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
12期
1109-1111
,共3页
袁茵%毛文君%杨德华%冉茂盛%孔娣%张涛%楼玮群%王筱璐%何孝恩%陈丽云%何江军
袁茵%毛文君%楊德華%冉茂盛%孔娣%張濤%樓瑋群%王篠璐%何孝恩%陳麗雲%何江軍
원인%모문군%양덕화%염무성%공제%장도%루위군%왕소로%하효은%진려운%하강군
创伤后应激障碍%焦虑%抑郁%丧亲者
創傷後應激障礙%焦慮%抑鬱%喪親者
창상후응격장애%초필%억욱%상친자
Post-traumatic stress disorder%Anxiety%Depression%Bereavers
目的 探讨在地震灾害发生半年后丧亲者与非丧亲者创伤后应激障碍、焦虑和抑郁的关系及对比情况.方法 采用一般情况凋查表、创伤后应激障碍(PTSD)检查表、贝克抑郁量表(BDI)、汉密尔顿焦虑量表(HAMA)在地震半年后对都汀堰灾区安置点的人群560人进行调查.结果 10.9%的被调查者在地震中丧失亲人.丧亲组符合PTSD症状诊断的比例(44.4%)显著高于非丧亲组(15.1%)(t=4.737,P<0.05).丧亲组中重度抑郁、焦虑和自杀观念的发生率分别为55.5%、44.4%和44.5%显著高于非丧亲组17.4%、16.7%和14.2%(χ~2=46.522,P<0.01).丧亲组符合PTSD症状诊断者中合并中重度抑郁的占79.2%,合并焦虑或明显焦虑的占75%;中重度抑郁中合并焦虑或明显焦虑的占83.4%.抑郁总分、焦虑总分、既往焦虑、噩梦、丧亲后感到寂寞为丧亲者创伤后应激障碍症状的预测因素.结论 地震灾区丧亲者的抑郁、焦虑、自杀观念及符合PTSD症状诊断的均较非丧亲者高.丧亲人群的抑郁、焦虑及PTSD症状三者共病率高.丧亲者PTSD症状的预测因素足多方面的.
目的 探討在地震災害髮生半年後喪親者與非喪親者創傷後應激障礙、焦慮和抑鬱的關繫及對比情況.方法 採用一般情況凋查錶、創傷後應激障礙(PTSD)檢查錶、貝剋抑鬱量錶(BDI)、漢密爾頓焦慮量錶(HAMA)在地震半年後對都汀堰災區安置點的人群560人進行調查.結果 10.9%的被調查者在地震中喪失親人.喪親組符閤PTSD癥狀診斷的比例(44.4%)顯著高于非喪親組(15.1%)(t=4.737,P<0.05).喪親組中重度抑鬱、焦慮和自殺觀唸的髮生率分彆為55.5%、44.4%和44.5%顯著高于非喪親組17.4%、16.7%和14.2%(χ~2=46.522,P<0.01).喪親組符閤PTSD癥狀診斷者中閤併中重度抑鬱的佔79.2%,閤併焦慮或明顯焦慮的佔75%;中重度抑鬱中閤併焦慮或明顯焦慮的佔83.4%.抑鬱總分、焦慮總分、既往焦慮、噩夢、喪親後感到寂寞為喪親者創傷後應激障礙癥狀的預測因素.結論 地震災區喪親者的抑鬱、焦慮、自殺觀唸及符閤PTSD癥狀診斷的均較非喪親者高.喪親人群的抑鬱、焦慮及PTSD癥狀三者共病率高.喪親者PTSD癥狀的預測因素足多方麵的.
목적 탐토재지진재해발생반년후상친자여비상친자창상후응격장애、초필화억욱적관계급대비정황.방법 채용일반정황조사표、창상후응격장애(PTSD)검사표、패극억욱량표(BDI)、한밀이돈초필량표(HAMA)재지진반년후대도정언재구안치점적인군560인진행조사.결과 10.9%적피조사자재지진중상실친인.상친조부합PTSD증상진단적비례(44.4%)현저고우비상친조(15.1%)(t=4.737,P<0.05).상친조중중도억욱、초필화자살관념적발생솔분별위55.5%、44.4%화44.5%현저고우비상친조17.4%、16.7%화14.2%(χ~2=46.522,P<0.01).상친조부합PTSD증상진단자중합병중중도억욱적점79.2%,합병초필혹명현초필적점75%;중중도억욱중합병초필혹명현초필적점83.4%.억욱총분、초필총분、기왕초필、악몽、상친후감도적막위상친자창상후응격장애증상적예측인소.결론 지진재구상친자적억욱、초필、자살관념급부합PTSD증상진단적균교비상친자고.상친인군적억욱、초필급PTSD증상삼자공병솔고.상친자PTSD증상적예측인소족다방면적.
Objective To compare the differences of PTSD symptoms, depression and anxiety between bereaved and non-bereaved survivors, and to explore the risk factors of PTSD among victims of the Sichuan earthquake 2008. Methods To investigate the mental health status among 560 survivors of disaster six-month after the earthquake using post-traumatic stress disorder Checklist, Beck Depression Inventory (BDI), and Hamilton Anxiety Scale (HAMA). Results There were 10.9% of victims who lost their relatives in the earthquake. The rates of PTSD symptoms among bereaved survivors (44.4% ) were significantly higher than non-bereaved group (15.1% ) (P<0.05). The rates of depression, anxiety, and suicidal ideation among bereaved survivors (55.5% , 44.4%, and 44.5% ) were significantly higher than that of the non-bereaved group respectively ( 17.4%, 16.7%, and 14.2% ) (P<0.001). Bereaved survivors with PTSD symptoms reported comorbidity of medium to severe depression (79.2%) and anxiety symptoms (75%). Bereaved survivors with medium to severe depression reported comorbidity of anxiety symptoms (83.4%) . Total score of depression and anxiety, previous anxiety, nightmare, and feeling of being lonely could predict the level of PTSD symptoms. Conclusion The rates of depression, anxiety, suicidal ideation, and PTSD symptoms of bereaved survivors were significantly higher than non-bereaved group. There were multi-factors which could predict PTSD in bereaved survivors. Bereaved survivors were high risk victims of PTSD, depression, and anxiety.
