本文選題：心理健康　切入點(diǎn)：創(chuàng)傷后應(yīng)激癥狀　出處：《現(xiàn)代預(yù)防醫(yī)學(xué)》2012年07期

【摘要】：目的了解江西地區(qū)洪澇災(zāi)區(qū)部分居民災(zāi)害后的心理健康狀況及應(yīng)激反應(yīng),為出臺完善重大自然災(zāi)害心理干預(yù)預(yù)案提供依據(jù)。方法采用分層整群抽樣方法,使用自編的一般情況調(diào)查表、癥狀自評量表(SCL-90)、事件影響量表-修訂版(IES-R)對江西省南昌市西湖區(qū)和安義縣15～70歲受災(zāi)居民進(jìn)行調(diào)查。結(jié)果共調(diào)查1149人,受災(zāi)人群中有41.69%存在不同程度的心理問題,有15.06%的人可能存在某種明顯的心理問題。受災(zāi)居民除軀體化及抑郁因子得分外與全國常模差異無統(tǒng)計(jì)學(xué)意義(P㧐0.05),焦慮、敵對等癥狀因子得分和總分、總均分均高于全國常模,差異有統(tǒng)計(jì)學(xué)意義(P㩳0.05);抑郁和敵對癥狀因子得分男女差異無統(tǒng)計(jì)學(xué)意義(P㧐0.05),男性受災(zāi)居民人際關(guān)系敏感因子得分較女性為低,而軀體化、強(qiáng)迫癥狀、焦慮、恐怖、偏執(zhí)、精神病性及總分、總均分均高于女性受災(zāi)居民,差異有統(tǒng)計(jì)學(xué)意義(P㩳0.05);除人際關(guān)系敏感、敵對、偏執(zhí)因子外(P㧐0.05),南昌地區(qū)受災(zāi)居民軀體化、強(qiáng)迫癥狀等因子及總分、總均分均高于安義縣受災(zāi)居民,差異有統(tǒng)計(jì)學(xué)意義(P㩳0.05)。受災(zāi)居民創(chuàng)傷后應(yīng)激癥狀陽性檢出率為12.71%。不同性別受災(zāi)居民各應(yīng)激反應(yīng)癥狀因子及總分、總均分差異均無統(tǒng)計(jì)學(xué)意義(P㧐0.05);南昌地區(qū)受災(zāi)居民除闖入因子外,回避、高警覺性癥狀因子及總分、總均分均高于安義縣受災(zāi)居民,差異有統(tǒng)計(jì)學(xué)意義(P㩳0.05)。結(jié)論極端惡劣天氣對受災(zāi)居民的心理健康影響普遍而嚴(yán)重,盡早建立極端惡劣天氣下心理干預(yù)機(jī)制十分必要。
[Abstract]:Objective to understand the mental health status and stress response of some residents in the flood-stricken areas of Jiangxi Province, and to provide the basis for making and perfecting the psychological intervention plan of major natural disasters. Methods the stratified cluster sampling method was used. A self-designed general information questionnaire, symptom checklist (SCL-90) and event impact scale (EIAL-RV) were used to investigate the disaster-stricken residents aged 1570 years old in Xihu District and Anyi County, Nanchang City, Jiangxi Province. Results 1149 people were investigated. 41.69% of the affected population had different degree of psychological problems, and 15.06% of the people might have some obvious psychological problems. Except for somatization and depression factors, there was no significant difference between the affected population and the national norm. The scores and total scores of symptom factors such as anxiety and hostility were higher than that of the national norm, and the difference was statistically significant (P < 0.05). There was no significant difference in the scores of depression and hostility between male and female. The scores of interpersonal sensitivity factor of male affected residents were lower than that of women, but somatization, obsessive compulsion, anxiety, phobia, paranoid ideation, psychosis and total scores were higher than that of female affected residents. In addition to interpersonal sensitivity, hostility, paranoid factors, P? 0. 05%, somatization, compulsive symptoms and total scores of affected residents in Nanchang area were higher than those in Anyi County, and the difference was statistically significant (P < 0. 05). The positive rate of post-traumatic stress symptoms was 12.71.There were no significant differences in the stress symptom factors and total scores of the affected residents of different genders, and there was no significant difference in the total mean score between the two groups. In Nanchang area, in addition to intrusive factor, avoidance, high alert symptom factor and total score, the total average score was higher than that in Anyi county, the difference was statistically significant. Conclusion extreme severe weather has a widespread and serious impact on the mental health of the affected residents. It is necessary to establish psychological intervention mechanism in extreme severe weather as soon as possible.
【作者單位】： 南昌大學(xué)第一附屬醫(yī)院心身醫(yī)學(xué)科;江西省心理康復(fù)中心;江西省疾病預(yù)防控制中心;
【基金】：“十一五”國家科技支撐計(jì)劃項(xiàng)目(2008BAI68B08)
【分類號】：B844.2

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