创伤后应激障碍与心理健康及应对方式的关系

Relationship among Post-traumatic Stress Disorder,Mental Health and Coping Style

目的 探讨创伤后应激障碍与心理健康和应对方式的关系.方法 采用创伤后应激障碍自评量表（PTSD-SS）、症状自评量表（SCL-90）、简易应对方式量表（SCSQ）对661名住院患者进行问卷调查.结果 661名患者中为轻度创伤后应激障碍（PTSD）者176名（26.6％）,中重度PTSD者268名,检出率43.3％.PTSD总分及反复重现体验、回避症状、警觉性增高、社会功能受损4个维度与SCL-90总分及9个因子均存在显著正相关（r=0.337～0.636,P＜0.001）.PTSD总分及4个维度与应对方式中的积极应对和消极应对呈显著正相关（r =0.315 ～0.538,P＜0.001）.结论 创伤后应激障碍会导致个体的心理健康水平降低并积极寻求应对方式.

Objective To explore the relationship among post-traumatic stress disorder,mental health and coping styles. Methods Using post-traumatic stress disorder self-assessment scale（ PTSD -SS）, Symptom Checklist 90 （SCL- 90 ）, simplified coping style ques- tionnaire（SCSQ） to assess 661 hospitalized patients. Results 176 patients were mild PTSD symptoms, detection rate was 26.6% ;286 patients were moderately or severe PTSD symptoms,which accounted for 43.3%. PTSD score and 4 factors scores had significantly posi- tive correlation with SCL- 90 total score and 9 factors scores（ r = 0.337 ~ 0. 636 ,P 〈 0.01 ）. PTSD scores and 4 factors scores were sig- nificantly positive correlation with positive coping and negative coping（ r = 0.315 ~ 0.538, P 〈 0.01 ）. Conclusion Post traumatic stress disorder can decrease the level of individual mental health. Patients with post traumatic stress disorder will actively seek ways of coping.