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初中生目睹特大火灾后的心理健康状况

尤美娜 程文红

中国心理卫生杂志2012,Vol.26Issue(3):181-185,5.
中国心理卫生杂志2012,Vol.26Issue(3):181-185,5.DOI:10.3969/j.issn.1000-6729.2012.03.005

初中生目睹特大火灾后的心理健康状况

Mental health status of junior middle school students after witnessing big building fire

尤美娜 1程文红1

作者信息

  • 1. 上海交通大学医学院附属精神卫生中心,上海 200030
  • 折叠

摘要

Abstract

Objective: To explore the post-traumatic stress disorder (PTSD), anxiety and depression symptoms of junior high school students after witnessing big building fire. Methods: In the middle school which was 200 meters away from a big building fire, all 387 students from grade 6, 7 and 8 were sampled as the study group. Another middle school which was matched with the study school in the school nature and level was selected and the total 480 students from grade 6,7 and 8 were sampled as the control group. All of the participants were assessed with the Essen Trauma Inventory for Kids and Juvenile (ETI-KJ), Screen for Child Anxiety Related Emotional Disorders (SCARED), and Depression Self-rating Scale for Children (DSRSC). Results: The rates of PTSD (total scores of intrusion, avoidance and hyperarousal of ETI-KJ≥27) and suspected PTSD (total score of intrusion, avoidance and hyperarousal of ETI-KJ was 16 - 26) in the study group were higher than that in the control group (5.9% vs. 1.4%, 17. 7% vs. 8.3%, ft < 0.05). The generalized anxiety factor scores and somatization/ panic factor scores of SCARD were higher in the study group than in the control group [(4.8 ± 3.6) vs. (4.0 ± 3.4), (4. 4 ±4. 4) vs. (3. 6 ± 3. 8), Ps <0. 05]. The DSRSC total score was lower in the study group than in the control group [ (8. 8 ± 6.2) vs. (9.7 ± 5. 6), P < 0.05 ]. There were no statistically significant on the rates of anxiety (total score of SCARED ≥23) and depression (total score of DSRSC ≥15) between the two groups [(29.6% vs. 27.2%, 20.0% vs. 20.4%; P >0.05]. Logistic regression analysis indicated that the students who were female(OR = 1. 90), having previous trauma experience (OR = 5.67) and being students of the study school (OR = 1.61) were more likely to get PTSD. Conclusion: It suggests that post-traumatic stress disorder, generalized anxiety and somatic/panic symptoms may occur in junior high school students after witnessing the big fire disaster, which should be noticed when providing psychological support and crisis intervention after disaster.

关键词

火灾/青少年/创伤后应激障碍/抑郁/焦虑/横断面研究

Key words

fire disaster/ adolescents/ post-traumatic stress disorder/ depressive reaction/ anxiety/ cross-sectional studies

分类

社会科学

引用本文复制引用

尤美娜,程文红..初中生目睹特大火灾后的心理健康状况[J].中国心理卫生杂志,2012,26(3):181-185,5.

基金项目

十一五国家科技支撑计划(2009 BAI77B05) (2009 BAI77B05)

中国心理卫生杂志

OA北大核心CHSSCDCSCDCSSCICSTPCD

1000-6729

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