CAJ | 학술논문

目的评估洪灾后青少年创伤后应激障碍症状及其影响因素.方法在抚顺特大洪灾后1个月,选取受灾较为严重地区六所学校的1000名学生.使用加州大学创伤后应激障碍反应指数修改版(UCLA PTSD RI)进行测查.结果 (1)洪灾1个月后,青少年PTSD阳性发生率为4.4％,亚PTSD发生率为9.0％;(2)PTSD各因子的发生率依次为闯入症状23.6％,回避症状7.7％,高警觉症状21.7％.(3)年级能够显著预测闯入、回避、高警觉和PTSD总分(P＜0.01);父母的感情关系对闯入、回避、高警觉和PTSD总分均有显著预测作用(P＜0.05);留守状况以及创伤暴露情况能够显著预测闯入、回避、高警觉以及PTSD总分(P＜0.05).结论洪灾后青少年亚PTSD发生率相对较高,需特别关注青春期早期、父母有外出务工以及灾害发生时创伤暴露较为严重的学生.
목적 평고홍재후청소년창상후응격장애증상급기영향인소.방법 재무순특대홍재후1개월,선취수재교위엄중지구륙소학교적1000명학생.사용가주대학창상후응격장애반응지수수개판(UCLA PTSD RI)진행측사.결과 (1)홍재1개월후,청소년PTSD양성발생솔위4.4％,아PTSD발생솔위9.0％;(2)PTSD각인자적발생솔의차위틈입증상23.6％,회피증상7.7％,고경각증상21.7％.(3)년급능구현저예측틈입、회피、고경각화PTSD총분(P＜0.01);부모적감정관계대틈입、회피、고경각화PTSD총분균유현저예측작용(P＜0.05);류수상황이급창상폭로정황능구현저예측틈입、회피、고경각이급PTSD총분(P＜0.05).결론 홍재후청소년아PTSD발생솔상대교고,수특별관주청춘기조기、부모유외출무공이급재해발생시창상폭로교위엄중적학생.
Objective To understand the symptoms of post-traumatic stress disorder (PTSD)and its risk factors among the adolescents after Fushun Flood.Methods The Chinese version of UCLA PTSD Reaction Index for DSM-1V,Revision I was used to assess the PTSD symptoms in 1000 students from 6 different schools in the disaster region.Results (1)The general prevalence of intrusion,avoidance and hyperarousal were 23.6％,7.7％,21.7％ respectively.(2) The prevalence of sub-PTSD was 9.0％; and the general prevalence of PTSD was 4.4％.(3) Age could significantly explain intrusion,avoidance,hyperarousal and the total score of PTSD (P＜0.01) ;children with poor parental relationship were the risk factors for PTSD and its three symptom clusters (P＜ 0.05) ; children who were left-behind and high-level trauma exposure were the risk factors for intrusion,avoidance,hyperarousal and PTSD(P＜0.05).Conclusion The prevalence of sub-PTSD is relatively high and differs among adolescent students with different traits.Children in their early puberty,those who were left-behind and those who were directly exposed to the pungent scene of flood should be paid much more attention during the later psychological assistance.