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魯?shù)榈卣馂?zāi)區(qū)學(xué)齡前兒童創(chuàng)傷后應(yīng)激癥狀及其相關(guān)因素

發(fā)布時(shí)間:2018-03-07 19:15

  本文選題:學(xué)齡前兒童 切入點(diǎn):創(chuàng)傷后應(yīng)激癥狀 出處:《中國(guó)心理衛(wèi)生雜志》2017年03期  論文類(lèi)型:期刊論文


【摘要】:目的:探討?hù)數(shù)榈卣馂?zāi)區(qū)學(xué)齡前兒童創(chuàng)傷后應(yīng)激癥狀的檢出率及其與創(chuàng)傷暴露等因素的關(guān)系。方法:魯?shù)檎鸷?~2個(gè)月,在龍頭山安置點(diǎn)及龍頭山鎮(zhèn)(地震中心)自西向東進(jìn)行走訪,共訪談62名學(xué)齡前兒童家長(zhǎng),采用學(xué)齡前兒童創(chuàng)傷后應(yīng)激障礙半結(jié)構(gòu)式訪談和由CBCL的15個(gè)條目組成的學(xué)齡前兒童創(chuàng)傷后行為量表(CBCL-PTSD),分別了解兒童創(chuàng)傷后應(yīng)激癥狀和創(chuàng)傷后的行為反應(yīng)。結(jié)果:根據(jù)CBCL-PTSD,震后1~2個(gè)月得分在9分及以上的學(xué)齡前兒童占51.9%(27/52)。而根據(jù)訪談(同時(shí)滿(mǎn)足創(chuàng)傷后應(yīng)激癥狀3個(gè)主要癥狀檢出標(biāo)準(zhǔn)),學(xué)齡前兒童創(chuàng)傷后應(yīng)激癥狀檢出率為26.9%(14/52)。除闖入癥狀數(shù)與高警覺(jué)癥狀數(shù)的相關(guān)不具有統(tǒng)計(jì)學(xué)意義,創(chuàng)傷后應(yīng)激癥狀數(shù)、各子癥狀數(shù)、CBCL-PTSD得分之間呈顯著相關(guān)(0.30~0.73,P0.05)。經(jīng)歷地震個(gè)體的闖入癥狀檢出率高于未經(jīng)歷地震的個(gè)體(96.2%vs.60.0%,P0.01),地震中受傷的個(gè)體闖入癥狀檢出率高于未受傷的個(gè)體(100%vs.84.6%,P0.05),其他創(chuàng)傷暴露條件的各癥狀檢出率差異無(wú)統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論:學(xué)齡前兒童創(chuàng)傷后應(yīng)激癥狀檢出率相對(duì)較高,地震時(shí)目睹房屋倒塌或石頭滾落以及有被困經(jīng)歷的學(xué)齡前兒童創(chuàng)傷后應(yīng)激癥狀更多。
[Abstract]:Objective: to investigate the detection rate of post-traumatic stress symptoms of preschool children in Ludian earthquake area and their relationship with trauma exposure. Methods: 1 ~ 2 months after Ludian earthquake. In Longtou Mountain settlement and Longtoushan Town (earthquake Center) from west to east, a total of 62 parents of preschool children were interviewed. The posttraumatic stress disorder (PTSD) of preschool children and the posttraumatic behavior scale (CBCL-PTSD) composed of 15 items of CBCL were used to investigate the posttraumatic stress symptoms and behavioral responses of children respectively. According to CBCL-PTSDs, 51.9% of preschool children with scores of 9 or more at 1 ~ 2 months after the earthquake accounted for 27 / 52 of the total. However, according to the interview, the detection rate of post-traumatic stress symptoms in preschool children was 26.914 / 52.According to the criteria for checking out three main symptoms of post-traumatic stress symptoms, the detection rate of post-traumatic stress symptoms in preschool children was 26.9%. The correlation between the number of intrusive symptoms and the number of high-alert symptoms was not statistically significant. Number of post-traumatic stress symptoms, There was a significant correlation between CBCL-PTSD scores and the scores of CBCL-PTSD. The detection rate of intrusive symptoms of individuals experienced earthquakes was higher than that of individuals without earthquake. The detection rate of intrusive symptoms of individuals injured in earthquakes was higher than that of individuals without injuries, and other traumatic storms were higher than those of uninjured individuals. There was no significant difference in the detectable rate of symptoms among the exposed children (P 0.05). Conclusion: the detection rate of post-traumatic stress symptoms in preschool children is relatively high. Post-traumatic stress symptoms are more common in preschool children who experience earthquakes as they witness house collapses or rock falls.
【作者單位】: 中國(guó)科學(xué)院大學(xué);中國(guó)科學(xué)院心理研究所 心理健康重點(diǎn)實(shí)驗(yàn)室;
【分類(lèi)號(hào)】:R749.5

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