地震伤员PTSD及其影响因素的研究

Posttraumatic stress disorder of the wounded in earthquake and its influencing factors

目的:调查汶川地震灾后伤员的创伤后应激障碍(Posttraumatic stress disorder,PTSD)相关症状的发生及其影响因素。方法:采用美国《精神障碍诊断与统计手册》第四版(DSM-Ⅳ)中关于PTSD的诊断标准,在地震后40d对伤员PTSD症状进行评定。结果:地震后40dPTSD症状的检出率为51.4%,其主要影响因素为性别(OR=2.364)、地震中被掩埋(OR=2.171)、目睹有人在地震中受伤(OR=0.338)。结论:此次地震后PTSD症状的检出率相当高,应采取针对性的干预措施。

Objective： To investigate the incidence of Posttraumatic stress disorder（ PTSD ） symptoms and its influencing factors in the transered wounded after Wenchuan earthquake. Methods： Diagnostic and Statistical Manual of Mental Disorders （ IV Edition ） were used to examine and diagnose the victims, at the 40th day after earthquake. Results ： The positive rate of PTSD symptoms was 51.4% after 40 days. The results of logistic regression analysis showed that the main influencing factors included gender（ OR=2.364 ）, the experience of been buried in the earthquake （OR=2.171 ） and seeing people injured in the earthquake （0R=0.338）. Conclusion： The positive rate of PTSD symptoms in the wounded in this earthquake is so high and psychosocial intervention is needed.