受艾滋病影响儿童的PTSD表现和影响因素分析

Post Traumatic Stress Disorder Symptoms and Predicting Factors Among Children Affected by AIDS

本研究旨在考察受艾滋病影响儿童包括双孤、单孤和非孤儿童在经历了一系列生活事件和遭受来自周围歧视后的创伤后应要(Post traumatic Stress Disorder)PTSD表现状况,以及认知评价在生活事件和歧视经历与PTSD表现之间所起的作用。采用问卷调查了1221名被试。数据分析发现:(1)受艾滋病影响儿童在效度分量表上的得分显著高于美国常模,但在临床分量表上的得分显著低于美国常模;(2)不同性别、年龄段和类型的儿童在PTSD表现上存在显著的差异:女孩,年龄大的和双孤、单孤儿童得分显著高于男孩、年龄小的和非孤儿童;(3)歧视经历和生活事件对PTSD表现有显著的直接影响,威胁认知评价在歧视经历、生活事件与PTSD之间起到了显著的部分中介作用。

The current study explored the PTSD （Past traumatic Stress Disorder） symptoms among children affected by AIDS, and the relationship with life events, stigma experience, cognitive appraisal. 1221 children participated in the research. Data analysis showed that（1） Children affected by AIDS had significant high scores than normative samples in the USA in UND and HYP, but, had significant low scores in ANX, DEP, PES and DIS; （2） Children who were female, elder, double and single AIDS orphans got significant high scores than the corresponding ,samples respectively; （3） Life events, stigma experience could affect PTSD symptoms directly, and appraisal could act as a media variable among life events, stigma experience and PTSD symptoms.