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地震伤员PTSD及其影响因素的研究

Posttraumatic stress disorder of the wounded in earthquake and its influencing factors

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【作者】 刘婉婷况利陈建梅黎雪梅艾明李大奇高新学赵正中楼丹丹

【Author】 LIU Wan-ting,et al(The Center of Mental Health,the First Affiliated Hospital,Chongqing Medicine University)

【机构】 重庆医科大学附属第一医院心理卫生中心

【摘要】 目的:调查汶川地震灾后伤员的创伤后应激障碍(Posttraumatic stress disorder,PTSD)相关症状的发生及其影响因素。方法:采用美国《精神障碍诊断与统计手册》第四版(DSM-Ⅳ)中关于PTSD的诊断标准,在地震后40d对伤员PTSD症状进行评定。结果:地震后40dPTSD症状的检出率为51.4%,其主要影响因素为性别(OR=2.364)、地震中被掩埋(OR=2.171)、目睹有人在地震中受伤(OR=0.338)。结论:此次地震后PTSD症状的检出率相当高,应采取针对性的干预措施。

【Abstract】 Objective:To investigate the incidence of Posttraumatic stress disorder(PTSD) symptoms and its influencing factors in the transered wounded after Wenchuan earthquake.Methods:Diagnostic and Statistical Manual of Mental Disorders(Ⅳ Edition) were used to examine and diagnose the victims,at the 40th day after earthquake.Results:The positive rate of PTSD symptoms was 51.4% after 40 days.The results of logistic regression analysis showed that the main influencing factors included gender(OR=2.364),the experience of been buried in the earthquake(OR=2.171) and seeing people injured in the earthquake(OR=0.338).Conclusion:The positive rate of PTSD symptoms in the wounded in this earthquake is so high and psychosocial intervention is needed.

【关键词】 地震创伤后应激障碍影响因素
【Key words】 EarthquakePTSDInfluencing Factors
  • 【文献出处】 重庆医科大学学报 ,Journal of Chongqing Medical University , 编辑部邮箱 ,2009年12期
  • 【分类号】R749.5
  • 【被引频次】20
  • 【下载频次】216
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