摘要
目的调研汶川地震后一年半绵阳、北川受灾群众心理卫生状况及其与五态人格的关系。方法用症状自评量表(SCL-90)和五态人格问卷调查绵阳和北川480名群众。结果 SCL-90总分≥160分(筛查阳性)者占21.2%,躯体化、强迫等7个因子得分与常模存在统计学差异(P<0.01)。震后一年半SCL-90除躯体化以外的其他因子分均显著低于震后初期(P<0.001)。农村受灾群众心理卫生状况差于城市。不同年龄组间SCL-90总分与因子分无统计学差异。太阳人格与强迫和人际敏感得分呈显著负相关;少阳人格与抑郁、焦虑等因子呈显著负相关;阴阳平和人格与恐怖因子得分呈显著负相关;少阴人格与SCL-90九项因子得分均无明显相关;太阴人格除与躯体化和强迫无明显相关外,与其他7个因子均呈显著正相关。结论地震后一年半受灾群众心理卫生状况好于震后初期,低于全国正常水平,农村低于城镇,太阴人格特征者心理卫生状况偏差。灾区心理卫生工作仍需重视。
Objective To study the mental health status of victims in Mianyang and Beichuan areas 1.5 years after the Wenchuan Earthquake and to explore its correlation with the Five-Pattern Personality.Methods The Symptom Checklist 90（SCL-90） and the Five-Pattern Personality Questionnaire were used to investigate 480 victims in these areas.Results Cases with SCL-90 total score≥160（screen positive） accounted for 21.2% of the surveyed population.There were significant differences between victims and the norm in scale scores for seven factors on SCL-90,such as somatization and compulsion（P〈0.01）.Except for somatization,the other factors examined had significantly lower scores than those reported during the early months of the disaster（P〈0.001）.The mental health status of the rural cases was inferior to that of the urban cases（P〈0.01）.Among different age groups,however,there were no significant differences in both the SCL-90 total scores and the individual factor scores（P〉0.05）.Conclusion The mental health status of victims 1.5 years after the earthquake has shown some major improvements,but the recovery was not so advanced because the country′s norm victims in rural areas were not doing as well as those in urban areas.There were significant differences among the different personalities,especially between personalities of Shao Yang and Tai Yang.Psychological health in earthquake-stricken areas still needs attention.
出处
《山东大学学报（医学版）》
CAS
北大核心
2011年第5期132-134,139,共4页
Journal of Shandong University:Health Sciences
基金
山东省教育厅人文社会科学研究项目(J08WG03)
关键词
汶川地震
受灾群众
心理卫生状况
五态人格
Wenchuan Earthquake Victims Mental health； Five-Pattern Personality
