交通事故罹患者心理应激反应与应付方式的相关研究

Correlation of coping styles with psychological stress response in victims suffered from traffic accident

目的探讨交通事故罹患者的心理应激反应与应付方式的关系。方法受试者来自两家综合医院骨伤科2005年3月至2005年6月收入院的64例交通事故罹患者。采用修订版事件影响量表(IES-R)和应对方式问卷(CSQ),对全部受试者的心理应激严重度及应付方式进行问卷评定,并作相关分析和比较。结果不同的应对方式和心理应激反应存在不同程度的相关。心理应激反应强度,与解决问题因子呈显著负相关(γ=-0.545),与自责、幻想及合理化因子呈显著正相关(γ=0.453,0.435,0.311)。不同的心理应激反应程度组,其解决问题、自责及幻想各因子具有显著性差异。结论在交通事故后,罹患者的应付方式与心理应激反应强度存在较密切的关联。以解决问题为主的成熟应付方式,可降低心理应激反应水平。

Objective To explore the correlation of coping styles with psychological stress responses. Methods 64 victims suffered from traffic accident were sampled from inpatients admitted in two general hospitals from March to June in 2005. The impact of event scale and coping styles questionnaire were used to evaluate patients＇psychological stress responses and their coping styles. All the data were analyzed by one-way ANOVA and Pearson correlation. Results There is different correlation between coping styles and psychological stress responses. The severity of psychological stress responses was negatively correlated to the score of resolution factor （ γ = -0. 545 ） , but it was positively correlated to self-accusation, fantasy and rationalization factor （ γ = 0. 453,0.435 and 0.311 , respectively）. On resolution, self-accusation and fantasy factor, significant differences were found among different stress responses groups. Conclusion There is closer association of psychological stress response to coping styles in victims suffered from traffic accident, Mature coping style, such as resolution factor, may reduce the severity of psychological stress responses induced by traffic accident.