创伤后应激患者心理弹性水平的研究

Study on resilience level in patients with post-traumatic stress

目的:通过对创伤人群心理弹性水平的研究,探析不同创伤结局人群心理弹性差异,为降低创伤人群创伤后应激障碍的发病率,促进其精神心理健康转归,建立有效可行的干预模型提供理论依据。方法:采用整群分层抽样法抽取各大综合性医院的住院患者549名,进行问卷调查,探析心理弹性水平。再将创伤后应激障碍筛查结果阳性的患者作为病例组,阴性的患者作为对照组,比较两组心理弹性差异。结果:不同年龄段的个体心理弹性得分有显著差异,随着年龄的增高,心理弹性显著提高,差异有统计学意义(P<0.05,P<0.01);婚姻状况在个人强度分量表上的得分差异有统计学意义(P<0.05,P<0.01);不同职业人群的心理弹性得分在未来组织风格分量表上的差异有统计学意义(P<0.05)。Logistic回归分析表明:心理弹性的各因子得分及总分与PTSD的发病呈显著相关(P<0.01,OR=1.976),心理弹性得分较低的个体PTSD发病率明显高于心理弹性高的个体。结论:①个体心理弹性与创伤后应激障碍的发病有着密切的联系,心理弹性较低的个体比心理弹性高的个体更易患PTSD,可视为PTSD发病的高危人群;②随着年龄的增长,人生阅历的丰富,家庭及事业的稳定,个体的心理弹性也在不断增强。

Objective： According to the study on the posttraumatic resilience,resilience differences of people with different posttraumatic results were explored and analyzed,aiming to reduce the morbidity of posttraumatic stress disorder（PTSD）,promote their mental and psychological health outcomes and provide theoretical basis for establishing the effective and feasible intervention models.Methods： 549 inpatients of several large general hospitals were selected with stratified cluster sampling method to complete the psychological health status questionnaire.And the resilience level was explored and analyzed.Then,those patients who had positive results in PTSD screening were set as the case group,while the others who had negative results were set as the control group.Compare differences of resilience between the two groups.Results： Individual resilience scores at different age groups showed significant differences,and the resilience increased significantly with the age.The difference was statistically significant（P＜0.05,P＜0.01）;the score differences of marital status in individual strength subscale were statistically significant（P＜0.05,P＜0.01）;the difference of resilience score among different occupational groups in the future organization style subscale was statistically significant（P＜0.05）.Logistic regression analysis showed：the resilience factor score and the total score with PTSD incidence were significantly correlated（P＜0.01,OR=1.976）.The PTSD incidence of individuals with low resilience score was significantly higher than individuals with high resilience score.Conclusion： ①The individual resilience is closely related to PTSD pathogenesis,and individuals with lower resilience could be regarded as high-risk groups who are more likely to suffer from PTSD than those with higher resilience;②Resilience strengthens by the age,richness of life experience,stability of family and business of individuals.