摘要
目的回顾性研究军队官兵热射病事件后创伤应激障碍发生的特点及其采取的应对方式。方法对经历热射病应激事件的官兵73名应用ICD-10中急性应激障碍(ASR)和创伤后应激障碍(PTSD)诊断标准进行诊断,并采用症状自评量表(SCL-90)、应对方式问卷进行测查。结果应激事件后2个月,73名中有17名曾经符合ASR的诊断标准,9名符合PTSD的诊断标准。与非PTSD组相比较,PTSD组SCL-90总分、躯体化、强迫症状、人际关系敏感、抑郁、焦虑、敌对、恐怖、偏执因子评分均显著高于非PTSD组(P<0.05或P<0.01)。在应对方式上PTSD组退避、幻想、自责分与非PTSD组有统计学差异(P<0.05)。结论军队官兵发生热射病事件后,PTSD患者并不少见,且多采取非成熟型的应对方式。
Objective To investigate the characteristics of post-traumatic stress disorder（PTSD） in armymen after heat stroke event,and the to seek them used relevant coping ways. Methods Diagnostic criteria of acute stress disorder （ASR） and post-traumatic stress disorder （PTSD） in the ICD-10 were applied to make a diagnosis for the 73 officials and soldiers who had subjected to heat stroke stress events. The symptom checklist 90 （SCL- 90） and the questionnaire of coping ways were adopted to make a test. Results Two months after the acule stress events,17 of the 73 armymen ever met the diagnostic criteria for ASR,and 9 for PTSD.Compared with of the non PTSD group,the total scores of SCL-90 and the scores of the somatization,force symptom,interpersonal sensitivity,depression,anxiety,hostility,terror and paranoia factor were significantly higher tharr those of the non PTSD group （P〈0.05 or P〈0.01）. On the coping ways,the scores of the escape,fancy and self-blame in the PTSD group were significantly higher than those of the non PTSD group （P〈0.05）. Conclusion After the heat stroke events,PTSD patients are not uncommon,and often take the immature coping ways.
出处
《实用医药杂志》
2016年第8期673-675,共3页
Practical Journal of Medicine & Pharmacy
基金
济南军区后勤科研计划(CJN10L052)
关键词
军队
热射病
创伤后应激障碍
应对方式
Army
Heat stroke
Post-traumatic stress disorder
Coping ways
