中国全科医学2017，Vol.20Issue(22)：2788-2792,5.DOI:10.3969/j.issn.1007-9572.2017.22.020
震后远期青少年创伤后应激障碍与社会支持的关系研究
Association of Social Support with Long-term Level of Post-traumatic Stress Disorder in Adolescents after Wenchuan Earthquake
摘要
Abstract
Objective To investigate the prevalence of long-term level of post-traumatic stress disorder(PTSD) in adolescents after Wenchuan earthquake and to explore its association with social support.Methods By using stratified random sampling,we selected 135 survivors aged between 14 and 35 from the areas severely affected by the Wenchuan earthquake in January 2014.They were surveyed by a structured questionnaire covering sociodemographic data,PTSD Checklist-Civilian Version(PCL-C) consisting of B,C and D subscales,Perceived Social Support Scale(PSSS) consisting of family,friends and significant other subscales.Multiple linear regression and canonical correlation analyses were performed to explore the association between social support and PTSD.Results The average total scores of PCL-C in the adolescents were(29.6±12.9) points.The overall prevalence rate of PTSD among the respondents was 15.6%(21/135) if 44 points was taken as the cutoff value.The proportion of respondents giving positive responses to the questions listed in subscales B,C and D was 69.6%(94/135),49.6%(67/135),57.8%(78/135),respectively;respondents were more likely to respond positively to the questions listed in subscale B than those listed in other two scales(P<0.05).Multiple linear regression analysis found that,the total scores of PSSS and scores of significant other subscale were associated factors for the total scores of PCL-C(P<0.05);scores of significant other subscale was related to the scores of B,C and D subscales(P<0.05);scores of family subscale was an associated factor for scores of B subscale(P<0.05).Only one set of canonical correlation variable about perceived social support and PTSD reached significant level,the correlation coefficient was 0.446(P<0.001).The equation for performing a canonical correlation about perceived social support is:U1=-0.359×scores of family subscale +0.302×scores of friends subscale-0.949×scores of significant other subscale.And that for performing a canonical correlation about PTSD is:V1=0.456×scores of subscale B+0.293×scores of subscale C+0.363×scores of subscale D.Conclusion The prevalence of long-term level of PSTD in adolescent survivors of Wenchuan earthquake needs to be paid attention.Those who receive less support from others except their families,are more likely to give positive responses to the items listed in subscales B and D.Strengthening perceived social support can contribute to alleviating the symptoms of PSTD in them.关键词
应激障碍,创伤性/社会支持/青少年/汶川Key words
Stress disorders/traumatic/Social support/Adolescent/Wenchuan分类
医药卫生引用本文复制引用
柯雄,杜军..震后远期青少年创伤后应激障碍与社会支持的关系研究[J].中国全科医学,2017,20(22):2788-2792,5.基金项目
教育部人文社会科学研究青年基金项目(13YJCZH071) （13YJCZH071）
四川省软科学项目(2013ZR0088) （2013ZR0088）
成都医学院四川应用心理学研究中心资助项目(CSXL-112011) （CSXL-112011）
