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玉树地震后罹患创伤后应激障碍、焦虑症和抑郁症调查
引用本文:董强利,叶兰仙,张玉堂,等. 玉树地震后罹患创伤后应激障碍、焦虑症和抑郁症调查[J]. 临床精神医学杂志, 2014, 0(2): 80-82
作者姓名:董强利  叶兰仙  张玉堂  
作者单位:[1]兰州大学第二医院精神科,730030 [2]兰州军区总医院神经外科 ,730030 [3]青海省第三人民医院精神科,730030
基金项目:甘肃省技术研究与开发专项计划(2010GS03590)
摘    要:目的:调查玉树地震后不同人群创伤后应激障碍(PTSD)、焦虑症、抑郁症的发生情况。方法:抽取震后灾区人群、其非灾区的亲属人群、灾区救援人群及非灾区人群为对象,每一人群进行随机分成两组,第1组每周进行1次集体心理干预;第2组每周进行3次集体心理干预。采用PTSD检查量表平民版(PCL-C)、焦虑自评量表(SAS)、抑郁自评量表(SDS)对不同人群在3个月、6个月进行问卷调查。结果:各人群在干预3个月和6个月均检出PTSD、焦虑症、抑郁症。各人群中第2组干预6个月时PTSD、焦虑症、抑郁症检出率明显低于干预3个月时(P均0.05)。结论:震后不同人群均存有PTSD、焦虑症、抑郁症发生;随着时间推移及积极干预可明显降低其发生。

关 键 词:创伤后应激障碍  抑郁症  焦虑症

The study of Post traumatic stress disorder,anxiety and dePression on different grouPs after the Yushu earthquake
Affiliation:DONG Qiang-li,YE Lan-xian,ZHANG Yu-tang,LIU Jian-bin,Ll Zhi-yun,DU Xin-bai,MA Xian- ming.( Department of Psychiatry, the Second Hospital of Lanzhou University, Lanzhou 730030, China)
Abstract:Objective:To investigate the occurrence of post traumatic stress disorder( PTSD),anxiety and depression for different groups after the earthquake of Yushu. Method:The different population including stricken people,relatives of stricken people,relief workers and non-stricken people were selected. Each people was randomly divided into two groups,one of which received collective psychological intervention once a week, while the other three times a week. PTSD checklist(PCL-C),self-rating anxiety scale(SAS),self-rating depression scale(SDS)were used to investigate different groups of victims in 3 months and six months after the earthquake. Results:The detection rate of PTSD,anxiety,depression of different groups is different 3 or 6 months after the earthquake. The detection rate of PTSD,anxiety,and depression in people from the same group showed a downward trend as the time passed,the distance from the hypocenter increased and crisis intervention strength-en. Conclusion:There are different degrees of PTSD,anxiety,depression in different groups of people in dif-ferent stages. The psychological intervention can improve them.
Keywords:post traumatic stress disorder  anxiety  depression
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