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
8期
750-752
,共3页
王孟成%万娟%隋双戈%戴晓阳
王孟成%萬娟%隋雙戈%戴曉暘
왕맹성%만연%수쌍과%대효양
创伤后应激障碍%青少年%地震
創傷後應激障礙%青少年%地震
창상후응격장애%청소년%지진
Posttraumatic stress disorder%Adolescents%Earthquake disaster
目的 调查汶川地震5个月后青少年群体创伤后应激障碍(PTSD)症状的发生率.方法 采用创伤后应激障碍检查表.平民版(PCL-C)中文版在地震发生5个月后对灾区560名初中生进行调查.结果 (1)以满足DSM-Ⅳ所规定的PTSD症状为标准,结果发现符合PTSD诊断的有85例,占总数的15.18%;(2)受灾青少年中表现最多的PTSD症状为"再体验"症状群中的"想起此事,内心就非常痛苦"和"高警觉"症状群中的"容易被突然的声音或动作吓得心惊肉跳",出现概率分别为50.71%和51.43%;(3)在PCL总分及3个因子得分上的性别主效应不显著(P>0.05),性别与年级的交互效应也不显著(P>0.05),但年级的主效应显著(P<0.05).事后检验显示9年级[总分(40.24±10.37)分,再体验(12.48± 3.84)分,回避(15.30±4.93)分,过度唤起(12.46±3.83)分]学生得分上均高于7年级[总分(36.12± 13.41)分,再体验(11.42±4.70)分,回避(13.63±5.75)分,过度唤起(11.07±4.38)分]和8年级[总分(34.29±11.59)分,再体验(10.72±4.00)分,回避(12.95±4.98)分,过度唤起(10.62±4.13)分],且差异有显著性(P<0.05);(4)满足"再体验""回避""高警觉"部分诊断标准的人数和比例分别为287人、166人、218和51.25%、29.64%、38.93%.以PCL 50分为划界分确定的人数为84人,占15%.结论 PTSD的发生率为15.18%,符合"再体验"诊断标准的人数和比例最大,超过50%.
目的 調查汶川地震5箇月後青少年群體創傷後應激障礙(PTSD)癥狀的髮生率.方法 採用創傷後應激障礙檢查錶.平民版(PCL-C)中文版在地震髮生5箇月後對災區560名初中生進行調查.結果 (1)以滿足DSM-Ⅳ所規定的PTSD癥狀為標準,結果髮現符閤PTSD診斷的有85例,佔總數的15.18%;(2)受災青少年中錶現最多的PTSD癥狀為"再體驗"癥狀群中的"想起此事,內心就非常痛苦"和"高警覺"癥狀群中的"容易被突然的聲音或動作嚇得心驚肉跳",齣現概率分彆為50.71%和51.43%;(3)在PCL總分及3箇因子得分上的性彆主效應不顯著(P>0.05),性彆與年級的交互效應也不顯著(P>0.05),但年級的主效應顯著(P<0.05).事後檢驗顯示9年級[總分(40.24±10.37)分,再體驗(12.48± 3.84)分,迴避(15.30±4.93)分,過度喚起(12.46±3.83)分]學生得分上均高于7年級[總分(36.12± 13.41)分,再體驗(11.42±4.70)分,迴避(13.63±5.75)分,過度喚起(11.07±4.38)分]和8年級[總分(34.29±11.59)分,再體驗(10.72±4.00)分,迴避(12.95±4.98)分,過度喚起(10.62±4.13)分],且差異有顯著性(P<0.05);(4)滿足"再體驗""迴避""高警覺"部分診斷標準的人數和比例分彆為287人、166人、218和51.25%、29.64%、38.93%.以PCL 50分為劃界分確定的人數為84人,佔15%.結論 PTSD的髮生率為15.18%,符閤"再體驗"診斷標準的人數和比例最大,超過50%.
목적 조사문천지진5개월후청소년군체창상후응격장애(PTSD)증상적발생솔.방법 채용창상후응격장애검사표.평민판(PCL-C)중문판재지진발생5개월후대재구560명초중생진행조사.결과 (1)이만족DSM-Ⅳ소규정적PTSD증상위표준,결과발현부합PTSD진단적유85례,점총수적15.18%;(2)수재청소년중표현최다적PTSD증상위"재체험"증상군중적"상기차사,내심취비상통고"화"고경각"증상군중적"용역피돌연적성음혹동작하득심량육도",출현개솔분별위50.71%화51.43%;(3)재PCL총분급3개인자득분상적성별주효응불현저(P>0.05),성별여년급적교호효응야불현저(P>0.05),단년급적주효응현저(P<0.05).사후검험현시9년급[총분(40.24±10.37)분,재체험(12.48± 3.84)분,회피(15.30±4.93)분,과도환기(12.46±3.83)분]학생득분상균고우7년급[총분(36.12± 13.41)분,재체험(11.42±4.70)분,회피(13.63±5.75)분,과도환기(11.07±4.38)분]화8년급[총분(34.29±11.59)분,재체험(10.72±4.00)분,회피(12.95±4.98)분,과도환기(10.62±4.13)분],차차이유현저성(P<0.05);(4)만족"재체험""회피""고경각"부분진단표준적인수화비례분별위287인、166인、218화51.25%、29.64%、38.93%.이PCL 50분위화계분학정적인수위84인,점15%.결론 PTSD적발생솔위15.18%,부합"재체험"진단표준적인수화비례최대,초과50%.
Objective To investigate the prevalence of symptoms of posttraumatic stress disorders among adolescence from Wenchuan earthquake region. Methods Five hundred and sixty middle school students survived from the Wenchuan earthquake in 2008 were investigated with civilian version of the PTSD checklist (PCL-C). Results Firstly, according to the standards of PTSD of the DSM-Ⅳ, there were 85 persons met the criterion, about 15.18% of the entire, no difference between boys and girls(P>0.05) ;secondly, the most occurred symptoms were "emotional reactivity to trauma cues" (50.71%) and "exaggerated startle response" (51.43%) from re-experi-ence and hyper-arousal,respectively;thirdly,the two-way ANOVA revealed that there were no main effects of gen-der and gender × grades on scores of PCL(P>0.05), but the grades difference were significant(P<0.05). Post hoe tests revealed the scores of grade 9 [total 40.24±10.37, re-experience 12.48±3.84, avoidance 15.30±4.93, hyper-arousal 12.46±3.83 ] higher than that of grade 7 [total 36.12±13.41, re-experience 11.42±4.70, avoid-ante 13.63±5.75, hyper-arousal 11.07±4.38 ] and grade 8 [total 34.29±11.59, re-experience 10.72±4.00, avoidance 12.95±4.98, hyper-arousai 10.62±4.13] with statistie significant (P<0.05) ;finally, the numbers and rates of partial PTSD were "re-experience" 287 (51.25 % ),"avoidance" 166 (29.64%), "hyper-arousal" 218 (38.93%) ,respectively. Conclusion There are 15.18% of the current sample met the standards of PTSD of the DSM-Ⅳ. The most partial PTSD symptom was "re-experience" with a rate of 51.25%.
