唐山大地震所致截瘫患者远期心身健康状况调查研究

Long-term Effects of Tangshan Earthquake on Psychosomatic Health of Paraplegic Suffers

目的 :研究唐山大地震所致截瘫患者远期心身健康状况。方法 :6 4例唐山大地震所致截瘫患者和 6 4例对照组完成了唐山大地震心身健康调查问卷和标准化评定工具的调查、评定和诊断。结果 :6 4例截瘫患者中有 6例患延迟性应激障碍 (posttraumaticstressdisorder ,PTSD)。PTSD现患率为 9 38%,显著高于正常人群中PTSD的抽样调查结果。 6 4例截瘫患者有 32例地震后发生急性应激性反应 (acutestressreaction ,ASR)。目前截瘫患者心身健康程度显著低于对照组 ,表现在SCL -90中的总分和部分因子分 ,SDS总分和标准分 ,SAS总分和标准分 ,CMI中部分因子分均显著高于对照组 (P均 <0 0 1～ 0 0 0 1)。结论 :心理创伤的严重程度与人类的心身健康之间存在着密切的关系。

Objective: To study the long-term effect of Tangshan earthquake on psychosomatic health of paraplegic suffers. Method: 64 paraplegic suffers of Tangshan earthquake and 64 normal controls were interviewed and assessed with self made questionnaire for psychosomatic health, SCL-90, SAS, SDS, CMI (Cornell Medical Index) and SSRS (Social Support Rating Scale). Results: 6 patients (9%) were diagnosed as PTSD according to CCMD-2-R, this rate was higher than that of normal citizen experienced the earthquake. 32 patients had Acute Stress Reaction. At present, patients' group had poorer mental health than control reflected by SCL-90, SAS, SDS and CMI. Conclusion: The severity of trauma both mentally and physically has great influence on mental health of suffers even after 25 years.