中国科学院心理健康重点实验室知识库

目的:调查获得性残疾人的致残事件导致的创伤后应激障碍(PTSD)症状并分析其相关因素。方法:在北京市某区选取获得性残疾人217名,采用自编一般资料调查表、创伤后应激障碍检查表第五版(PCL-5,以得分≥33分为PTSD症状筛查阳性标准)、D型人格量表(DS)进行调查。结果:满足PTSD症状阳性标准者占12.8%,残疾持续6～10年和11～15年者的PCL-5总分[18(0,70)、15(0,66)]和PTSD症状阳性率(26.3%、22.2%)较高。回归分析结果显示,DS消极情感维度是PTSD症状阳性的危险因素(OR=20.07,95%CI=4.81～83.70),意外事件致残组PTSD症状阳性风险高于疾病致残组(OR=5.50,95%CI=1.58～19.13)。结论:获得性残疾人创伤后应激症状在残疾后持续存在,消极情感和致残原因是创伤后应激症状的相关因素。

To investigate the symptoms of posttraumatic stress disorder (PTSD) and correlates among people with acquired disabilities. Methods: A total of 217 people with acquired disabilities were recruited by convenience sampling in Beijing. All respondents were assessed with a self-made demographical questionnaire the PTSD Checklist for DSM-(PCL 5，using a cutoff score of 33) and the Type D Personality Scale (DS). Results: Totally 12.8% people with acquired disabilities were screened as positive PTSD symptoms in the sample the disabled who got disability 6-10 or 11-15 years ago had the higher PCL 5 scores [18(0,70)，15(0,66)]and were much more likely to meet the positive criteria of PTSD symptoms (26.3%，22.2 %)than the others. The logistic; regression showed that negative emotion of D-type personality was a risk factor for PTSD symptoms of people with acquired disabilities (OR=20. 07，95% CI: 4.81-83.70). More people disabled by accident met the positive criteria of PTSD symptoms than those disabled by disease (OR=5.50，95%CI: 1.58-19.13). Conclusion: People with acquired disabilities are vulnerable population of PTSD, the negative emotion of D-type personality and the cause of disability are related to PTSD symptoms.

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