摘要
目的考察地震后3年青少年创伤后应激障碍筛出率及其与地震暴露程度的关系,为儿童青少年震后远期的心理干预、心理康复提供科学依据和参考。方法 2016年4月25日至5月20日,整群抽取芦山县3 518名初中生和高中生进行问卷调查。使用自编的地震暴露基本情况问卷和创伤应激量表儿童版(Children's Revised Impact of Event Scale,CRIES-13)筛查地震3年后创伤后应激障碍患病率及其暴露风险的影响。结果芦山地区震后青少年创伤后应激障碍检出率为13.3%。多元Logistic回归分析表明,女性(OR=1.304)及地震暴露因素包括主观极端恐惧体验(OR=2.381)、自己被困住(OR=2.019)、自己受伤(OR=1.690)、亲人受伤(OR=1.624)、目睹有人被困住(OR=1.651)、目睹有人在地震中死去(OR=1.307)等是创伤后应激障碍的风险因素(P值均<0.05)。结论地震后心理干预需要立足长远有针对的进行。
Objective To examine the effect of gender and exposure variables on PTSD among adolescents victims after Lushan Earthquake,and to provide the scientific reference for a long-term psychological intervention and rehabilitation for students and adolescents after earthquake.Methods Totally 3 518 students were sampled in two middle schools and two high schools in Lushan County from April 25 to May 20 in 2016.Self-report exposure questionnaire and The Children＇ s Revised Impact of Event Scale（ CRIES） were applied to the subjects to analyze the influences of incidence of PTSD,exposure and gender.Results The prevalence of three-year PTSD of adolescents in Lushan was 13.3%.Logistic model indicated a number of risk factors included girl（ OR = 1.304）,feeling extremely scared（ OR = 2.019）; being trapped（ OR = 2.019）; being injured（ OR = 1.690）; having parents,relatives or friends who were injured（ OR = 1.624）; witnessing people being trapped（ OR = 1.651） and witnessing death（ OR = 1.307,P〈0.05）.Conclusion The psychological intervention after earthquake should take a long-term perspective,and should be targetedly carried out.Adolescents among female victim or those experienced extreme fear emotion,need specific intervention.
作者
汤万杰
赵京东
卢毅
张骏
徐玖平
TANG Wanjie;ZHAO Jingdong;LU Yi;ZHANG Jun;XU Jiuping(Center for Educational and Health Psychology,Sichuan University,Chengdu（610065）,China)
出处
《中国学校卫生》
CAS
北大核心
2018年第7期1041-1042,1046,共3页
Chinese Journal of School Health
基金
中宣部四个一批人才计划项目(2016zybw03)
关键词
性别特性
环境暴露
应激障碍
创伤后
青少年
回归分析
Gender identity
Environmental exposure
Stree disorders
post-traumatic
Adolescent
Regression analysis
