【摘要】 目的:了解玉树震后半年时灾区小学生的创伤后应激障碍(PTSD)和抑郁症状。方法:玉树灾区某小学845名4-6年级的小学生完成了加州大学创伤后应激障碍反应指数修改版(UCLA PTSD Reaction Index)和流调中心儿童抑郁量表(CES-DC)。结果:①PTSD的筛查阳性率为12.5%,闯入症状表现最明显(67.3%)。②抑郁症状阳性率达61.7%,主要表现为积极情绪缺乏。③女生的PTSD检出率高于男生;5年级学生的抑郁阳性率高于4年级和6年级;曾目睹亲人死亡的学生PTSD检出率和抑郁阳性率都高于未曾目睹亲人死亡的学生。结论:玉树地震后灾区小学生创伤后应激障碍和抑郁检出率都较高,应特别关注女生、5年级学生和曾目睹亲人死亡的学生。更多还原

【Abstract】 Objective: To investigate the Post Traumatic Disorder(PSTD) and Depressive symptoms among survived children six-month after the Yushu Earthquake.Methods: 845 children in grade 4 to 6 completed the Chinese version of UCLA PTSD Reaction Index for DSM-IV,Revision 1 and Center for Epidemiologic Studies Depression Scale for Children(CES-DC).Results: ①The prevalence of probable PTSD was 12.5%,and the intrusion was the most obvious dimension(67.3%).②61.7 percents of students exhibited depression symptoms(CES-DC≥20),especially lack of positive affection.③Girls’ prevalence of PTSD was significantly higher than boys’;students in grade 5’s prevalence of depression was significantly higher than those in grade 4 and 6;those who witnessed death of family member had a significant higher prevalence of both PTSD and depression than those who didn’t.Conclusion: Prevalence of both PTSD and depression is relatively high and differs among students with different traits.We should pay attention to girls,students in grade 5,and those who witnessed family member’s death during the post-earthquake psychological assistance.更多还原