自我中心网特征对震后远期青少年创伤后应激障碍的影响

Effects of ego-network characteristics on post-traumatic stress disorder in adolescents after long-term period of earthquake

目的:明确汶川地震后远期青少年的创伤后应激障碍(PTSD)水平以及自我中心网特征对PTSD的影响。方法:采用PTSD量表平民版(PCL-C)和自我中心网问卷进行数据收集,以均数、百分比进行统计描述,以多元回归分析自我中心网与PTSD之间的相关性。结果:震后远期暴露者的PTSD水平高于未经历过地震暴露的青少年(P<0.001),多元回归分析结果显示,民族、在地震中被掩埋、受伤、有家人在地震中去世或残疾对PTSD的预测具有统计学意义(P<0.05),不同社会支持网络对PTSD的影响不同,关系强度是社会网络变量中对PTSD影响最大的因素。结论:震后远期暴露者生命质量水平仍需持续关注,而强化物质、情感和经济支持有助于持续提升暴露者的心理健康水平。

Objective:To explore the level of post-traumatic stress disorder and the effect of ego-network characteristics on post-traumatic stress disorder in adolescents after long-term period of Wenchuan earthquake.Methods:Data were collected by PTSD Checklist-Civilian version,PCL-C and ego-network questionnaire,and the correlation between ego-network and PTSD was analyzed by multiple regression.Results:The adolescents exposed to earthquake had higher score than the adolescents who did not exposed to earthquake(P<0.001),the results of multiple regression analysis showed that national,buried in the earthquake,injury,family death or disability in the earthquake had higher sores of post-traumatic stress disorder(P<0.05),different social support network for post-traumatic stress disorder had different effect,the influence of relation strength was related to post-traumatic stress disorder.Conclusion:The exposed after the earthquake still needs continuous attention,and the material,emotional and economic support were conducive to the continuous improvement of the mental health of the exposed.