摘要
目的研究儿童遭受车祸后不同时期的心理健康状况及其影响因素。方法采用精神检查和创伤后应激障碍调查表、自编一般情况调查表,在车祸发生后2个月和8个月,对24名遭受车祸伤害的儿童分别进行调查,分析其不同时期心理健康状况及影响因素。结果遭受车祸儿童急性期应激相关障碍的发病率为95.83%;车祸发生2个月后,疑似创伤后应激障碍的发病率为41.67%,其中情绪障碍、回避、兴趣减退、学习下降等与年龄成正相关(P<0.05),车祸相关的精神症状与车祸当时意识障碍程度成负相关(P<0.05),与伤情无关(P>0.05)。随着时间的推移,病情的缓解与年龄成正相关(P<0.05),与目击程度无关(P>0.05),与意识障碍程度成负相关(P<0.05),与对车祸情景回忆的多少相关(P<0.05)。结论车祸幸存儿童应激相关障碍发病率高,应采取针对性预防措施,降低疾病发生率。
Objective To examine the prevalence and influencing factors of stress - related disorders in children during different times after traffic accidents. Methods Twenty - four victims were assessed with the post traumatic stress disorder （PTSD） and self - organized questionnaires separately after two months and eight months of the accidents. Results The morbidity of PDSD was 95. 83% （based on the criteria of CCMD -3）, the morbidity of suspected FTSD was 41.67% two months after traffic accidents. The emotional disorders, avoidance, narrowing of range of interests and learning difficulty were positively correlated with the ages （ P 〈 0. 05 ） ; All accident - related symptoms were negatively correlated with disturbance of consciousness on the traffic accidents （ P 〈 0. 05 ）. However, they had no relation with the condition of hurt （ P 〉 0. 05 ）. The alleviation of the conditions was positively correlated with the ages （ P 〈 0. 05 ）, not related with the witnessing condition of the patients on the accident （ P 〉 0. 05 ）, negatively correlated with disturbance of consciousness （ P 〈 0. 05 ）, and correlated with recollections of the accident （ P 〈 0. 05 ）. Conclusion The prevalence of PTSD in the children experienced traffic accidents is high. Targeted preventive measurements should be taken to reduce the morbidity.
出处
《中国全科医学》
CAS
CSCD
2006年第15期1258-1259,共2页
Chinese General Practice
关键词
儿童
车祸
精神卫生
应激障碍
创伤后
Child
Traffic accident
Mental health
Stress disorders, post-traumatic
