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赴北川抗震救灾某部官兵急性心理应激障碍及影响因素调查
引用本文:胡光涛,李学成,王国威,贺英,杨兰,谭孝琼.赴北川抗震救灾某部官兵急性心理应激障碍及影响因素调查[J].第三军医大学学报,2009,31(15).
作者姓名:胡光涛  李学成  王国威  贺英  杨兰  谭孝琼
作者单位:1. 解放军第324医院精神病专科中心,重庆,400041
2. 解放军第324医院医务处,重庆,400041
摘    要:目的 探讨赴北川抗震救灾部队官兵急性应激障碍(acute stress disorder,ASD)发生情况、临床特征及相关危险因素.方法 采用自编一般情况问卷、创伤后应激反应症状自评量表(post-traumatic stress symptoms self-rating scale,PCL-C)、领悟社会支持量表(perceived social support scale,PSSS)、应对方式问卷(coping style questionnaires,SCSQ)对126名赴北川抗震救灾部队某部官兵进行评定,结合半结构式访谈,确定ASD组和对照组,进行对照分析及相关因素分析.结果 救灾官兵ASD患病率为13.49%,主要症状表现为:反复闯入性痛苦性回忆,噩梦,创伤事件场景的重现,强烈的心理痛苦烦恼,兴趣下降,睡眠障碍和情绪不稳定.ASD主要症状之间相互影响,积极的应对方式和良好的社会支持可减少ASD的发生.结论 在急性应激阶段(1个月)部分抗震救灾官兵已存在ASD症状,应加强必要的心理评估和综合性的心理干预,减缓灾难所致的心理创伤,预防和减少ASD转化为创伤后应激障碍(post-traumatic Stress disorder,PTSD).

关 键 词:地震  急性应激障碍  应对  社会支持  军人

Acute stress disorder and related factors in a troop after participating in disaster relief in Beichuan county after Wenchuan earthquake
HU Guang-tao,LI Xue-cheng,WANG Guo-wei,HE Ying,YANG Lan,TAN Xiao-qiong.Acute stress disorder and related factors in a troop after participating in disaster relief in Beichuan county after Wenchuan earthquake[J].Acta Academiae Medicinae Militaris Tertiae,2009,31(15).
Authors:HU Guang-tao  LI Xue-cheng  WANG Guo-wei  HE Ying  YANG Lan  TAN Xiao-qiong
Institution:HU Guang-tao1,LI Xue-cheng2,WANG Guo-wei2,HE Ying1,YANG Lan1,TAN Xiao-qiong1(1Department of Mental Health,2Administration of Medical Services,No.324 Hospital of PLA,Chongqing 400041,China)
Abstract:Objective To investigate the occurrence circumstance of acute stress disorder(ASD),clinical features and related risk factors,in the officers and soldiers who had gone to Beichuan county to provide disaster relief.Methods We used the self-general questionnaire,post-traumatic stress symptoms self-rating scale(PCL-C),perceived social support scale(PSSS),and coping style questionnaires(SCSQ)to assess the 126 subjects,combining with semi-structured interviews to determine and compare the ASD group and control g...
Keywords:earthquake  acute stress disorder  cope  social support  military
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