儿童创伤后应激障碍与自我意识、社会支持的关系研究

Relationship Analysis on Children's PTSD Symptoms, Self-conscious and Social Support

目的通过对儿童创伤后应激障碍与自我意识、社会支持的关系研究,为开展灾区儿童PTSD患者干预或治疗提供依据和支持。方法用创伤后应激障碍17项筛查问卷(PCL-C)、儿童自我意识量表、社会支持评定量表在舟曲泥石流16个月后,对547名儿童的创伤后应激障碍情况进行了调查分析,并对其与儿童自我意识、社会支持的情况进行了相关研究。结果儿童PTSD总分在性别和年级上存在显著差异(p<0.05),经过多重比较发现高年级症状总分都显著高于低年级儿童;儿童自我意识与PTSD为显著的负相关(r=-0.333,p<0.05);社会支持与PTSD之间有显著的负相关(r=-0.099,p<0.05)。结论舟曲儿童创伤后应激障碍总体情况较严重;儿童自我意识可以直接预测PTSD的发生,社会支持可通过自我意识间接预测PTSD。

OBJECTIVE To support and supply evidence of intervention and therapy for children with PTSD in disaster areas by a study in the association between post trauma stress disorder（PTSD）, self-concept, and social support. METHODS To investigate and analyze situation of PTSD in 547 children 16 months after the mudslide through PTSD Checklist-Civilian version（PCL-C）, Child＇s Self- Concept Scale, and Social Support Rating Scale （SSRS）, and to research the association among PTSD situation, child＇s self-concept and social support. RESULTS The rating of Children with PTSD was significantly different between gender and grade（p〈0.05 ）, children in higher grade had considerably higher rate than lower grade; the correspondence between child＇s self-concept and PTSD was significant negative （r=-0.333, p〈0.05）, and the same negative correlation showed between social support and PTSD （r=--0.099, p〈 0.05）. CONCLUSIONS PTSD among children was generally severe in Zhouqu; child＇s self-concept could be directly predicted the occurrence of PTSD, and social support could predict the PTSD indirectly through self-concept.