摘要
目的 了解舟曲泥石流5年后居民创伤后应激障碍（PTSD）、焦虑和抑郁现状及其影响因素,为远期心理干预提供科学依据。方法 于2015年8月采用整群抽样方法在舟曲县5个卫生服务社区居民中随机抽取300名居民进行问卷调查,共收到有效问卷291份,有效率为97%。采用创伤后应激障碍量表平民版（PCL-C）、焦虑自评量表（SAS）、抑郁自评量表（SDS）对舟曲具5个社区的291名受灾居民进行问卷调查。使用SPSS 17.0软件包对数据进行χ~2检验,影响因素分析应用logistic回归分析。结果 舟曲受灾居民PTSD检出率为32.30%,有焦虑症状检出率为25.77%,有抑郁症状检出率为26.80%,焦虑与抑郁共患检出率为22.34%,PTSD伴发焦虑检出率为21.31%,伴发抑郁检出率为21.65%,同时伴发焦虑、抑郁检出率为19.24%。logistic回归分析结果显示,性别（OR=2.057,95%CI：1.140~3.713）、婚姻状况（OR=0.304,95%CI：0.148~0.624）、受教育程度（OR=0.145,95%CI：0.040~0.517）和直系亲人死亡（OR=0.393,95%CI：0.218~0.710）是PTSD的影响因素,性别（OR=1.922,95%CI：1.036~3.567）、受教育程度（OR=0.118,95%CI：0.034~0.403）和被困经历（OR=0.496,95%CI：0.268~0.919）是焦虑的影响因素,性别（OR=2.234,95%CI：1.204~4.147）、受教育程度（OR=0.190,95%CI：0.055~0.655）和被困经历（OR=0.526,95%CI：0.285~0.970）是抑郁的影响因素,受教育程度（OR=0.088,95%CI：0.025~0.308）、直系亲人死亡（OR=0.249,95%CI：0.095~0.651）是三者共患病的影响因素。结论 舟曲泥石流5年后受灾居民PTSD与抑郁、焦虑共病症状较为严重,应采取有针对性的远期的心理干预措施。
Objective To understand the post traumatic stress disorder （PTSD）, anxiety and depression of residents in Zhouqu after debris flow for 5 years and their influeneing factors. Methods The Cluster sampling method was used to select 300 residents from 5 communities in Zhouqu as the subjects in August of 2015. The investigation was performed with questionnaires, including the PTSD Checklist-Civilian version （PCL-C）, Self-rating Anxiety Scale （SAS） and Self-rating Depression Scale （SDS）, 291 questionnaires were received. SPSS 17.0 software was utilized to analyze all data with X2 test, the influencing factors were analyzed with logistic regression method. Results The detected rate of PTSD in disaster stricken residents was 32.30%, the detected rate of anxiety disorder was 25.77% and the detected rate of depression was 26.80%. The detected rate of anxiety with depression was 22.34%, the detected rate of FleD with anxiety was 21.31%, the detected rate of PTSD with depression was 21.65%. The detected rate of FleD with anxiety and depression was 19.24%. Stepwise multiple regression analysis showed that gender （OR =2.057, 95% CI： 1.140-3.713 ）, marital status （ OR=0.304,95% CI：O. 148-0.624 ）, level of education （ OR =0.145,95% CI：0.040-0.517 ） and relatives death （0R=0.393,95%CI：0.218-0.710） were the influence factors of PTSD.Gender （OR=1.922,95%CI：1.036-3.567）, level of education （ OR=O. 118,95%CI：0.034-0.403 ） and trapped experience （ OR =0.496,95%CI：0.268-0.919 ） were the influence factors of anxiety. Gender （ OR =2.234,95% CI： 1.204-4.147 ）, level of education （ OR =0.190,95% CI：0.055 -0.655 ） and trapped experience （OR=0.526,95%CI：0.285-0.970） were the influence factors of depression. Level of education （OR =0.088,95%CI： 0.025-0.308）, relatives death （OR=0.249,95%CI：0.095-0.651 ） were the influence factors of FFSD with anxiety and depression. Conclusion The disaster stricken residents after debris flow for 5 years suffered from the more serious PTSD, anxiety and depression symptoms. The psychological intervention measures should be taken in the future.
出处
《中国慢性病预防与控制》
CAS
2016年第11期817-820,共4页
Chinese Journal of Prevention and Control of Chronic Diseases
基金
甘肃省国际科技合作计划项目(1304WCGA180)
关键词
泥石流
创伤后应激障碍
焦虑
抑郁
现况调查
Debris flow
Posttraumatic stress disorder
Anxiety
Depression
Cross-sectional study
