【摘要】 目的:了解地震后灾民的心理健康状况,探索有效的综合干预模式。方法:对四川省江油市223名灾民进行应激反应问卷(stress-reaction questionnaire,SRQ)评定,再对SRQ检测结果存在心理问题的灾民进行汉密顿抑郁量表(Hamilton depression scale,HAMD)、创伤后应激障碍症状清单平民版(post taumatic stress disorder checklist-civilianver-sion,PCL-C)评定,并对其进行医疗服务、支持性心理治疗、集体心理治疗、药物治疗和随访等的综合干预,比较综合干预前与干预14d后灾民心理健康情况。结果:SRQ结果示121名(54·3%)存在明显的心理问题。HAMD结果示上述121名中可能有抑郁56名(46·3%),有轻度或中度抑郁57名(47·1%),有重度抑郁8名(6·6%)。PCL-C结果示创伤后应激障碍症状阳性27名(22·3%),阴性94名(77·7%)。经综合干预后,灾民的抑郁症状减轻,心理健康状况有所改善。结论:相当一部分地震灾民存在心理问题。医疗服务、支持性心理治疗、集体心理治疗、药物治疗和随访等的综合干预模式能有效改善灾民的心理健康状况。更多还原

【Abstract】 Objective:To study the psychological health status of the victims in earthquake and to explore effective ways of comprehensive intervention mode.Methods:223 Victims in Jiangyou city of Sichuang province were assessed for psychological health by using stress-reaction questionnaire(SRQ).The victims with severe psychological disorder by SRQ result were assessed in mental health by using Hamilton depression scale(HAMD) and post traumatic stress disorder checklist-civilian version(PCL-C),and underwent comprehensive intervention mode including medical service,supportive psychotherapy,group psychotherapy,medication and following visit.Psychological health status of these victims before and after 14 days comprehensive intervention were compared.Results:Results of SRQ found that 121 victims(54.3%)showed mental problem.Results of HAMD found there were 56 victims(46.3%) with possible depression,57 victims(47.1%)with moderate depression and 8 victims(6.6%) with severe depression.Results of PCL-C found that 27 victims(22.3%) were positive and 94 victims(77.7%) were negative.Depression level of victims was reduced and psychological health state improved following comprehensive intervention.Conclusion:Considerable proportion of the victims in earthquake have psychological problems.Comprehensive intervention mode including medical service,supportive psychotherapy,group psychotherapy,medication and following visit can improve psychological health of the victims.更多还原