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儿童创伤后应激障碍症状发展轨迹:两年的追踪研究
Alternative TitlePTSD Trajectories among Children:A 2-year Follow-up Study
马珠江
Subtype硕士
Thesis Advisor刘正奎
2015-05
Degree Grantor中国科学院研究生院
Place of Conferral北京
Degree Discipline心理学
Keyword泥石流 儿童 创伤后应激障碍 潜类别增长分析
Abstract目的:探讨泥石流灾后儿童创伤后应激障碍症状的发展轨迹及特征,为灾后心理援助工作的开展提供科学的理论依据。 
方法:采用问卷测量的方法,在泥石流灾难发生后3 个月、15 个月和27 个月时,以班级为单位,对甘肃省甘南藏族自治州舟曲县的在校学生进行心理健康调查。
采用自编背景资料调查问卷、加州大学创伤后应激障碍反应指数修改版儿童版量表 (UCLA PTSD RI Child Version)。 
结果: (1)泥石流3 个月、15 个月、27 个月后的闯入症状检出率均高于回避症状和高警觉症状;亚PTSD 中,闯入和高警觉症状的共同检出情况较高;各阶段PTSD 总体检出情况呈下降趋势,分别为:9.90%、9.39%、5.87%。 (2)潜类别增长分析 (LCGA)表明,泥石流灾后当地儿童创伤后应激障碍症状存在五类发展轨迹,按照各轨迹在人群中所占比例由高到低依次为:正常应激 (40.97%)、心理韧性(29.85%)、心理恢复(21.70%)、延迟受损(5.32%)、持续受损(2.16%)。
(3)不同性别、年级、创伤暴露程度的儿童群体在心理韧性、心理恢复等轨迹中的分布具有显著差异。 
结论:遭遇重大自然灾害的儿童是心理疾病的高发人群,心理恢复的过程因人而异,应重点关注女生、高年级以及创伤暴露程度较高的儿童在恢复过程中的心理状况,个别群体需要外界给予长时间的帮助和支持。
Other AbstractObjective: To explore the development trajectories of PTSD symptoms of children who exposed debris flood. Method:  Investigations were respectively  implemented 3, 15, 27 months after the debris flood to assess mental health of students in ZhouQu county GanSu province in China. More than 3000 students were assessed for each investigation with the UCLA PTSD INDEX FOR DSM-IV (Revision 1 Child Version) and self-designed questionnaire for background information. Results: (1) The positive rate of intrusion symptom were relative higher than avoidance and hyper-arousal across the three measurements, and the comorbidity rate of intrusion and hyper-arousal was higher in terms of the sub-PTSD prevalence, also the prevalence rates of PTSD for each measurement were 9.90%、9.39%、5.87%  respectively;  (2) LCGA shows that five trajectories were found, including normal (40.97%), resilience (29.85%), recovery(21.70%),  delayed(5.32%), chronic(2.16%);  (3)  the distribution difference of children with different gender, grade, trauma exposure in  some of  the trajectories was significant. Conclusion: Children who exposed in heavy natural disaster were the high risk group of mental health diseases, and the recovery process was also different in terms of individual difference; girls, high grade students and high trauma exposure children need more attention during the psychological assistance.
Subject Area应用心理学
Language英语
Document Type学位论文
Identifierhttp://ir.psych.ac.cn/handle/311026/20043
Collection认知与发展心理学研究室
Affiliation中国科学院心理研究所
Recommended Citation
GB/T 7714
马珠江. 儿童创伤后应激障碍症状发展轨迹:两年的追踪研究[D]. 北京. 中国科学院研究生院,2015.
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