摘要
目的探讨突发群体事件受伤者人格、应付方式与创伤后应激障碍(post-traumatic stress disorder,PTSD)及心理状况的关系。方法对乌鲁木齐市5家医院突发群体事件受伤住院的161名伤员在受伤第3、4周用自编一般情况调查问卷、心理健康自评问卷(self-reporting questionnaire-20,SRQ20)、卡特尔16种人格因素测验(Catell RB 16 primary factor,16PF)和应付方式问卷等进行测评,155名基本完成测评。受伤2个月后用SCID-I/P对伤员进行检查,共对128人做出诊断。结果在无病组、PTSD组和其他组的比较中,合理化与求助差异均有统计学意义(F1=3.23,P1=0.043;F2=6.13,P2=0.003),PTSD组最少求助。PTSD相关因素Logistic逐步回归分析显示自责是PTSD的危险因素,求助是保护性因素。SRQ20总分逐步法线性回归显示年龄、人格的忧虑性是心理症状的危险因素,暴露时间和求助是保护性因素。结论 PTSD患者的特点是求助少。应付方式既影响心理症状又影响PTSD的发病,16PF人格特质只影响心理症状不影响PTSD发病,人格特质忧虑性对心理健康具有损害作用。
Objective To study the relationship between the personality, coping style and post-traumatic stress disorder （PTSD）as well as that between the personality, coping style and psychological status in group injury. Methods 161 injured people were treated in five hospitals in Urumqi and evaluated with the Self-writing general situation Question- naire, the Self-Reporting Questionnaire-20 （SRQ20）, 16 Personality Factor Questionnaire （t6PF） and the Coping Style questionnaire in the third or the fourth injured week. 155 injured people completed the assessment. Two months after inju- ries, 128 injured people were interviewed and diagnosis made was based on the Structured Clinical Interview for DSM-IV-TR Axis I Disorders/Patients （SCID）. Results In comparison of the normal group, PTSD group and other groups, the ration- alization and calling for help had significant difference （ F1 = 3.23, PI = 0. 043 ; F2 = 6. 13, P2 = 0. 003 ）, The PTSD group was less to call for help. Logistic stepwise regression analysis of related factors for PTSD showed that guilt was risk factor for PTSD, calling for help was protective factor. Stepwise linear regression of SRQ20 showed that anxiety of the age and per- sonality were risk factors for mental symptoms, exposure time and calling for help were protective factors. Conclusions The feature of the PTSD was less likely to call for help. Coping styles are related to mental symptoms and PTSD, 16PF is related to mental symptoms but not PTSD. Anxiety of personality trait has harmful effect on mental health.
出处
《中华疾病控制杂志》
CAS
北大核心
2014年第1期17-21,共5页
Chinese Journal of Disease Control & Prevention
基金
乌鲁木齐市科技局重点科研项目(Y09232001)
关键词
人格
应激障碍
创伤后
应激
心理学
Personality
Stress disorder, post-traumatic
Stress, psychological
