【摘要】 目的调查极重灾区某中学学生的创伤后应激障碍(PTSD)症状检出率及影响因素,为进一步开展灾后心理卫生服务提供依据。方法 2008年9月下旬,对汶川地震的极重灾区都江堰某镇中学1 500名同学进行调查,获有效问卷1 498份。采用一般情况调查问卷、儿童事件影响量表(CRIES-13)中文版进行集体施测。结果某镇中学学生灾后4个月PTSD症状检出率29.71%(445/1 498)。经非条件逐步logistic回归筛选PTSD症状的影响因素有:地震时是否受伤(OR=1.995,P=0.000)、性别(OR=1.785,P=0.000)、绝望感(OR=1.597,P=0.000)、是否目睹死亡(OR=1.344,P=0.000)、年龄(OR=1.308,P=0.000)、是否目睹受伤(OR=1.262,P=0.000)、地震时是否被困(OR=1.209,P=0.011)、震后居住地点(OR=1.182,P=0.000)、是否目睹垮塌(OR=1.176,P=0.000)、家人情况(OR=1.104,P=0.000)、地震后是否住院(OR=0.828,P=0.041)12个因素。结论在灾后重建过程中,该中学的学生PTSD症状检出率较高,其与地震时是否受伤、性别、绝望感、是否目睹死亡、年龄、是否目睹受伤、地震时是否被困、震后居住地点、是否目睹垮塌、家人情况、地震后是否住院呈显著相关。更多还原

【Abstract】 Objective To investigate the incidence rate and related factors of post-traumatic stress disorder(PTSD) among a secondary school students after Wenchuan earthquake,and to provide information for psychological and medical intervention.Methods In the last third part of September 2008,we investigated 1 500 students of a secondary school in Dujiangyan,an area of severe disaster,and attained 1 498 valid questionnaires.General inventory(self-writing) and the Children’s Revised Impact of Event Scale were used in the analysis.Results The diagnosis rate of PTSD was 29.71%(445/1498) among the students 4 months after the earthquake.The result of non-condition gradual logistic regression analysis showed that the influence factors of PTSD symptom included whether hurt or not in the earthquake(OR=1.995,P=0.000),sex(OR=1.785,P=0.000),desperation(OR=1.597,P=0.000),whether having witnessed death or not(OR=1.344,P=0.000),age(OR=1.308,P=0.000),whether having witnessed injures or not(OR=1.262,P=0.000),whether buried or not in the earthquake(OR=1.209,P=0.011),living place after the earthquake(OR=1.182,P=0.000),whether having witnessed collapsing or not(OR=1.176,P=0.000),the condition of family members(OR=1.104,P=0.000),and whether hospitalized after the earthquake(OR=0.828,P=0.041).Conclusion In the post-disaster reconstruction process,the students have a high diagnosis rate of PTSD symptoms,and it is significantly correlated with such factors as whether hurt or not,sex,desperation,whether having witnessed death,age,whether having witnessed injures,whether buried or not,the residing place after the earthquake,whether having witnessed collapsing,the condition of family members,and whether hospitalized or not.更多还原