PSYCH OpenIR  > 健康与遗传心理学研究室
Alternative TitleElderly Survivors' Mental Health and Factors related two years after the Wenchuan Earthquake
Thesis Advisor韩布新
Degree Grantor中国科学院研究生院
Place of Conferral北京
Degree Discipline心理学
Keyword老年人 心理健康 创伤后应激障碍 社会支持 社会信念
Abstract目的:通过地震前后对比和追踪,调查地震对灾区老年人心理健康的影响,和灾后老年人心理康复情况及影响因素。 方法:采用中国心理健康量表(老年版)、事件影响量表(修订版)测查心理健康及创伤后应激障碍;采用创伤暴露水平、社会支持评定量表、简易应对方式问卷及社会信念问卷测查影响心理健康的因素。采用方便取样原则三次追踪调查重灾区老年人心理健康水平,并与震前水平对比。 结果:(1)震后6个月、10个月和震后两年PTSD发生率依次为30.8%、17.2%、20.3%,创伤水平和消极应对方式可显著预测IES-R得分。控制人口学变量和创伤水平后,震后6个月、10个月和震后2年重灾区老年人心理健康状况(M6m=493.78,M10m=482.07,M2y=480.33)显著低于地震发生前(M=531.47),且呈下降趋势。(2)主观支持(Beta =0.45)、积极应对方式(Beta =0.24)和教育程度(Beta =0.18)正向预测灾后老年人心理健康,消极应对方式(-0.22)负向预测心理健康,且积极应对方式在社会支持和心理健康间起部分中介作用。(3)佛教信仰对灾区老年人心理健康无影响,但震后两年灾区老年人的社会信念显著高于对照组,主要表现在社会多样性、付出有回报、命运控制等因素,t1(452)=5.25(p<0.001),t2(452)=5.37(p<0.001),t3(452)=2.61(p=0.009),并且这三个维度对灾后老年人心理健康有显著预测作用。结论:地震后短期内老年人PTSD发生率较高,随后下降;但其心理健康受创严重,持续时间较久,震后2年呈持续下降趋势。社会支持、积极应对方式、社会多样性和付出有回报可有效促进心理康复,但消极应对方式和命运控制感不利于心理康复;女性、低教育程度、婚姻状况差、高创伤暴露水平者是受创高危人群,需重点关注。
Other AbstractObjectives: To investigate and compare elderly survivors’ mental health in different time before and after Wenchuan earthquake, to assess the impact of earthquake on mental health and related factors. Methods: Chinese Mental Health Inventory for the elderly and Impact of Event Scale-Revised (IES-R) was used to measure the mental health and post-traumatic stress disorder; Trauma exposure scale, Social Support Rating Scale (SSRS), Simplified Coping Style Questionnaire (SCSQ), and Social Axioms were used to assess possible predictors. Results: The prevalence of PTSD was 30.8%, 17.2%, and 20.3%, four months, ten months, and two years after the Earthquake respectively. Its predictors were trauma exposure and negative coping strategies. Elderly survivors’ mental health after the earthquake (M6m=493.78,M10m=482.07,M2y=480.33) were significantly worse than that of 4 months before earthquake (M=531.47) after controlling demographics. In hierarchical regression analyses, mental health was positively associated with subjective social support (Beta = 0.45), positive coping strategies (Beta = 0.24), and education level (Beta = 0.18), and negatively associated with negative coping strategies (Beta = -0.22). Buddhism belief didn’t have an impact on mental health. Elderly survivors’ social belief changed after earthquake and associated with mental health. The score of social complexity, reward for application, and fate control of older adults in disaster areas was higher than control sample, t1(452)=5.25(p<0.001), t2(452)=5.37(p<0.001), t3(452)=2.61(p=0.009). Conclusions: The prevalence of PTSD was high 6 months after earthquake, but decreased in follow-up study. Elderly survivors’ mental health adults was impacted significantly during the Earthquake, didn’t recover in two years. The mental health was positively related with social axiom, but negatively related with negative coping strategies and fate control.
Subject Area发展与教育心理学
Document Type学位论文
Recommended Citation
GB/T 7714
王绪梅. 震后重灾区老年心理健康及其影响因素研究[D]. 北京. 中国科学院研究生院,2011.
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