CAJ | 학술논문

目的了解乌鲁木齐市突发群体事件后社区居民创伤后应激障碍(post traumatic stress disorder,PTSD)与应付方式的关系.方法 2009年9月5日至11月5日对黑甲山后街社区沿街居民进行了调查,对其中中湾街沿街年龄≥15岁全体居民由精神科医生以美国精神障碍诊断与统计手册第四版修订版(DSM-Ⅳ-TR)轴Ⅰ障碍临床定式检查患者版进行了调查,使用DSM-Ⅳ对各类精神障碍进行诊断,并以应付方式问卷进行应付方式测查.分析PTSD与应付方式、人口学特征及暴露程度的关系.结果 (1)PTSD组与无病组应付方式存在明显差异,PTSD组在退避、幻想、自责、合理化四个因子上得分[分别为(0.60±0.21)分,(0.59 ±0.21)分,(0.47±0.30)分,(0.56±0.21)分]高于无病组[分别为(0.43±0.25)分,(0.43±0.24)分,(0.24±0.25)分,(0.40±0.23)分](t值分别为8.033,7.346,8.314和7.198,均P＜0.01).(2) PTSD相关因素logistic逐步回归分析显示年龄大、离婚或丧偶、事发时高暴露和以自责为主要应付方式是PTSD的危险因素.结论使用消极的应付方式是PTSD的危险因素,应激事件发生后,引导相关人员避免使用消极应付方式,多使用积极应付方式,应是心理危机干预的重要内容.
목적 료해오로목제시돌발군체사건후사구거민창상후응격장애(post traumatic stress disorder,PTSD)여응부방식적관계.방법 2009년9월5일지11월5일대흑갑산후가사구연가거민진행료조사,대기중중만가연가년령≥15세전체거민유정신과의생이미국정신장애진단여통계수책제사판수정판(DSM-Ⅳ-TR)축Ⅰ장애림상정식검사환자판진행료조사,사용DSM-Ⅳ대각류정신장애진행진단,병이응부방식문권진행응부방식측사.분석PTSD여응부방식、인구학특정급폭로정도적관계.결과 (1)PTSD조여무병조응부방식존재명현차이,PTSD조재퇴피、환상、자책、합이화사개인자상득분[분별위(0.60±0.21)분,(0.59 ±0.21)분,(0.47±0.30)분,(0.56±0.21)분]고우무병조[분별위(0.43±0.25)분,(0.43±0.24)분,(0.24±0.25)분,(0.40±0.23)분](t치분별위8.033,7.346,8.314화7.198,균P＜0.01).(2) PTSD상관인소logistic축보회귀분석현시년령대、리혼혹상우、사발시고폭로화이자책위주요응부방식시PTSD적위험인소.결론 사용소겁적응부방식시PTSD적위험인소,응격사건발생후,인도상관인원피면사용소겁응부방식,다사용적겁응부방식,응시심리위궤간예적중요내용.
Objective To understand the relationship between the post-traumatic stress disorder(PTSD) and coping style in Community residents after the emergency of group injury.Methods The aged 15 years and older residents along the zhong-wan street were assessed with DSM-Ⅳ-TR axis Ⅰ disorder in September 5,2009 to November 5 and diagnosed with DSM-Ⅳ.At the same time they were evaluated by Coping style Questionnaire.The relationship of the post-traumatic stress disorder between the coping style,the demographic characteristics and the degree of exposure were analyzed.Results (1) In comparison of the illness-free group and tTSD group,the coping style have significant difference.The scores of the avoidance,fantasy,guilt and rationalization in PTSD group (0.60 ± 0.21,0.59 ± 0.21,0.47 ± 0.30,0.56 ± 0.21) were higher than the illness-free group (0.43 ± 0.25,0.43 ±0.24,0.24 ±0.25,0.40 ±0.23)(t=8.033,7.346,8.314,7.198,P＜0.01).(2)Older age,divorce or widow,more exposure and guilt were significantly associated with PTSD.Conclusions The negative coping style is the dangerous factor of PTSD.The important content of the psychological crisis intervention is to guide relevant person deal with active coping style after the stress.