洪灾后11～15岁儿童创伤后应激障碍发生率及其影响因素

doi:10.3760/cma.j.issn.1674-6554.2014.12.015

	洪灾后11～15岁儿童创伤后应激障碍发生率及其影响因素
其他题名	Prevalence of post-traumatic stress disorder and its risk factors among 11 ～ 15 years old children after flood
	马珠江 1; 刘正奎1 ; 韩茹1 ; 吴坎坎1 ; 李泊 1; 程锦 1; 陈媛芳 1; 侯倩茜 1
摘要	目的评估洪灾后青少年创伤后应激障碍症状及其影响因素.方法在抚顺特大洪灾后1个月,选取受灾较为严重地区六所学校的1000名学生.使用加州大学创伤后应激障碍反应指数修改版(UCLA PTSD RI)进行测查.结果 (1)洪灾1个月后,青少年PTSD阳性发生率为4.4％,亚PTSD发生率为9.0％;(2)PTSD各因子的发生率依次为闯入症状23.6％,回避症状7.7％,高警觉症状21.7％.(3)年级能够显著预测闯入、回避、高警觉和PTSD总分(P＜0.01);父母的感情关系对闯入、回避、高警觉和PTSD总分均有显著预测作用(P＜0.05);留守状况以及创伤暴露情况能够显著预测闯入、回避、高警觉以及PTSD总分(P＜0.05).结论洪灾后青少年亚PTSD发生率相对较高,需特别关注青春期早期、父母有外出务工以及灾害发生时创伤暴露较为严重的学生.
其他摘要	Objective To understand the symptoms of post-traumatic stress disorder (PTSD)and its risk factors among the adolescents after Fushun Flood.Methods The Chinese version of UCLA PTSD Reaction Index for DSM-1V,Revision I was used to assess the PTSD symptoms in 1000 students from 6 different schools in the disaster region.Results (1)The general prevalence of intrusion,avoidance and hyperarousal were 23.6％,7.7％,21.7％ respectively.(2) The prevalence of sub-PTSD was 9.0％; and the general prevalence of PTSD was 4.4％.(3) Age could significantly explain intrusion,avoidance,hyperarousal and the total score of PTSD (P＜0.01) ;children with poor parental relationship were the risk factors for PTSD and its three symptom clusters (P＜ 0.05) ; children who were left-behind and high-level trauma exposure were the risk factors for intrusion,avoidance,hyperarousal and PTSD(P＜0.05).Conclusion The prevalence of sub-PTSD is relatively high and differs among adolescent students with different traits.Children in their early puberty,those who were left-behind and those who were directly exposed to the pungent scene of flood should be paid much more attention during the later psychological assistance.
关键词	洪灾青少年创伤后应激障碍父母感情关系留守
学科领域	创伤心理学
	2014
语种	中文
DOI	10.3760/cma.j.issn.1674-6554.2014.12.015
发表期刊	中华行为医学与脑科学杂志
卷号	23 期号:12 页码:1108-1110
期刊论文类型	期刊论文
URL	查看原文
资助机构	国家自然科学基金项目
引用统计
文献类型	期刊论文
条目标识符	http://ir.psych.ac.cn/handle/311026/20236
专题	中国科学院心理健康重点实验室
作者单位	1.中国科学院大学 2.中国科学院心理研究所心理健康重点实验室,北京,100101
推荐引用方式 GB/T 7714	马珠江,刘正奎,韩茹,等. 洪灾后11～15岁儿童创伤后应激障碍发生率及其影响因素[J]. 中华行为医学与脑科学杂志,2014,23(12):1108-1110.
APA	马珠江.,刘正奎.,韩茹.,吴坎坎.,李泊.,...&侯倩茜.(2014).洪灾后11～15岁儿童创伤后应激障碍发生率及其影响因素.中华行为医学与脑科学杂志,23(12),1108-1110.
MLA	马珠江,et al."洪灾后11～15岁儿童创伤后应激障碍发生率及其影响因素".中华行为医学与脑科学杂志 23.12(2014):1108-1110.

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