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汶川地震八年后青少年创伤后应激的发生率。

The prevalence of posttraumatic stress in adolescents eight years after the Wenchuan earthquake.

机构信息

Mental Health Center, West China Hospital, Sichuan University, Chengdu 610041, PR China.

Institute for Disaster Management and Reconstruction, Sichuan University and The Hong Kong Polytechnic University, Chengdu 610065, PR China.

出版信息

Psychiatry Res. 2018 Apr;262:262-269. doi: 10.1016/j.psychres.2018.02.019. Epub 2018 Feb 5.

Abstract

In 2008, an 8.0 Richter scale earthquake devastated Wenchuan in China, which resulted in heavy casualties, and had wide-reaching psychological effects on survivors. To examine its impact on the survivors, this study aims to investigate the prevalence of posttraumatic stress disorder (PTSD) and posttraumatic growth (PTG) in adolescents eight years after the earthquake. The cross-section survey was conducted in two different earthquake-affected areas, and data were collected from 4118 respondents. Instruments included the questionnaire on demographic information, the questionnaire on seismic exposure, PTSD Checklist-Civilian Version (PCL-C) questionnaire, Posttraumatic Growth Inventory (PTGI), Perceived Social Support Scale (PSSS) and Simple Coping Style Questionnaire (SCSQ). During the survey, there were 1998 valid questionnaires from the generally affected area and 2120 questionnaires from the severely affected area. The rate of PTSD is 1.9% in the generally affected area and 2.7% in the severely affected disaster area; there is no significant difference between the two differently affected areas. Occurrences of PTSD and PTG are significantly positively correlated in the generally affected area, nevertheless, there is a significant negative correlation between PTSD and PTG in most systems of the severely affected area. The results of this study help to expand our knowledge regarding posttraumatic stress in adolescents 8 years after the Wenchuan earthquake, and it provides suggestions for specific long-term health interventions in such populations. To prevent earthquake-related psychological issues among adolescent survivors, social support, psychological aid, and improvement of the living environment are necessary to buffer negative posttraumatic stress.

摘要

2008 年,中国汶川发生里氏 8.0 级地震,造成重大人员伤亡,并对幸存者产生了广泛的心理影响。为了研究地震对幸存者的影响,本研究旨在调查地震发生八年后青少年创伤后应激障碍(PTSD)和创伤后成长(PTG)的发生率。采用横断面调查方法,在两个不同的地震灾区进行,共收集了 4118 名受访者的数据。研究工具包括人口统计学信息问卷、地震暴露问卷、平民版创伤后应激障碍检查表(PCL-C)问卷、创伤后成长量表(PTGI)、感知社会支持量表(PSSS)和简易应对方式问卷(SCSQ)。调查过程中,一般灾区有效问卷 1998 份,重灾区有效问卷 2120 份。一般灾区 PTSD 发生率为 1.9%,重灾区 PTSD 发生率为 2.7%;两个受灾程度不同的地区之间没有显著差异。一般灾区 PTSD 和 PTG 的发生呈显著正相关,而重灾区大多数系统中 PTSD 和 PTG 呈显著负相关。本研究结果有助于扩大我们对汶川地震 8 年后青少年创伤后应激的认识,并为该人群的特定长期健康干预提供建议。为预防青少年地震幸存者的心理问题,需要提供社会支持、心理援助和改善生活环境,以缓冲负性创伤后应激。

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