严重急性呼吸系统综合征创伤后应激障碍的评价量表

Post-traumatic stress disorder checklist following SARS

目的:分析美国创伤后应激障碍研究中心制定的创伤后应激障碍检查量表平时版在中国使用的可行性。方法:于2003-12/2004-01采取整群抽样的方法抽取2003年春辽宁省的SARS确诊患者和医护人员以及在校的医学院校学生为观察对象,包括5组,SARS患者组(辽宁省健在的SARS患者4名,其中大连3名,葫芦岛1名),一线医护人员组(直接为SARS患者治疗和护理的医护人员60名),二线医护人员组(参与SARS排查并在发热门诊和发热病房从事医疗和护理的医护人员50名),普通医护人员组(在普通病房工作的医护人员30名),大学生组(SARS封校期间在校的医学院校学生30名)。采用的问卷和测量工具包括创伤后应激障碍检查量表平时版、美国为临床医生使用的DSM-Ⅳ创伤后应激量表以及自行设计的基本情况问卷,对所有人员进行面对面访谈、心理测量和记录。对所得数据资料进行整理、编码,建立SPSS10.0数据库,用秩和检验、Spearman相关分析等分析方法进行数据处理。结果:共获得162份有效问卷,将其进行结果分析。在创伤后应激障碍检查量表平时版与创伤后应激量表的相关性分析中,创伤后应激障碍检查量表平时版与创伤后应激量表分为创伤后应激障碍组与非创伤后应激障碍组进行描述可见,创伤后应激障碍检查量表平时版与创伤后应激量表均呈正偏态分布,采用Spearman相关分析,创伤后应激障碍检查量表平时版与创伤后应激量表呈高度正相关。创伤后应激障碍检查量表平时版的90%范围是17～42,总的诊断符合率为91.3%。结论:创伤后应激障碍检查量表平时版可成为国内筛查创伤后应激障碍的临床应用工具,其临床医学参考范围是17～42。

ATM： To study the feasibility of applying Post-traumatic Stress Disorder checklist-Civilian Version in China designed by American Post-traumatic Stress Disorder Research Center. METHODS： Cluster-sampling was used to select patients with SARS, medical staffs as well as the medical university students in Liaoning Province during the spring time of 2003, from December 2003 to January 2004. There were 5 groups： SARS patients group （4 alive SARS patients, 3 from Dalian and 1 from Huludao）, first medical staff group （60 medical staffs treating and caring directly for SARS patients）, second medical staff group （50 medical staffs working in the fever clinic or ward to screen SARS patients）, common medical staff group （30 medical staffs working in ordinary ward）, and undergraduate group （30 university students who were isolated during SARS outbreak）. The questionnaire, assessment tools were employed, which included： Post-traumatic Stress Disorder checklist-Civilian Version, Clinician-Administered Post-traumatic Stress Disorder Scale For DSM-Ⅳ, and the self-designed fundamental questionnaire sheetsto perform face-to-face talking, psychological measure and record. After compiling and coding the qualified information from sampled subjects, the SPSS 10.0 database was established and data processing was carried out by rank sum test and Spearman correlation analysis, etc. RESULTS： 162 qualified questionnaires were involved in the result analysis. The correlation analysis in Post-traumatic Stress Disorder checklist- Civilian Version and Clinician-Administered Post-traumatic Stress Disorder Scale For DSM-IV, with description of post-traumatic stress disorder and non-post-traumatic stress disorder, showed nearly normal distribution pattern, and when using Spearman correlation analysis, the correlation between Post-traumatic Stress Disorder checklist-Civilian Version and Clinician- Administered Post-traumatic Stress Disorder Scale For DSM-Ⅳ showed highly positive correlation between the post-traumatic stress disorder group and non-post-traumatic stress disorder group. The scope of Post-traumatic Stress Disorder checklist-Civilian Version was 17-42 with omission rate of 10%, and the total diagnosing matching rate was 91.3%. CONCLUSION： The Post-traumatic Stress Disorder checklist-Civilian Version can be used as clinical application tool for post-traumatic stress disorder inside, and its reference scope is 17 to 42.