發(fā)布時間：2018-07-23 16:47

【摘要】：目的:了解洪災13年后創(chuàng)傷后應激障礙癥狀陽性者的預后情況,以及人格特征與創(chuàng)傷后應激障礙預后的關(guān)系。方法:本研究為橫斷面研究,采用多階段隨機抽樣法,對200例經(jīng)歷1998-1999年湖南省洞庭湖區(qū)特大洪災且經(jīng)2000年流行病學調(diào)查被歸類為創(chuàng)傷后應激障礙癥狀陽性的災民再次進行調(diào)查。采用創(chuàng)傷后應激障礙量表平民版(PCL-C)對創(chuàng)傷后應激障礙再次進行篩查,實際入組184例,將研究對象分為康復組(n=162例)和PTSD癥狀陽性組(n=22例);采用艾森克人格問卷簡式量表中國版(EPQ-RSC)測查兩組的人格特征。用logistic回歸模型分析人格特征與創(chuàng)傷后應激障礙預后的關(guān)系。結(jié)果:洪災13年后PTSD癥狀持續(xù)陽性比率為12.0%(22/184)�？祻徒MEPQ-RSC外向人格得分高于PTSD癥狀陽性組[(51.8±10.7)vs.(45.1±13.2),P0.05],神經(jīng)質(zhì)人格得分低于PTSD癥狀陽性組[(46.5±10.1)vs.(58.3±12.2),P0.05]。Logistic回歸分析顯示,在調(diào)整性別、年齡等變量后,神經(jīng)質(zhì)高是創(chuàng)傷后應激障礙癥狀持續(xù)陽性的危險因素(OR=3.63,95%CI:1.05~12.54)。結(jié)論:洪災后創(chuàng)傷后應激障礙癥狀陽性持續(xù)存在的情況值得重視,神經(jīng)質(zhì)人格與創(chuàng)傷后應激障礙預后相關(guān)。
[Abstract]:Objective: to investigate the prognosis of post-traumatic stress disorder (PTSD) patients with positive symptoms and the relationship between personality traits and post-traumatic stress disorder (PTSD) prognosis. Methods: a cross-sectional study was conducted to investigate 200 victims who had experienced severe flood in Dongting Lake region of Hunan Province in 19981999 and were classified as positive symptoms of post-traumatic stress disorder (PTSD) by epidemiological survey in 2000. The post traumatic stress disorder scale (PCL-C) was used to screen the posttraumatic stress disorder again. The subjects were divided into rehabilitation group (n = 162) and PTSD positive group (n = 22). The personality characteristics of the two groups were measured by Eysenck Personality questionnaire Chinese version (EPQ-RSC). Logistic regression model was used to analyze the relationship between personality traits and the prognosis of post traumatic stress disorder (PTSD). Results: the persistent positive rate of PTSD symptoms was 12.0% (22 / 184) 13 years after flood. The EPQ-RSC outward personality score of rehabilitation group was higher than that of PTSD positive group [(51.8 鹵10.7) vs. (45.1 鹵13.2) P 0.05], and the score of neurotic personality was lower than that of PTSD positive group [(46.5 鹵10.1) vs. (58.3 鹵12.2) P 0.05]. Logistic regression analysis showed that after adjusting gender, age and other variables, High neuroticism was the risk factor of persistent positive symptoms of post-traumatic stress disorder (ORO 3.63% 95 CI: 1.05C 12.54). Conclusion: the persistence of post-traumatic stress disorder symptoms is worthy of attention. Neurotic personality is related to the prognosis of post-traumatic stress disorder.
【作者單位】： 中南大學湘雅公共衛(wèi)生學院流行病與衛(wèi)生統(tǒng)計學系;珠海市疾病預防控制中心應急管理辦公室;
【分類號】：R749.5

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