交通事故幸存者创伤后应激障碍的流行情况及预测因素分析

Prevalence and predictive factors of post-traumatic stress disorder among survivors of traffic accidents

目的了解交通事故幸存者创伤后应激障碍(post traumatic stress disorder,PTSD)的流行情况,并分析相关的预测因素。方法选择2010年10月—2011年5月206例交通事故幸存者,其中,男168例,女38例,年龄(39.8±12.5)岁。采用17项PTSD检测表——特定事件版(PTSD checklist-specific stressor version,PCL-S)进行评估。结果 206例交通事故幸存者中共有51例为可能的PTSD患者,发生率为24.8%;PTSD症状比较女性较男性严重,男性PCL-S得分(26.90±7.70)分,女性(31.46±8.87)分,男女比较差异有统计学意义(P<0.05),已婚者较单身者严重,已婚PCL-S得分(28.72±8.07)分,单身(23.00±5.47)分,二者比较差异有统计学意义(P<0.05)。结论 PTSD在我国交通事故幸存者中是一种常见的心理疾患,其主要的预测因素包括:性别、年龄、婚姻状况、评估距离创伤时间间隔、躯体康复状况。

Objective To investigate the prevalence of post-traumatic stress disorder （PTSD）among survivors of traffic accidents and to analyze the relevant predictive factors. Methods A total of 206 participants （168 men,38 women;mean age =39.8, SD=12.5 years） were recruited from October 2010 through May 2011 and assessed with the 17-items PTSD Checklist （PCL-S）. Results Fifty-one participants were found to have possible PTSD, accounting for 24.8%. Women had more serious PTSD symptoms than men, male PCL-S score （26.90 ± 7.70）, female （31.46± 8.87）, and the the difference was significant （p〈0.05）.and the the difference was significant （P〈0.05）. PCL-S score was higher in married victims（28.72± 8.07） than that in singles （23.00 ± 5.47）, and the difference was also significant（P〈0.05）. Conclusion PTSD is a common mental disorder among lraffic accident survivors in China, the main predictive factors of which may include gender, age, marital status, interval between assessment and trauma, and rehabilitation status