本文選題：學齡前兒童　切入點：創(chuàng)傷后應激癥狀　出處：《中國心理衛(wèi)生雜志》2017年03期 　論文類型：期刊論文

【摘要】：目的:探討魯?shù)榈卣馂膮^(qū)學齡前兒童創(chuàng)傷后應激癥狀的檢出率及其與創(chuàng)傷暴露等因素的關(guān)系。方法:魯?shù)檎鸷?~2個月,在龍頭山安置點及龍頭山鎮(zhèn)(地震中心)自西向東進行走訪,共訪談62名學齡前兒童家長,采用學齡前兒童創(chuàng)傷后應激障礙半結(jié)構(gòu)式訪談和由CBCL的15個條目組成的學齡前兒童創(chuàng)傷后行為量表(CBCL-PTSD),分別了解兒童創(chuàng)傷后應激癥狀和創(chuàng)傷后的行為反應。結(jié)果:根據(jù)CBCL-PTSD,震后1~2個月得分在9分及以上的學齡前兒童占51.9%(27/52)。而根據(jù)訪談(同時滿足創(chuàng)傷后應激癥狀3個主要癥狀檢出標準),學齡前兒童創(chuàng)傷后應激癥狀檢出率為26.9%(14/52)。除闖入癥狀數(shù)與高警覺癥狀數(shù)的相關(guān)不具有統(tǒng)計學意義,創(chuàng)傷后應激癥狀數(shù)、各子癥狀數(shù)、CBCL-PTSD得分之間呈顯著相關(guān)(0.30~0.73,P0.05)。經(jīng)歷地震個體的闖入癥狀檢出率高于未經(jīng)歷地震的個體(96.2%vs.60.0%,P0.01),地震中受傷的個體闖入癥狀檢出率高于未受傷的個體(100%vs.84.6%,P0.05),其他創(chuàng)傷暴露條件的各癥狀檢出率差異無統(tǒng)計學意義(P0.05)。結(jié)論:學齡前兒童創(chuàng)傷后應激癥狀檢出率相對較高,地震時目睹房屋倒塌或石頭滾落以及有被困經(jīng)歷的學齡前兒童創(chuàng)傷后應激癥狀更多。
[Abstract]:Objective: to investigate the detection rate of post-traumatic stress symptoms of preschool children in Ludian earthquake area and their relationship with trauma exposure. Methods: 1 ~ 2 months after Ludian earthquake. In Longtou Mountain settlement and Longtoushan Town (earthquake Center) from west to east, a total of 62 parents of preschool children were interviewed. The posttraumatic stress disorder (PTSD) of preschool children and the posttraumatic behavior scale (CBCL-PTSD) composed of 15 items of CBCL were used to investigate the posttraumatic stress symptoms and behavioral responses of children respectively. According to CBCL-PTSDs, 51.9% of preschool children with scores of 9 or more at 1 ~ 2 months after the earthquake accounted for 27 / 52 of the total. However, according to the interview, the detection rate of post-traumatic stress symptoms in preschool children was 26.914 / 52.According to the criteria for checking out three main symptoms of post-traumatic stress symptoms, the detection rate of post-traumatic stress symptoms in preschool children was 26.9%. The correlation between the number of intrusive symptoms and the number of high-alert symptoms was not statistically significant. Number of post-traumatic stress symptoms, There was a significant correlation between CBCL-PTSD scores and the scores of CBCL-PTSD. The detection rate of intrusive symptoms of individuals experienced earthquakes was higher than that of individuals without earthquake. The detection rate of intrusive symptoms of individuals injured in earthquakes was higher than that of individuals without injuries, and other traumatic storms were higher than those of uninjured individuals. There was no significant difference in the detectable rate of symptoms among the exposed children (P 0.05). Conclusion: the detection rate of post-traumatic stress symptoms in preschool children is relatively high. Post-traumatic stress symptoms are more common in preschool children who experience earthquakes as they witness house collapses or rock falls.
【作者單位】： 中國科學院大學;中國科學院心理研究所 心理健康重點實驗室;
【分類號】：R749.5

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