摘要
目的:探讨突发群体事件受伤者创伤后应激障碍(PTSD)急性期检出率与暴露时间及社会支持的关系。方法:对乌鲁木齐市5家医院突发群体事件受伤住院的161名伤员在受伤第3、4周用自编一般情况调查问卷、心理健康自评问卷(SRQ20)、事件影响量表(IES)和领悟社会支持量表(PSSS)进行测查,完成测查155例。突发群体事件2个月后用美国精神疾病诊断与统计手册第4版修订本(DSM-Ⅳ-TR)轴I障碍临床定式检查病人版(SCID-I/P)对128名伤员(失访27名)进行检查和精神科诊断。结果:样本中PTSD检出率为41.4%(53/128),男性与女性检出率差异无统计学意义(38.7%vs.48.6%,P>0.05)。男性暴露时间>1 h者的SRQ20、IES得分低于暴露时间≤1 h者,女性暴露时间不同者SRQ20、IES得分无明显差异。男性暴露时间>1 h者的PTSD检出率低于暴露时间≤1 h者[32.7%(16/49)vs.54.1%(20/37),P<0.05],女性暴露时间不同者PTSD检出率无明显差异。领悟社会支持量表中社会总支持、内支持、外支持得分与SRQ20、IES测评结果均不相关(r=-0.26～0.24,均P>0.05)。PTSD伤员与非PTSD伤员的社会支持量表得分无明显差异(P>0.05)。结论:本研究显示,突发群体事件男性受伤者中暴露时间>1 h有较低的PTSD检出率和较好的心理健康状况,社会支持与PTSD的发生可能无关,值得进一步研究。
Objective： TO explore the prevalence rate of and the association with the exposure time and the social support. Methods： Totally 161 injured people were treated in five hospitals in the Urumqi and investigated with the self-made general situation questionnaire, Self-Reporting Questionnaire-20 （ SRQ20）, Impact of Event Scale （IES）, and Perceived Social Support Scale（PSSS）. Totally 155 injured people completed the assessment in the third or fourth week. Two months after the injury, 128 injured people were interviewed and diagnosed based on the Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorder, 4th edition text revision （DSM-IV-TR） Axis I Disorders/Patients （SCID）. Results： The rate of PTSD was 41.4% （53/128） in 128 in- jured people, and there were no significant differences between males and females （38. 7% vs. 48. 6%, P 〉0. 05）. The injured male with exposure time of 〉 1 h had lower scores of SRQ20 [（6.7 ±4. 9） vs. （9. 8 ±4. 1）] and IES[（20. 9 ±15.0） vs. （28.7 ± 13.7）] than those with exposure time of≤ 1 h （P5 〈0.05）. The scores of SRQ20 and IES were not significantly different in the female with exposure time of 〉 1 h and ≤ 1 h （Ps 〉0. 05）. The rate of PTSD was lower in males with exposure time of 〉 1 h than those with exposure time of ≤ 1 h [32. 7% （16/ 49） vs. 54. 1% （20/37）, P 〈0. 05], while there was no difference in the rate of PTSD between the females with exposure time of 〉 1 h and ≤1 h （Ps 〉0. 05）. The scores of PSSS were not correlated with the scores of SRQ20 and IES （r = -0. 26 -0. 24, Ps 〉 0. 05）. There were no differences in PSSS between the injured people with and without PTSD （P 〉0. 05）. Conclusion： It suggests that the males with exposure time of 〉 1 h have lower rate of PTSD and better psychological status, and the prevalence of PTSD may be not related to social support. The sug- gestion deserves attention in future study.
出处
《中国心理卫生杂志》
CSSCI
CSCD
北大核心
2012年第5期352-356,共5页
Chinese Mental Health Journal
关键词
突发
群体伤害
创伤后应激障碍
暴露时间
社会支持
emergency
group injury
post-traumatic stress disorder
exposure time
social support
