中国临床心理学杂志

汶川地震后青少年PTSD症状及其相关因素研究

单位：1. 中国科学院研究生院北京100101
2. 中国科学院心理研究所心理健康院重点实验室北京100101

关键词：地震 PTSD 创伤暴露程度青少年

分类号：B845.6

出版年,卷(期):页码：2011,19(1):103-105

摘要：

目的：对两个受灾严重程度不同地区青少年遭受的创伤暴露情况以及创伤后应激障碍(PTSD)症状进行调查，探讨影响灾后青少年PTSD症状的因素。采用《儿童事件冲击量表》和自编背景资料对极重灾区四川绵竹和重灾区陕西宝鸡地区共1267名中小学生进行测查。结果：四川绵竹的青少年遭受的创伤暴露严重程度显著高于陕西宝鸡地区，但在PTSD症状严重程度(t=0.181，df=1265，P=0.857)上差异并不显著，只在PTSD症状检出率(χ2=8.766，df=1，P=0.003)上差异显著，绵竹地区的PTSD症状检出率显著高于宝鸡地区。极重灾区PTSD的检出率更高。性别、年龄、被困、亲友受伤和目睹死亡是PTSD症状的有力预测因素。

Objective:investigate the related factors of post-traumatic stress disorder (PTSD) among adolescents indifferent areas after the Wenchuan Earthquake.Methods:With Revised Impact of Events Scale for Children (CRIES-13)and self made survey,1267 students in the extremely severe disaster areas in Mianzhu,Sichuan province and the severedisaster areas in Baoji,Shaanxi were tested.Results:The extent of disaster exposure in Mianzhu was significantly higherthan that in Baoji.However,there was no difference in the extent of PTSD symptoms between the two areas （t=0.181,df=1265,P=0.857）,but only significant difference in the incidence rate （χ2=8.766,df=1,P=0.003）,and the incidence rate ofPTSD in Mianzhu areas was significantly higher than that of Baoji areas.Conclusion:5·12 Wenchuan earthquake hascaused severe post-traumatic response in adolescents both in the extremely severe disaster areas and the severe disasterareas,but the former is higher in the incidence rate of PTSD,and age,sex,getting trapped in the earthquake,having relativesand friends injured in the earthquake,witnessing death in the earthquake were all significant predictors for PTSDseverity.

基金项目：

国家高技术研究发展计划项目(批准号2008AA022604)~~

作者简介：

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