摘要
目的了解乌鲁木齐市突发群体事件后社区居民创伤后应激障碍（post traumatic stress disorder，PTSD）与应付方式的关系。方法2009年9月5日至11月5日对黑甲山后街社区沿街居民进行了调查，对其中中湾街沿街年龄≥15岁全体居民由精神科医生以美国精神障碍诊断与统计手册第四版修订版（DSM-IV—TR）轴I障碍临床定式检查患者版进行了调查，使用DSM．IV对各类精神障碍进行诊断，并以应付方式问卷进行应付方式测查。分析PTSD与应付方式、人口学特征及暴露程度的关系。结果（1）PTSD组与无病组应付方式存在明显差异，PTSD组在退避、幻想、自责、合理化四个因子上得分[分别为（0．60±0．21）分，（0．59±0．21）分，（0．47±0．30）分，（0．56±0．21）分]高于无病组[分别为（0．43±0．25）分，（0．43±0．24）分，（0．24±0．25）分，（0．40±0．23）分]（t值分别为8．033，7．346，8．314和7．198，均P〈0．01）。（2）PTSD相关因素logistic逐步回归分析显示年龄大、离婚或丧偶、事发时高暴露和以自责为主要应付方式是PTSD的危险因素。结论使用消极的应付方式是PTSD的危险因素，应激事件发生后，引导相关人员避免使用消极应付方式，多使用积极应付方式，应是心理危机干预的重要内容。
Objective To understand the relationship between the post-traumatic stress disorder （PTSD） and coping style in Community residents after the emergency of group injury. Methods The aged 15 years and ol- der residents along the zhong-wan street were assessed with DSM-IV-TR axis I disorder in September 5,2009 to November 5 and diagnosed with DSM-IV. At the same time they were evaluated by Coping style Questionnaire. The relationship of the post-traumatic stress disorder between the coping style, the demographic characteristics and the degree of exposure were analyzed. Results （ 1 ） In comparison of the illness-free group and PTSD group, the cop- ing style have significant difference. The scores of the avoidance, fantasy, guilt and rationalization in PTSD group （0.60 ± 0.21, 0.59 ± 0.21, 0.47± 0.30, 0.56 ±0.21 ） were higher than the illness-free group （ 0. 43 ±0.25, 0.43 ±0.24,0.24 ±0.25,0.40 ±0.23） （ t =8. 033,7. 346,8. 314,7. 198, P〈0.01 ）. （2） Older age, divorce or widow , more exposure and guilt were significantly associated with PTSD. Conclusions The negative coping style is the dangerous factor of PTSD. The important content of the psychological crisis intervention is to guide relevant person deal with active coping style after the stress.
出处
《中华行为医学与脑科学杂志》
CAS
CSCD
北大核心
2012年第11期1032-1034,共3页
Chinese Journal of Behavioral Medicine and Brain Science
关键词
群体事件
创伤后应激障碍
应付方式
Group event
Post-traumatic stress disorder
Coping style
