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[1]金 梅,王焕林,陈方斌,等.汶川地震救援官兵中PTSD患者负性情绪表达及相关因素分析[J].医学研究与战创伤救治(原医学研究生学报),2012,14(06):500.
　JIN Mei,WNAG Huan-lin,CHEN Fang-bin,et al.Study on the negative emotions and related factors in military rescuers with PTSD after Wen Chuan earthquake[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2012,14(06):500.
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汶川地震救援官兵中PTSD患者负性情绪表达及相关因素分析()
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《医学研究与战创伤救治》（原医学研究生学报）[ISSN:1672-271X/CN:32-1713/R]

卷:
第14卷
期数:
2012年06期
页码:
500
栏目:
出版日期:
2012-11-20

文章信息/Info

Title:
Study on the negative emotions and related factors in military rescuers with PTSD after Wen Chuan earthquake
文章编号:
1672-271X(2012)06-0500-05
作者:
金 梅; 王焕林; 陈方斌; 过 伟; 施建安; 高志勤; 孙 剑; 毕银花; 闫同军; 欧阳晖; 赵 彬
213003 江苏常州，解放军102医院全军心理疾病防治中心
Author(s):
JIN Mei; WNAG Huan-lin; CHEN Fang-bin; GUO Wei; SHI Jian-an; GAO Zhi-qin; SUN Jian; BI Yin-hua; YAN Tong-jun; OU-YANG Hui; ZHAO Bin.
Mental Diseases Research Center of PLA,102 Hospital of PLA,Changzhou,Jiangsu 213003,China
关键词:
焦虑; 抑郁; 地震; 救援军人; 创伤后应激障碍
Keywords:
anxiety;  depression;  earthquake;  PTSD
分类号:
R395.6
DOI:
-
文献标志码:
A
摘要:
目的 调查汶川地震6个月后救援官兵创伤后应激障碍(posttraumatic stress disorder，PTSD)患者的焦虑和抑郁状态，并探讨其相关因素。方法 按整群分层抽样原则对1125名一线救援官兵进行调查，采用Davidson创伤量表(DTS)确定诊断PTSD组(DTS≥40分)和非PTSD组，分析两组Beck焦虑量表(BAI)、Beck抑郁量表-Ⅱ(BDI-Ⅱ)的测评结果，采用简单直线相关法进行相关性分析。结果 ①实查1056人，共检出PTSD 69例(6.5﹪)；②PTSD组焦虑发生率、抑郁发生率均显著高于非PTSD组(P＜0.01)；③PTSD组BAI/BDI-Ⅱ各单项症状发生率及评分、总分均显著高于非PTSD组(P＜0.05或P＜0.01)；④军龄、独生子女、饮酒、吸烟、兵源、心理干预、地震经历总分与PTSD患者负性情绪表达均无明显相关(P＞0.05)。结论 汶川地震救援官兵PTSD患者较非PTSD者具有更显著的焦虑、抑郁情绪，其症状发生率高、程度重，应及时进行有针对性地干预与治疗。
Abstract:
Objective To investigate the anxiety and depression status in military rescuers with posttraumatic stress disorder (PTSD) 6 months after Wen Chuan earthquake,and analyze the related factors.Methods A sample of 1125 military rescuers was obtained by cluster sampling method.The PTSD were examined with the Davidson Trauma Scale (DTS),and according to the DTS score of ≥40 or ＜40,all subjects were divided into PTSD group and non-PTSD group.The scores of Beck Anxiety Inventory (BAI) and Beck Depression Inventory-Ⅱ(BDI-Ⅱ) in the two groups were compared.Linear correlation analysis was used to study the effects of related factors on anxiety and depression scores in PTSD group.Results ①The final analysis was carried out on 1056 military rescuers.The prevalence of PTSD was 6.5% (69 cases)；②The occurrence rate of anxiety and depression were higher in PTSD group than that in non-PTSD group (P＜0.01); ③The BAI/BDI-Ⅱ total scores,the score and frequency of each anxiety/depression symptom were higher in PTSD group than those in non-PTSD group (P＜0.05 or P＜0.01); ④ Whether the only child,whether smoking,whether drinking et al were not correlated with BAI and BDI-Ⅱscores (P＞0.05).Conclusion The military rescuers with PTSD after the earthquake have higher anxiety and depression levels,and have more frequent and prominent anxiety and depression symptoms.They should be given a timely and targeted psychological intervention or treatment.

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备注/Memo

备注/Memo:
南京军区“十二五”军队心理卫生科研课题(12XLZ101)
更新日期/Last Update: 2012-11-20