本文選題：PTSD + 車禍　； 參考：《大連醫(yī)科大學(xué)》2005年碩士論文

【摘要】：目的:在今天,隨著健康概念的改變,新的醫(yī)學(xué)模式的產(chǎn)生,人們對生活質(zhì)量要求的提高,對精神健康的需求越來越強(qiáng)烈。而PTSD作為一種常見的精神障礙帶給人們帶來巨大的精神痛苦和職業(yè)以及其他功能的損害,對它的研究顯得越來越重要。車禍作為常見的創(chuàng)傷可能發(fā)生在我們生活中每一天,因此探討車禍后影響PTSD發(fā)生以及嚴(yán)重程度的影響因素是及時(shí)而重要的,它為干預(yù),治療以及以后的深入研究都提供了理論資料。 方法:選擇2004年3月至9月因車禍?zhǔn)杖氪筮B市骨科醫(yī)院和大連市第五人民醫(yī)院(大連交通事故定點(diǎn)醫(yī)院)的113例交通事故傷者為研究對象;資料收集分為兩期分別進(jìn)行,第一次是基線期(事故發(fā)生后一周至1個(gè)月之內(nèi)),采用了自制的一般狀況調(diào)查表、艾森克人格問卷(EPQ)、領(lǐng)悟社會支持問卷(PSSS)、生活事件量表(LES)、特質(zhì)應(yīng)對方式問卷(TCSQ)作為一般資料的收集,我們也采用了癥狀自評量表(SCL-90)對車禍?zhǔn)軅蟛∪说男睦斫】禒顩r進(jìn)行評估;第二次在事故發(fā)生后3-4個(gè)月之間,采用PTSD量表普通版(PCL-C)進(jìn)行核心癥狀的評估,進(jìn)一步的采用美國《精神疾病診斷與統(tǒng)計(jì)手冊》第四版(DSM-Ⅳ)對患者是否有PTSD進(jìn)行了符合診斷。分析了被診斷為PTSD和非PTSD兩組之間在基線期情況的差異,并且進(jìn)行了基線各因素對PCL-C得分的影響分析。 結(jié)果:1)車禍后外傷患者3-4個(gè)月PTSD發(fā)生率為31%,基線期患者心理狀況和常模比較有統(tǒng)計(jì)學(xué)意義;PTSD患者PCL-C得分在35~71之間, 出現(xiàn)的癥狀頻率最高的是再體驗(yàn)和高警覺癥狀群,其次為回避/麻木癥狀群。2)兩組之間的比較基線因素有統(tǒng)計(jì)學(xué)意義的是家庭所在地,EPQ中的神經(jīng)質(zhì)和精神質(zhì)因子,TCSQ中的消極應(yīng)對因子,LES中的壞事刺激量以計(jì)SCL-90各因子;和PCL-C再體驗(yàn)得分相關(guān)有統(tǒng)計(jì)學(xué)意義的是年齡,消極應(yīng)對因子,和回避/麻木得分相關(guān)有統(tǒng)計(jì)學(xué)意義的是消極應(yīng)對方式因子,社會支持中的朋友和他人因子,以及SCL-90的恐怖和精神病性因子;和PCL-C高警覺得分相關(guān)有統(tǒng)計(jì)學(xué)意義的是消極應(yīng)對方式因子以及SCL-90中的強(qiáng)迫,恐怖,抑郁,焦慮因子。3)進(jìn)入二分類Logistic回歸方程的是EPQ的神經(jīng)質(zhì)因子和SCL-90的精神病性因子,進(jìn)入多元逐步回歸方程的是EPQd的神經(jīng)質(zhì)因子以及SCL-90的抑郁因子和恐怖因子. 結(jié)論:關(guān)注車禍后患者的心理健康,影響PTSD的因素中人格因素可能起到了核心作用。
[Abstract]:Objective: today, with the change of the concept of health, the emergence of a new medical model, the improvement of quality of life, the demand for mental health is more and more intense. As a common mental disorder, PTSD brings great mental pain, professional and other functional damage, and its research is becoming more and more important. Car accidents as a common trauma can occur every day in our lives, so it is timely and important to investigate the factors that affect the occurrence and severity of PTSD after a car accident, and it is important to intervene. Treatment and further research provide theoretical data. Methods: from March to September 2004, 113 cases of traffic accident injured in Dalian Orthopaedics Hospital and Dalian Fifth people's Hospital (Dalian traffic accident designated hospital) were selected as study objects, and the data were collected and divided into two stages. The first was the baseline period (between one week and one month after the accident occurred, using a self-made general status questionnaire, Eysenck Personality questionnaire (Eysenck Personality questionnaire), perceived Social support questionnaire (ESS), Life events scale (Les) and trait coping style questionnaire (TCSQ) were collected as general data. We also used symptom Checklist 90 (SCL-90) to evaluate the mental health status of the patients after accident. For the second time, the core symptoms were evaluated with PTSD's general version of PCL-Cand the fourth edition of DSM- 鈪，

本文編號：1968226