responders.The prevalence of PTSD was 6.53% (69 cases) according to DTS criteria and 5.97% (63 cases) according to DSM-Ⅳ criteria.The univariate analysis revealed that being a single child, dissatisfied with current service, having a history of smoking or drinking, no psycho counseling during traumatic exposure and intensity of traumatic exposure were significantly associated with an increased risk of PTSD.Results from logistic regression indicated that the intensity of traumatic exposure, no psycho counseling during traumatic exposure were significant predictors of PTSD.Being a single child (OR =2.24, 95% CI 0.98 -5.12,P =0.057) was a trend predictor of PTSD.Conclusion The study results support that PTSD is a common mental disorder in military first responders earthquake, it is necessary to strengthen psychological protection and crisis intervention.