汶川地震后安县不同受灾地区女性受灾群众创伤后应激障碍(PTSD)的发生率及相关因素

Prevalence and Correlated Factors of PTSD in Female Refugees Created by Disaster 6 Months after Wenchuan Earthquake

目的:汶川地震震后6个月安县不同受灾地区女性受灾群众创伤后应激障碍(PTSD)发生率及其相关因素。方法:应用使用自编个人基本情况调查表、创伤后应激障碍症状清单平民版(PTSD Checklist-Civilian Version,PCL-C)调查表和标准化评定工具,对地震时在安县地区居住,在极重受灾乡镇、重受灾乡镇、一般受灾乡镇灾区女性受灾群众应用PCL-C调查表进行PTSD诊断检查及相关量表的测查,测定PTSD总的发生率,对比不同受灾乡镇影响因素。结果:完成调查共563名20～70岁女性人群中,PTSD总的发生率是19.54%,极重灾区、重灾区和一般灾区PTSD发生率分别为26.94%,18.85%,15.79%,均高于一般人群。影响因素为反复重现创伤性体验,持续性警觉性增高,持续的回避。极重灾区、重灾区和一般灾区这几种因素对比有显著性差异。结论:震后6个月女性受灾群众PTSD发生率较高,重灾区女性受灾群众尤其需要灾后心理干预工作的关注。

Objective：To investigate the post-traumatic stress disorder（PTSD）incidence and related factors in female refugees of different disaster area in An-town.Methods：Applied self-editing individual basic situation questionnaire,PTSD Checklist-Civilian Version,and standardization evaluation tool,the examination of PCL-C PTSD diagnostic tests and related scale to exam the total incidence of PTSD and compared the factors of victims in different disaster area for the female living in in the extremely heavy stricken towns,the heavy stricken towns,the general stricken towns of An-town region in the earthquake period.Results：Among the 563 cases of 20~70 year-old feminine crowd female surveys which had been completed,PTSD screening positive rate was 19.54%.The positire rate of the extremely heavy stricken towns,the heavy stricken towns,the general stricken towns were 26.94%,18.85%,15.79% respectively,which were significantly higher than those in the control group.The factors were the repeating appearance of the traumatic experience,the increase of the vigilance and sustainability.The three factors of different stricken towns had significantly difference.Conclusion：After wenchuan earthquake for 6 months,post-traumatic stress disorder（PTSD）incidence of female refugees is higher.The female refugees of heavy stricken towns especially need the attention of psychological intervention work.