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
2013年
8期
739-742
,共4页
创伤后成长%创伤后应激障碍%抑郁%焦虑
創傷後成長%創傷後應激障礙%抑鬱%焦慮
창상후성장%창상후응격장애%억욱%초필
Posttraumatic growth%Posttraumatic stress disorder%Depression%Anxiety
目的 探究青少年的创伤后应激症状对创伤后成长的影响.方法 于2011年6月,选取汶川地震灾区便于调查的两所中学,随机选取20个班级共1123名初中生进行创伤后应激障碍(PTSD)反应指数修改版、儿童抑郁障碍自评量表(DSRS)、儿童焦虑性情绪障碍筛查表(SCARED)、创伤后成长量表(PTGI)调查.结果 女生相比男生有较高的的抑郁[女(14.72 ±5.49)分,男(13.08 ±5.83)分]、焦虑得分[女(31.54 ±15.43)分,男(27.03±17.09)分]；少数民族学生相比汉族学生有较高的PTGI[少数民族(59.97 ±14.06)分,汉族(57.71±15.06)分]、PTSD[(22.05±12.12)分,(19.42±12.78)分]、焦虑得分[(30.36±16.35)分,(28.01±16.39)分]；父亲受教育程度高(高中及以上)的学生比父亲受教育程度低(初中、小学及以下)的学生抑郁得分低、PTGI得分高.差异具有显著性(P＜0.05).相关分析显示,PTGI总分与PTSD总分、麻木与回避、高警觉维度得分、抑郁得分、学校回避维度得分负相关(r=-0.074,-0.091,-0.075,-0.360,-0.088,均P＜0.05).回归分析显示,抑郁量表得分与PTGI总分及各维度得分负相关(β=-0.365,-0.332,-0.332,-0.315,-0.284,均P＜0.05).结论 青少年的抑郁症状与创伤后成长具有负性关系,不利于创伤后成长的产生.
目的 探究青少年的創傷後應激癥狀對創傷後成長的影響.方法 于2011年6月,選取汶川地震災區便于調查的兩所中學,隨機選取20箇班級共1123名初中生進行創傷後應激障礙(PTSD)反應指數脩改版、兒童抑鬱障礙自評量錶(DSRS)、兒童焦慮性情緒障礙篩查錶(SCARED)、創傷後成長量錶(PTGI)調查.結果 女生相比男生有較高的的抑鬱[女(14.72 ±5.49)分,男(13.08 ±5.83)分]、焦慮得分[女(31.54 ±15.43)分,男(27.03±17.09)分]；少數民族學生相比漢族學生有較高的PTGI[少數民族(59.97 ±14.06)分,漢族(57.71±15.06)分]、PTSD[(22.05±12.12)分,(19.42±12.78)分]、焦慮得分[(30.36±16.35)分,(28.01±16.39)分]；父親受教育程度高(高中及以上)的學生比父親受教育程度低(初中、小學及以下)的學生抑鬱得分低、PTGI得分高.差異具有顯著性(P＜0.05).相關分析顯示,PTGI總分與PTSD總分、痳木與迴避、高警覺維度得分、抑鬱得分、學校迴避維度得分負相關(r=-0.074,-0.091,-0.075,-0.360,-0.088,均P＜0.05).迴歸分析顯示,抑鬱量錶得分與PTGI總分及各維度得分負相關(β=-0.365,-0.332,-0.332,-0.315,-0.284,均P＜0.05).結論 青少年的抑鬱癥狀與創傷後成長具有負性關繫,不利于創傷後成長的產生.
목적 탐구청소년적창상후응격증상대창상후성장적영향.방법 우2011년6월,선취문천지진재구편우조사적량소중학,수궤선취20개반급공1123명초중생진행창상후응격장애(PTSD)반응지수수개판、인동억욱장애자평량표(DSRS)、인동초필성정서장애사사표(SCARED)、창상후성장량표(PTGI)조사.결과 녀생상비남생유교고적적억욱[녀(14.72 ±5.49)분,남(13.08 ±5.83)분]、초필득분[녀(31.54 ±15.43)분,남(27.03±17.09)분]；소수민족학생상비한족학생유교고적PTGI[소수민족(59.97 ±14.06)분,한족(57.71±15.06)분]、PTSD[(22.05±12.12)분,(19.42±12.78)분]、초필득분[(30.36±16.35)분,(28.01±16.39)분]；부친수교육정도고(고중급이상)적학생비부친수교육정도저(초중、소학급이하)적학생억욱득분저、PTGI득분고.차이구유현저성(P＜0.05).상관분석현시,PTGI총분여PTSD총분、마목여회피、고경각유도득분、억욱득분、학교회피유도득분부상관(r=-0.074,-0.091,-0.075,-0.360,-0.088,균P＜0.05).회귀분석현시,억욱량표득분여PTGI총분급각유도득분부상관(β=-0.365,-0.332,-0.332,-0.315,-0.284,균P＜0.05).결론 청소년적억욱증상여창상후성장구유부성관계,불리우창상후성장적산생.
Objective To investigate the relationship between post-traumatic stress symptoms and posttraumatic growth among adolescents.Methods In total,1123 junior middle school students sampled from the Wenchuan earthquake area were assessed in june 2011.Questionnaires included the UCLA PTSD Reaction Index for DSM-Ⅳ (Revision 1),Depression Self-Rating Scale for Children (DSRS),the Screen for Child Anxiety Related Emotional Disorders (SCARED),and Post-traumatic Growth Inventory (PTGI).Results The girls reported significantly higher levels of depression (girls 14.72 ± 5.49,boys 13.08 ± 5.83) and anxiety (girls 31.54 ±15.43,boys 27.03 ± 17.09) than boys (P ＜ 0.05).The minorities reported significantly higher levels of PTG (minorities 59.97 ± 14.06,Han 57.71 ± 15.06),PTSD (22.05 ± 12.12,19.42 ± 12.78) and anxiety (30.36 ±16.35,28.01 ± 16.39) than the Han students (P＜0.05).The students whose father had higher degree of education reported lower level of depression and higher level of PTG (P ＜ 0.05).Correlation analysis showed that the PTSD total score,avoidance,arousal,DSRS and school avoidance scores were negatively related to PTGI score (r=-0.074,-0.091,-0.075,-0.360,-0.088,P ＜ 0.05).Linear regression analysis showed that the DSRS score was negatively related to PTGI total score and its four sub-scores (β =-0.365,-0.332,-0.332,-0.315,0.284,P ＜ 0.05).Conclusion Depression symptoms is negatively correlated with PTG and may be an adverse factor for post-traumatic growth in adolescents.
