【摘要】 目的调查汶川地震6个月后救援官兵创伤后应激障碍(posttraumatic stress disorder,PTSD)患者的焦虑和抑郁状态,并探讨其相关因素。方法按整群分层抽样原则对1125名一线救援官兵进行调查,采用Davidson创伤量表(DTS)确定诊断PTSD组(DTS≥40分)和非PTSD组,分析两组Beck焦虑量表(BAI)、Beck抑郁量表-Ⅱ(BDI-Ⅱ)的测评结果,采用简单直线相关法进行相关性分析。结果①实查1056人,共检出PTSD 69例(6.5﹪);②PTSD组焦虑发生率、抑郁发生率均显著高于非PTSD组(P<0.01);③PTSD组BAI/BDI-Ⅱ各单项症状发生率及评分、总分均显著高于非PTSD组(P<0.05或P<0.01);④军龄、独生子女、饮酒、吸烟、兵源、心理干预、地震经历总分与PTSD患者负性情绪表达均无明显相关(P>0.05)。结论汶川地震救援官兵PTSD患者较非PTSD者具有更显著的焦虑、抑郁情绪,其症状发生率高、程度重,应及时进行有针对性地干预与治疗。更多还原

【Abstract】 Objective To investigate the anxiety and depression status in military rescuers with posttraumatic stress disorder(PTSD) 6 months after Wen Chuan earthquake,and analyze the related factors.Methods A sample of 1125 military rescuers was obtained by cluster sampling method.The PTSD were examined with the Davidson Trauma Scale(DTS),and according to the DTS score of ≥40 or <40,all subjects were divided into PTSD group and non-PTSD group.The scores of Beck Anxiety Inventory(BAI) and Beck Depression Inventory-Ⅱ(BDI-Ⅱ) in the two groups were compared.Linear correlation analysis was used to study the effects of related factors on anxiety and depression scores in PTSD group.Results ①The final analysis was carried out on 1056 military rescuers.The prevalence of PTSD was 6.5%(69 cases);②The occurrence rate of anxiety and depression were higher in PTSD group than that in non-PTSD group(P<0.01);③The BAI/BDI-Ⅱ total scores,the score and frequency of each anxiety/depression symptom were higher in PTSD group than those in non-PTSD group(P<0.05 or P<0.01);④ Whether the only child,whether smoking,whether drinking et al were not correlated with BAI and BDI-Ⅱscores(P>0.05).Conclusion The military rescuers with PTSD after the earthquake have higher anxiety and depression levels,and have more frequent and prominent anxiety and depression symptoms.They should be given a timely and targeted psychological intervention or treatment.更多还原