交通事故所致急性心理创伤症状与羞耻感的特点

Characteristics of Acute Psychological Trauma Symptoms and Shame Caused by Traffic Accidents

目的:了解交通事故所致心理创伤症状与羞耻感的特点,为临床心理医疗提供理论基础。方法:对90例车祸伤的病人采用生活事件冲击量表修订版(ISE-R)、解离性体验量表(DES)和羞耻感量表等自陈式工具,于创伤后7天内进行评定。结果:个性羞耻与AI,侵袭性症状、回避症状与解离体验显著相关;行为羞耻与回避症状和解离体验显著相关;躯体羞耻与解离体验显著相关;家庭羞耻与解离体验显著相关。结论:交通事故所致急性心理创伤症状与非急性心理创伤组相比,心理创伤程度更严重,骨科医师在治疗骨科疾病的同时也应该重视PTSD的发生及其防治,以保证病人较快恢复健康,提高病人的生活质量。

Objective： to understand the symptoms of acute psychological trauma and shame caused by traffic accidents,and to provide a theoretical basis for medical Clinical Psychology.Methods： 90 victims were assessed with the ISE-R,DES and shame scale separately within the seven days after accident.Results： aggressive symptoms,avoidance symptoms and the dissociation were significantly related;behavior shame and avoidance symptoms were significantly related to the experience of separation;body shame was significantly related with the experience of separation;family shame was significantly related with the experience of separation.Conclusion： compared with non-acute psychological trauma group,symptoms of acute psychological trauma in traffic accident group were severer.In the treatment of bone disease,orthopedic surgeons are supposed to pay more attention to the occurrence of PTSD and its prevention,to ensure patients＇ faster recovery and higher quality of life.