中国临床心理学杂志

创伤暴露青少年群体中创伤后应激障碍的症状结构分析

作者：刘力勇¹ 2 3 王力¹ 2 青于兰¹ 2

单位：1. 中国科学院心理研究所心理健康重点实验室北京100101
2. 中国科学院大学北京100039
3. 北京市石景山区疾病预防控制中心北京100043

分类号：R395.1

出版年,卷(期):页码：2015,23(4):600-603

摘要：

目的:分析创伤暴露的职业中学及工读学校学生样本中创伤后应激障碍的症状结构。方法:使用创伤历史问卷和DSM-5创伤后应激障碍量表(PCL-5)对1023名在校生进行施测,筛选出具有创伤经历的559人作为有效样本,其中男生314人,女生242人,性别缺失3人,年龄为15.8±1.3岁。使用验证性因子分析对6个竞争性模型进行检验。结果:具有闯入、回避、负性情感、快感缺失、痛苦性唤起、焦虑性唤起的六维快感缺失模型具有最优的拟合度。结论:六维快感缺失模型能更好地反映创伤暴露青少年群体中的创伤后应激障碍的症状结构。

Objective: To investigate symptom structure of DSM-5 post-traumatic stress disorder. Methods: 1023 stu-dents from vocational school and reformatory school were administrated with trauma history questionnaire and The PTSD Checklist for DSM-5. 559 subjects were screened as trauma-exposed. The average age of the current sample is 15.8±1.3. Results: Six competitive structural models of DSM-5 PTSD were tested. Result of confirmatory factor analysis supported the six-factor anhedonia model(intrusion, avoidance, negative emotion, anhedonia, dysphoric arousal and anxious arousal). Conclusion: The six-factor anhedonia model represents the symptom structure of DSM-5 PTSD in trauma-exposed adoles-cents better.

基金项目：

作者简介：

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