【摘要】 目的:汶川地震震后6个月安县受灾群众创伤后应激障碍(PTSD)发生率、症状分布及其相关因素。方法:应用PTSD调查表、症状自评量表(SCL-90)、焦虑自评量表、抑郁自评量表和标准化评定工具,对地震时在安县地区居住的群众,进行DSM-ⅣPTSD诊断检查及相关量表的测查。结果:完成调查的289人中,PTSD筛查阳性率为11.4%。抑郁症状阳性率为23.4%,8.7%报告有自杀观念。灾后6个月PTSD发生率为11.4%,PTSD组反复更现创伤性体验、持续性警觉性增高、持续的回避等症状较对照组明显。SCL-90总分和躯体化、强迫、人际关系、抑郁、焦虑、敌对、恐怖、偏执、精神及其他因子分、SDS总分和标准分、SAS总分和标准分均显著高于对照组。结论:地震后PTSD的发生率是11.4%(6个月)。PTSD患者无法摆脱精神创伤的痛苦记忆,PTSD严重影响了患者的心身健康。更多还原

【Abstract】 Objective:To observe 6 months after wenchuan earthquake post-traumatic stress disorder(PTSD)incidence,symptoms distribution and related factors of victims in an-town.Methods:Apply PTSD questionnaire,symptoms self rating scale(SCL-90),anxiety self rating scale,depression self rating scale and standardization evaluation tool,the examinationin of DSM-Ⅳ PTSD diagnostic tests and related scale for the people living in sichuan region in the earthquake period.Results:Among the 289 surveys which has been completed,PTSD screening positive rate was 11.4%.Depressive symptoms positive rate was 23.4%,8.7% was reported with suicidal ideas.6 months after disasters PTSD incidence was 11.4%.In the PTSD group symptoms such as the repeating appearance of the traumatic experience,the increase of the vigilance and sustainability,persistent withdrawal were more obvious than the control group.SCL-90 overall score and scores of somatization,force,interpersonal relationship,depression,anxiety,hostility,terror,intolerance,spirit,and other factors,SDS overall scores and standard scores,SAS overall scores and standard scores were significantly higher than those in the control group.Conclusion:The incidence of PTSD after earthquake is 11.4%(6 months).Patients of the PTSD cannot get rid of painful memories of the mental wounds.The PTSD seriously impacts the psychosomatic health.of the patients.更多还原