中国临床心理学杂志

汶川地震救援官兵的心理健康状况及述情障碍

作者：廖莎¹ 江琛² 唐秋萍¹

单位：1. 中南大学湘雅三院临床心理科湖南长沙 410013
2. 现在南京审计学院工作

关键词：SCL-90 PTSD 述情障碍

分类号：R395.6

出版年,卷(期):页码：2010,18(4):495-497

摘要：

目的:探讨参与汶川地震救援官兵的心理健康状况及与述情障碍的关系。方法:采用症状自评量表(SCL-90)、创伤后应激障碍症状自评量表(PTSD)以及多伦多述情障碍量表(TAS-20)对西安某部队参与救援的官兵116人于救灾后3月时进行测查,并与同一部队未参与救援的144名官兵的测查结果进行比较。结果:①救援组SCL-90中的精神病性、偏执因子显著高于非救援组;救援组SCL-90筛查阳性率(28.45%)显著高于非救援组(15.27%)。②救援组在PTSD量表中的再体验因子显著高于非救援组;4.31%的救援组官兵符合PTSD症状标准,与非救援组的阳性率(2.78%)相比,差异无统计学意义。③对救援组SCL-90总分和PTSD总分做多元线性回归发现,TAS-20中的两个因子辨认情感困难(DIF)、描述情感困难(DDF)进入SCL-90回归方程,DIF和年龄进入PTSD回归方程。结论:救灾后3月救援官兵仍存在一定程度的心身症状,其心理健康状况与述情障碍存在中度相关。

Objective:To explore the mental health state and its relationship with alexithymia of officers and soldiers who involved in Wenchuan earthquake rescue.Methods:A cross-sectional study was performed in 116 rescue soldiers and 144 soldiers who didn't have rescue mission.All the 280 soldiers were tested with Symptom Checklist-90(SCL-90),Posttraumatic Stress Disorder Symptoms Self-rating Scale and the 20-item Toronto Alexithymia Scale(TAS-20).Results:①The factorial scores of psychoticism,paranoid ideation of SCL-90 of the rescue team were significantly higher than those of the non-rescue team.The positive rate of SCL-90 of the rescue team(28.45%) were significantly higher than that of the non-rescue team(15.27%).②The positive rate of PTSD between the two groups was not significantly different,the re-experience factor of the rescue team was significantly higher than that of the non-rescue team.③The multiple linear regression result of SCL-90 and PTSD of the rescue team was found that,DDF and DIF entered the regression equation of SCL-90,and DIF and age entered the regression equation of PTSD.Conclusion:There is a certain degree of psychosomatic symptoms in rescue officers and soldiers after 3 months of earthquake.Their mental health state is moderately correlated with the factors of DDF and DIF.

基金项目：

作者简介：

参考文献：

[1] 彭树增,李凤珍,颜小焰. 汶川大地震幸存者地震前后生理指标变化[J].中国临床心理学杂志,2010,(01):82-84.
[2] 张本,王学义,孙贺祥. 唐山大地震对人类心身健康远期影响[J].中国心理卫生杂志,1998,(04):200-202.
[3] Giannopoulou I,Strouthos M,Smith P. Post-traumatic stress reactions of children and adolescents exposed to the Athens 1999 earthquake[J].EurPsychiatry,2006,(03):160-166.doi:10.1016/j.eurpsy.2005.09.005.
[4] Chen HT,Chung H,Chen T. The emotional distress in a community after the terrorist attack on the world trade center[J].Community Mental Health Journal,2003,(09):157.
[5] 范方,柳武妹,郑裕鸿. 震后6月都江堰地区青少年心理问题及影响因素[J].中国临床心理学杂志,2010,(01):56-59.
[6] 辛玖岭,祝卓宏,王力. 汶川地震重灾区青少年创伤后应激障碍及其相关因素[J].中国临床心理学杂志,2010,(01):63-65.
[7] 李春秋,柳铭心,王力. 北川极重灾区小学生地震后创伤症状评估[J].中国临床心理学杂志,2010,(01):66-68.
[8] 孙源泉,范一鸣,王鹏,宫瑞莹. 震区丧亲儿童羞怯、创伤后应激障碍症状和心理健康之间的关系[J].中国临床心理学杂志,2009,(04):53-55.
[9] 张宁,张雨青,吴坎坎. 汶川地震幸存者的创伤后应激障碍及其影响因素[J].中国临床心理学杂志,2010,(01):69-72.
[10] 朱明婧,张兴利,汪艳艾. 汶川地震孤儿的创伤后应激障碍和自我意识[J].中国临床心理学杂志,2010,(01):73-75.
[11] 陈伟,王龙,张兴利. 汶川地震后青少年幸存者PTSD症状的特点及其发展[J].中国临床心理学杂志,2010,(01):85-87.
[12] 罗兴伟,高雪屏,蔡太生. 汶川地震亲历者心理健康状况调查[J].中国临床心理学杂志,2008,(06):84-86.
[13] 冯春,辛勇,吴坎坎. 地震后灾区乡镇基层干部心理健康状况的调查[J].中国临床心理学杂志,2010,(01):88-90.
[14] 张富洪,辛勇. 地震重灾区后一年公安民警心理健康状况及及影响因素研究[J].中国临床心理学杂志,2010,(01):76-78.
[15] 袁水平,黄圣排,赵学军. 某部5,12抗震救灾战士的心理健康状况以及应付方式调查[J].中国临床心理学杂志,2010,(01):91-93.
[16] 张作记. 行为医学量表手册[J].中国行为医学科学,2001,(194):118.
[17] 陈树林,高雪屏,李凌江. PTSD症状自评量表的信效度初步评价[J].中国心理卫生杂志,2005,(06):373-376.doi:10.3321/j.issn:1000-6729.2005.06.003.
[18] 蚁金瑶,姚树桥,朱熊兆. TAS-20中文版的信度、效度分析[J].中国心理卫生杂志,2005,(11):763-766.doi:10.3321/j.issn:1000-6729.2003.11.011.
[19] Witeyeen AB,Bramsen I,Twisk JWR. Psychological distress of rescue workers eight and one-half years after professional involvement in the Amsterdam air disaster[J].Journal of Nervous and Mental Disease,2007,(01):31-40.doi:10.1097/01.nmd.0000252010.19753.19.
[20] Armen K,Luis M,Alan M. Posttraumatic stress and depressive reactions among Nicaraguan adolescents after[J].Hurricane Mitch,2000,(02):788-795.
[21] 伍志刚,刘爱忠,谭红专. 洪灾区成人PTSD及其危险因素的研究[J].中国临床心理学杂志,2003,(03):34-36.doi:10.3969/j.issn.1005-3611.2003.03.005.
[22] 汪向东,赵丞智,新福尚隆. 地震后创伤性应激障碍的发生率及影响因素[J].中国心理卫生杂志,1999,(01):28-30.
[23] Yehuda R,Steiner A,Kallana B. Alexithymia in Holocaust survivors with and without PTSD[J].Traumatic Stress,1997.93-100.

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