Zhang Jun, Zhang Ye, Du Changhui, Zhu Shenyue, Huang Yalin, Tian Yulian, Chen Decao, Li Haimin, Gong Yao, Zhang Mengmeng, Gu Bo
Mental Health Center, West China Hospital, Sichuan University, Chengdu, China Education Supervision Department, Baoxing County Education Bureau, Yaan, China Science and Education Information Department, Chengdu Center of Disease Control, Chengdu, China People' Hospital of Yaan, China Department of Nursing, West China Hospital, Sichuan University, China.
Medicine (Baltimore). 2016 Jul;95(29):e4298. doi: 10.1097/MD.0000000000004298.
Teachers and students often suffer from the same disaster. The prevalence of PTSD in students has been given great attention. However, in acting as mentors to students and their families, teachers are more likely to have vicarious and indirect exposure via hearing stories of their aftermath and witnessing the consequences of traumatic events. There are limited data pertaining to the prevalence of PTSD and its risk factors among teachers. A total of 316 teachers from 21 primary and secondary schools in Baoxing County were administered a project-developed questionnaire which included the items regarding demographic characteristics, earthquake-related experiences, somatic discomforts, emotional reactions, support status, and everyday functioning 2 weeks after the Lushan earthquake, and they finished a 1-to-1 telephone interview for addressing the PTSD criteria of the Mini International Neuropsychiatric Interview (MINI) 3 months after the earthquake. The prevalence of PTSD was 24.4% among teachers. Somatic discomforts (odds ratio [OR] 1.89, 95% confidence interval [CI] 1.06-3.37) were positive risk factors of PTSD. Perceived social support (OR 0.30, 95% CI 0.14-0.62) and being able to calm down (OR 0.25, 95% CI 0.09-0.75) in teaching were negative risk factors. PTSD is commonly seen among teachers after an earthquake, and risk factors of PTSD were identified. These findings may help those providing psychological health programs to find the teachers who are at high risk of PTSD in schools after an earthquake in China.
教师和学生常常遭受同样的灾难。学生中创伤后应激障碍(PTSD)的患病率已受到高度关注。然而,作为学生及其家庭的指导者,教师更有可能通过听闻创伤事件的后续故事以及目睹其后果而产生替代性和间接性暴露。关于教师中PTSD患病率及其风险因素的数据有限。对宝兴县21所中小学的316名教师进行了一项自行编制的问卷调查,内容包括人口统计学特征、与地震相关的经历、躯体不适、情绪反应、支持状况以及芦山地震两周后的日常功能情况,并且在地震三个月后对他们进行了一对一电话访谈,以评估《迷你国际神经精神访谈量表》(MINI)中的PTSD标准。教师中PTSD的患病率为24.4%。躯体不适(优势比[OR]1.89,95%置信区间[CI]1.06 - 3.37)是PTSD的阳性风险因素。感知到的社会支持(OR 0.30,95%CI 0.14 - 0.62)以及在教学中能够冷静下来(OR 0.25,95%CI 0.09 - 0.75)是阴性风险因素。地震后教师中PTSD很常见,并且确定了PTSD的风险因素。这些研究结果可能有助于那些提供心理健康项目的人员在中国地震后找出学校中PTSD高风险的教师。