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军校学员创伤后应激障碍的发生率及其相关因素研究

顾克胜 王晓慧 宋端铱 邵永聪 刘杰 叶恩茂 杨征

军事医学2011,Vol.35Issue(9):685-688,699,5.
军事医学2011,Vol.35Issue(9):685-688,699,5.

军校学员创伤后应激障碍的发生率及其相关因素研究

Prevalence and correlated factors of PTSD in China rescue cadets after the Wenchuan earthquake

顾克胜 1王晓慧 2宋端铱 1邵永聪 2刘杰 1叶恩茂 2杨征1

作者信息

  • 1. 军事医学科学院基础医学研究所全军军事认知与心理卫生研究中心,北京100850
  • 2. 解放军第261医院,北京100094
  • 折叠

摘要

Abstract

Objective To investigate the detection rates and related risk factors of post-traumatic stress disorder ( PTSD )among rescue cadets 6 months after "5 · 12" Wenchuan earthquake. Methods All the 1024 rescue cadets were assessed with SRQ-20, PCL-C, SAS and SDS as preliminary screening. The selected ones were given a definite diagnosis by psychiatrists according to SCID after the clinical interview. Results The prevalence of PTSD in this sample was 3.42% . PCL-C score among students from cities or one-child families or with lower degrees was higher than that among the opposite ones( P < 0.05 ). PCL-C score in those who participated in spot-rescue and handled dead bodies was higher than in those who did not( P <0. 01 ). Multi - linear gradual regressive analysis indicated that the number and severity of PTSD symptoms were associated with SRQ score, SAS score, other trauma experiences, introverted personality, lower degrees, and the body-disposing experience. Logistic regression analysis showed that the body-disposing experience, being an only child, lower degrees, and depression occurrence were the risk factors for PTSD. The correct prediction rate was 50% ,and the total true judgment rate was 75. 3% . Conclusion The prevalence of PTSD in China military rescue cadets 6 months after the earthquake is 3.42%. The body-disposing experience generates the greatest stimulus intensity, which is the important risk factor. The first acute stress level, other trauma experiences, anxiety,and introverted personality are potential risk factors.

关键词

"5·12"地震/军校学员/应激障碍/创伤后/危险因素

Key words

earthquake/cadet/stress disorders, post-traumatic( PTSD )/risk factors

分类

军事科技

引用本文复制引用

顾克胜,王晓慧,宋端铱,邵永聪,刘杰,叶恩茂,杨征..军校学员创伤后应激障碍的发生率及其相关因素研究[J].军事医学,2011,35(9):685-688,699,5.

基金项目

国家高技术研究发展计划资助项目(2008AA022062) (2008AA022062)

军事医学

OA北大核心CSCDCSTPCD

1674-9960

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