摘要
目的 探究震后的PTSD症状对灾区高中生心理健康状况的影响.方法 以亲历过汶川地震的666名高中生为调查对象,应用事件影响量表和自我描述问卷评估个体的PTSD症状和心理状况,并在此基础上使用相关分析和结构方程模型分析分别对男女两组数据进行解析.结果 （1）受访高中生有666名（男313、女353）,其中有151人（22.67％）的事件影响量表总体得分高于35分,为PTSD可疑者：女生为83人（占女生总数的23.51％）,男生为68人（占男生总数的21.72％）.（2）在女性样本中,相关分析显示侵入症状与其对自己外貌的评定呈正相关（r=0.101,P＜0.05）；过度警觉症状与其异性关系呈负相关（r=-0.123,P＜0.05）、与父母的关系和情绪的稳定性呈正相关（r=0.126,P＜0.05; r=0.181,P＜0.01）,结构方程模型中相应的路径系数为0.11～0.18,均P＜0.05.（3）在男性样本中,相关分析显示回避症状与其自我评定的外貌、同性及异性关系、情绪、自我整体认知间存在正相关（r=0.152～0.221,均P＜0.01）；过度警觉症状与其对自己外貌的评定、与同性朋友和父母的关系、道德品行、情绪稳定性和对自己的整体评价呈正相关（r=0.114～0.313,均P＜0.05）；侵入症状与同性关系、情绪和自我认知间的相关系数为r=0.111～0.234,均P＜0.05.结构方程模型显示回避与其异性关系间的路径系数为0.12;过度觉醒症状与自我评定的外貌、与异性和同性的关系、品行、情绪以及自我认知间的路径系数为0.11～0.31,均P＜0.05.结论 灾区高中生中22.7％的个体有较为严重的PTSD症状.PTSD症状对高中生心理健康状况有明确的影响,并且存在明显的男女差异.这种影响主要集中在人际关系、情绪、品行、自己感知到的外貌以及自我的整体评价等方面,而学业或体能两方面则不受PTSD症状的影响.
Objective To investigate the effect of posttraumatic stress disorder（PTSD） on the psychological healthy state among high school students in the earthquake regions.Method The samples were consisted of 666 high school students who had experienced the Wenchuan Earthquake.The Impact of Event Scale-Revised （IES-R） and Self Description Questionnaire （SDQ） were used to rate symptoms of PTSD and psychological states of high school students.Data were analyzed using correlation analysis and structural equation model analysis for male or female separately.Results （1） Because their scores of IES-R were higher than 35,22.67％ participants were considered as PTSD patients,girls accounted for 83 or 25.31％ of the total female;and boys accounted for 68 or 21.72％ of the total male.（2） Among female,avoid and awake systems of PTSD were correlated significantly with their psychological state significantly （r=0.101-0.181,P＜0.05）.The result of structural equation model analysis was similar to correlation analysis,corresponding coefficients of path ranged 0.11 to 0.18 （P＜0.05）.（3） Among male,intrude and awake systems were correlated with their psychological state significantly （r=0.111-0.313,P＜0.05）.Corresponding coefficients of path ranged from 0.11 to 0.31 （P＜ 0.05）.Conclusion Systems of PTSD effect clearly on the psychological state of high school students,and there are the gender difference among these relationships.The symptoms of PTSD influence interpersonal relationships,emotion,conduct,appearance and self-evaluation,but school work and stamina are not influenced in this study.
出处
《中华行为医学与脑科学杂志》
CAS
CSCD
北大核心
2014年第2期152-155,共4页
Chinese Journal of Behavioral Medicine and Brain Science
基金
教育部归国留学科研启动金（2010609）
四川省哲社重点研究基地四川应用心理学研究中心项目（0100102）
2012年四川省人社厅留学人员科技活动择优资助项目
关键词
创伤后应激障碍
高中生
心理健康状况
Posttraumatic stress disorder
High school students
Psychological healthy state
