【摘要】 目的了解汶川重灾区地震后1 a青少年创伤后应激障碍(Post-Traumatic Stress Disorder,PTSD)的现患情况,为制定干预措施提供科学依据。方法采用创伤后应激障碍自评量表(PTSD Checklist-Civilian Version,PCL-C),对汶川地震重灾区3所中学初一、初二、高一、高二年级的在校学生进行问卷调查,PTSD的诊断依据DSM-Ⅳ标准。结果地震后1 a重灾区中学生PTSD的筛查阳性率为6.1%,以警觉性过强所致易激惹症状(D组)阳性率最高(75.1%)。初二和高一年级,居住在农村、家庭有财产损失的学生PTSD阳性率及B,C,D 3组症候群阳性率较高;女生和地震中受伤学生B,C,D 3组症候群阳性率较高。结论地震后1 a青少年PTSD阳性筛查率仍较高,继续采取有效干预措施降低重灾区青少年PTSD造成的长期心理危害十分必要。更多还原

【Abstract】 Objective To investigate the prevalence of post-traumatic stress disorder in middle school students after one year of the Wenchuan earthquake,and to provide evidence for making the interventions.Methods By using the PTSD Checklist-Civilian Version,all the students in three middle schools in the disaster region.The PTSD patients diagnosis based on DSM-Ⅳ criteria.Results The total positive screening rate of PTSD was 6.1%,and that of D group was the highest(75.1%).The positive screening rate of PTSD in the total and the B,C,D group were higher in students of grade two in junior school and grade one in senior school,rural students and those who lost family property.The rates of the three groups were higher in girls and injured in earthquake than in boys and not injured in earthquake.Conclusion The positive screening rate of PTSD in the middle school students is still high after one year of the earthquake,it is necessary to take effective interventions to reduce the long-term psychological influences on them due to the PTSD.更多还原