地震灾区大学生创伤后应激障碍及其共病

Prevalence of PTSD and its comorbidities among college students in Wenchuan earthquake-stricken area

目的了解地震灾区大学生在汶川大地震1年时患创伤后应激障碍(PISD)及其共病程度。方法应用创伤后应激障碍自评量表(PTSD-SS)、焦虑自评量表(SAS)和抑郁自评量表(SDS)对2008年入学的191名灾区大学生进行测评,并对部分患者进行深度心理访谈。结果灾区191名大学生中男生48名,女生143名,平均年龄为(19.80±0.84)岁;患创伤后应激障碍的学生79人,占41.4%;其中,46人患焦虑症,75人患抑郁症,44人患2种共病,分别占58.2%,94.9%和55.7%,男女生之间只在焦虑症状上差异有统计学意义(P<0.05);创伤后应激障碍的变异与所测项目之间均呈正相关(P<0.01);亲人受伤使有无创伤后应激障碍的人数差异有统计学意义(P<0.01)。结论灾区大学生仍存在严重的创伤后应激障碍;创伤事件本身是致病的关键因素。

Objective To know the prevalence of post-traumatic stress disorder（PTSD） and its comorbidities among the students from Wenchuan earthquake-stricken area one year after the disaster.Methods Totally 191 college students from the earthquake-stricken area were measured with post-traumatic stress disorde self-rating scale（PTSD-SS）,Self-rating Depression Scale（SAS） and Self-rating Anxiety Scale（SDS）,and psychologic consullation.Results The number of the students with symptoms of PTSD was 79（41.4%）.Of all PTSD sufferers,46（58.2%） had anxiety;75（94.9%） had depression;44（55.7%） had both of amxiety and depression.There was a significant differences in anxiety symptoms（P0.05） between male and female students.There were positive correlations between PTSD and other symptoms（P0.01）.The occurence of PTSD related significantly to the death or injury of the relatives.Conclusion The prevalence of PTSD and its comorbidities are serious among the college students from the earthquake-stricken area.The traumatic events are key causes resulting in stress disorder.