5·12地震后一般灾区大学生创伤后应激障碍症状调查

Survey on PTSD Symptoms among General Disaster Area College Students after 5·12 Wenchuan Earthquake

目的调查"5·12"汶川地震后,一般灾区大学生创伤后应激障碍(post-traumatic stress disorder,PTSD)症状的发生率及其相关因素,为进一步开展大学生的心理咨询与救助提供参考依据。方法以成都某医学院校300名学生为调查对象,采用一般情况调查问卷(自编)、事件影响量表(IES)进行集体施测。结果 PTSD症状的发生率为8.52%(23/270)。经单因素分析与创伤后应激障碍症状相关的影响因素有:震后家人情况(2χ=44.502,P=0.00)、震后亲戚/朋友情况(χ2=44.690,P=0.00)、家乡受灾情况(χ2=47.192,P=0.00)、震后房屋受损状况(χ2=31.193,P=0.00)、震后财产受损状况(χ2=26.433,P=0.00)5个因素。经非条件逐步Log istic回归筛选出创伤后应激障碍症状的影响因素有:震后家人情况(t=4.326,P=0.00)、震后亲戚/朋友情况(t=5.240,P=0.00)、家乡受灾情况(t=-5.805,P=0.00)。结论在灾后重建过程中,一般灾区大学生心理健康状况值得关注,特别是家在重灾区,有家人或亲戚、朋友伤亡的学生更值得关注。

Objective To survey the incidence and releated facters of post-traumatic stress disorder（PTSD） symptoms among general disaster college students after the ＂5·12＂Wenchuan earthquake,and to provide some information for psychological counsel and succor.Methods A total of 300 college students among one medical college of Chengdu were collective investigated by general questionnaire and Impact of Event Scale（IES）.Results The ratio of PTSD symptoms was 8.52%（23/270）.With the univariate analysis,PTSD symptoms had significant correlation with such five related factors as family situation（χ2=44.502,P=0.00）,relatives or friends situation （χ2=44.690,P=0.00）,home disaster situation（χ2=47.192,P=0.00）,houses damaged situation（χ2=31.193,P=0.00）,property damaged situation（χ2=26.433,P=0.00）.Nonprogressive logistic regression analysis showed that family member casualties（t=4.326,P=0.00）,relatives or friends casualties（t=5.240,P=0.00）,home disaster situation（t=-5.805,P=0.00）were the factors for PTSD.Conclusion In the post-disaster reconstruction process,some students still have a high PTSD symptoms ratio in the general disaster.Their mental health need concern,especially for the students who are in the harder-hit area,family,relatives or friends are injuried.