摘要
目的:探讨地震3年后受灾人群中创伤后应激障碍(PTSD)的危险因素。方法:采用病例对照研究的方法,分析地震3年后云南省鲁甸县龙头山镇重灾区受灾群众155人的调查资料,以PTSD筛查阳性人群为病例组,阴性人群为对照组,对自编人口学基本信息调查表、创伤后应激障碍自评量表(PCL-C)的问卷数据进行单因素分析,采用非条件logistic回归分析探讨年龄、性别等人口学资料及灾难暴露程度、参与现场救援、地震中失去亲人与否等对创伤后应激障碍的影响。结果:病例组与对照组单因素分析比较显示,性别(χ^2=4.65,P<0.05)、受教育程度(χ^2=9.63,P<0.01)、灾难暴露程度(χ^2=7.15,P<0.01)有统计学意义。非条件logistic回归分析显示女性(OR=4.89,P<0.01)、非文盲(OR=6.30,P<0.01)、高暴露者(OR=17.44,P<0.05)是发生PTSD的危险因素。结论:地震三年后重灾区受灾人群中女性、非文盲、高暴露者发生PTSD的危险性大,提示应当重点对这类PTSD的高危人群进行灾后创伤相关干预。
Objective:To explore the risk factors of post-traumatic stress disorder(PTSD)in affected people after three yeas of earthquake.Methods:Using the method of case-control study,the investigation data of 155 people in Longtou Mountain Town,Ludian County,Yunnan Province after 3 yeas of earthquake were analyzed.The people with screened positive PTSD were as the case group and the negative people as the control group.The Selfreport Information Questionnaire including age,gender,disaster exposure degree,participating in on-site rescue,and loosing relatives or not in earthquake,and the Post-traumatic Stress Disorder Self-rating scale(PCL-C)were applied to investigate 155 affected people in Longtoushan Town,Ludian County,Yunnan Province three yeas after the earthquake.Results:The univariate analysis of the case group and the control group showed that there were signifi cant differences in gender(χ^2=4.65,P<0.05),education level(χ^2=9.63,P<0.01),and disaster exposure degree(χ^2=7.15,P<0.01).The non-conditional logistic regression analysis showed that female(OR=4.89,P<0.01),non-illiterate(OR=6.30,P<0.01),those who had high disaster exposure(OR=17.44,P<0.05)were the risk factors of PTSD.Conclusion:Three years after the earthquake,women,non-illiterate,those who had high disaster exposure have a high risk of PTSD,suggesting that emphasis should be placed on post-disaster trauma related intervention for this kind of high-risk population of PTSD.
作者
杨婷
阮冶
高长青
周莉
唐岩
张勇辉
沈红梅
黄悦勤
YANG Ting;RUAN Ye;GAO Changqing;ZHOU Li;TANG Yan;ZHANG Yonghui;SHEN Hongmei;HUANG Yueqin(Kunming Mental Crisis Research and Prevention Center,Kunming 650224,China;Mental Hospital of Yunnan Province,Kunming 65022,China;Peking University Sixth Hospital,Peking University Institute of Mental Health,NHC Key Laboratory of Mental Health(Peking University),National Clinical Research Center for Mental Disorders(Peking University Sixth Hospital),Beijing 100083,China)
出处
《中国心理卫生杂志》
CSSCI
CSCD
北大核心
2020年第3期166-169,共4页
Chinese Mental Health Journal
关键词
创伤后应激障碍
危险因素
地震
病例对照研究
post-traumatic stress disorder
risk factor
earthquake
case-control studies
