【摘要】：目的：“5.12”汶川地震后,有研究報道一線救援官兵創(chuàng)傷后應激障礙(PTSD)發(fā)生率明顯增高,然而尚未見專門探討其負性情緒水平及特征的研究報道。本文調(diào)查了汶川地震6個月后現(xiàn)場救援官兵PTSD患者的焦慮抑郁狀態(tài)及其特征,并探討其相關因素,以便為更有針對性的干預提供理論依據(jù)。 方法：按整群分層抽樣原則,選取重災區(qū)現(xiàn)場救援官兵1125名,完成一般情況問卷、Davidson創(chuàng)傷量表(DTS)、Beck焦慮量表(BAI)、Beck抑郁量表-Ⅱ(BDI-Ⅱ)、地震經(jīng)歷量表(EES)。采用DTS確定診斷PTSD組(DTS≥40分)和非PTSD組,分析比較兩組BAI、BDI測評結(jié)果,并分析軍齡、獨生子女、飲酒、吸煙、兵源、心理干預、EES評分與BAI、BDI-Ⅱ評分的相關性。采用t檢驗、χ2檢驗、Pearson相關性檢驗、Spearman相關性檢驗,應用SPSS13.0統(tǒng)計軟件包完成數(shù)據(jù)處理。 結(jié)果：1、因自評調(diào)查工具填寫不符合要求剔除69人,實查1056人,共檢出PTSD69例,患病率為6.5%； 2、PTSD組的焦慮發(fā)生率91.3%(63/69),顯著高于非PTSD組的19.4%(191/987),差異有統(tǒng)計學意義(P0.01)；PTSD組抑郁發(fā)生率為76.8%(53/69),顯著高于非PTSD組的23.8%(235/987),差異有統(tǒng)計學意義(P0.01)； 3、PTSD組BAI/BDI-Ⅱ各單項癥狀發(fā)生率及評分、總分均顯著高于非PTSD組,差異均有統(tǒng)計學意義(P0.05或P0.01)；PTSD組自殺意念發(fā)生率為50.7%(35/69),顯著高于非PTSD組的8.8%(87/987),差異有統(tǒng)計學意義(P0.01)； 4、Pearson相關檢驗結(jié)果顯示,EES總分與BAI總分、BDI-Ⅱ總分均無明顯相關(分別r=0.070、P=0.567,r=0.077、P=0.529)；Spearman;相關檢驗結(jié)果顯示,軍齡、獨生子女、吸煙、飲酒、心理干預、兵源與BAI總分均無明顯相關(r=-0.024～0.112,均P0.05),與BDI-Ⅱ評分也無明顯相關(r=-0.030～0.135,均P0.05)。 結(jié)論：救援官兵PTSD患者較非PTSD者存在更顯著的焦慮、抑郁情緒和自殺傾向,提示進行干預和治療時,對部分常見且癥狀重的負性情緒應予以更有針對性的處理。經(jīng)相關性分析顯示,軍齡、獨生子女、飲酒、吸煙、兵源、心理干預、EES總分與PTSD患者負性情緒表達均無明顯相關,可能與PTSD組患者樣本較小等因素有關,更多更深入的研究有待于進一步闡述。
[Abstract]:Objective: after the "5.12" Wenchuan earthquake, it has been reported that the incidence of (PTSD) in post-traumatic stress disorder of first-line rescue officers and soldiers has been significantly increased, but there is no special research report on the level and characteristics of negative emotion. In this paper, the anxiety and depression status and characteristics of PTSD patients in field rescue officers and soldiers after Wenchuan earthquake were investigated, and the related factors were discussed in order to provide theoretical basis for more targeted intervention. Methods: according to the principle of cluster stratified sampling, 1125 rescue officers and soldiers in the worst-hit areas were selected to complete the general situation questionnaire, Davidson trauma scale (DTS), Beck anxiety scale (BAI), Beck depression scale II (BDI- 鈪，

本文編號：2499438