平武县抗震官兵应激反应测试及干预方法

The study of the relative factors and intervention methods on the post-traumatic stress response in the servicemen at earthquake relief work of Pingwu County

目的分析抗震救灾官兵创伤后应激反应的相关因素,探讨有效降低军事应激条件下官兵应激水平干预方法。方法采用创伤后应激障碍自评量表(PTSD-SS)、简易应对方式问卷(SCSQ)、个人自评量表(PEI)及一般情况调查表对5.12地震救灾过程中的某部869名救灾官兵进行调查。在此基础上采用不同方案进行干预,并观察和对比疗效。结果抗震救灾官兵创伤后应激障碍的检出率为24.4%。PTSD-SS总分与职务、心理卫生知识了解情况、社会支持、生活条件、PEI总分及部分因子呈显著负相关(P<0.01～0.05),与负性应对方式呈显著正相关(P<0.01)。Ridit分析显示:不同干预方法效果不同(R=9.158,P<0.05),其中以综合心理干预方法效果最好。结论救灾官兵存在明显的心理创伤后应激反应,应激反应与心理和社会因素有关,应激状态下心理干预应首选综合心理干预方法。

Objective To find out the influencing factors of post-traumatic stress response in servicemen at earthquake relief work and explore the effect of psychological interventions in reducing servicemen＇s stress reaction level.Methods The Post-traumatic Stress Disorder Self-rating Scale（PTSD-SS）,Simplified Copy Style Questionnaire（SCSQ）,Personal Evaluation Inventory（PEI） and General Status Invested Score（GSIS） were used to assess 869 servicemen during the earthquake relief work.Psychological interventions were used to treat various stress disorders of the intervention group,and the effects were observed.Results 24.4% of the servicemen had traumatic stress reaction problems.There was negative significant correlation among the total score of PTSD-SS and the duty,knowledge of psychology,social support,living condition,the genes（F3,F4,F5,F6,and F8） and total marks of PEI（P0.01-0.05）.The positive significant correlation was found among the total score of PSTD-SS and the negative copy style（P0.01）.The analysis of the Ridit shows that the comprehensive psychological intervention is the best way to intervene the traumatic stress reaction problems among the four ways（R =9.158,P 0.05）.Conclusion Attention should be paid to the post traumatic stress reaction in servicemen of action under military stress.The effect of psychological intervention,especially comprehensive psychological intervention is promising.