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[汶川地震灾区中学生创伤后应激障碍与领悟社会支持的关系]

[Relationship between post-traumatic stress disorder and perceived social support among middle school students in Wenchuan earthquake-stricken].

作者信息

Liu Xiao-xia, Xiong Guo-yu, Ma Dao-chuan, Dong Yi-qiang, Ye Yun-li, Zhang Xun, Cao Yi, Yuan Ping

机构信息

Department of Epidemiology, West China School of Public Health, Sichuan University, Chengdu 610041, China.

出版信息

Zhonghua Liu Xing Bing Xue Za Zhi. 2009 Oct;30(10):1017-20.

PMID:20193380
Abstract

OBJECTIVE

To explore the relationship between post-traumatic stress disorder (PTSD) and perceived social support (PSS) ability among middle school students in earthquake-stricken areas after the Wenchuan earthquake accident.

METHODS

A total of 1966 students from three secondary schools of Wenchuan earthquake-stricken areas were evaluated by PTSD Checklist-Civilian Version (PCL-C) and Perceived Social Support Scale (PSSS).

RESULTS

The overall incidence rate of PTSD was 78.3%, with severe PTSD as 24.38%. Significant differences on the incidence rates of PTSD were found among the students who were in different PSS levels (P < 0.05) and significant negative correlation existed between the levels of severity on PTSD and PSS (gamma = -0.226, P < 0.05). Significant differences on PTSD incidence rates were found among those students who were from different families or out-family PSS levels (P = 0.009, P < 0.05). Significant negative correlation existed between the severity of PTSD and family or out-family PSS level (gamma = -0.176, P < 0.05, gamma = -0.214, P < 0.05).

CONCLUSION

Relationships between the incidence rate, severity of PTSD and PSS levels existed among the middle school students in Wenchuan earthquake-stricken areas, with higher PSS, lower incidence rate and lighter severity of PTSD. Psychological intervention for earthquake-stricken students should be carried out.

摘要

目的

探讨汶川地震事故后地震灾区中学生创伤后应激障碍(PTSD)与领悟社会支持(PSS)能力之间的关系。

方法

采用创伤后应激障碍检查表平民版(PCL-C)和领悟社会支持量表(PSSS)对汶川地震灾区三所中学的1966名学生进行评估。

结果

PTSD的总体发生率为78.3%,重度PTSD为24.38%。不同PSS水平的学生在PTSD发生率上存在显著差异(P<0.05),且PTSD严重程度与PSS之间存在显著负相关(γ=-0.226,P<0.05)。来自不同家庭或家庭外PSS水平的学生在PTSD发生率上存在显著差异(P=0.009,P<0.05)。PTSD严重程度与家庭或家庭外PSS水平之间存在显著负相关(γ=-0.176,P<0.05,γ=-0.214,P<0.05)。

结论

汶川地震灾区中学生中PTSD发生率、严重程度与PSS水平之间存在关系,PSS越高,PTSD发生率越低,严重程度越轻。应对地震灾区学生进行心理干预。

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