汶川地震后送伤员心理状况分析

目的 调查分析汶川地震后送伤员的心理状况.方法 地震后1个月时,使用创伤后应激障碍检杏量表平时版(PCL-C)、症状自评量表(SCL-90)、Zung氏焦虑/抑郁自评最表(SAS/SDS)和简易应对方式问卷,由心理学专业人员对地震灾区后送到新桥医院的部分伤员进行调查.结果 (1)与全国常模相比,SCL-90的躯体化和焦虑因子得分增高(t=3.733,P<0.01;t=2.368,P<0.05),偏执因子得分显著降低(t=-3.584,P<0.01);任何一个因子得分≥3的比例为20.7%;(2)中度及以上焦虑或抑郁的比例为21.7%和26.0%;(3)PCL-C总分与SCL-90总均分、SAS得分呈正相关(r=0.642,P<0.01;r=0.506,P<0.05),而与SCL-90的阴件项目数呈负相关(r=-0.681,P<0.01);(4)多元线性回归分析显示,SAS得分和积极应对分能联合预测36.6%PCL-C总分的变异.结论 地震后1个月时,后送伤员中有20%以上的伤员出现了中度以上的心理问题,需要进行早期心理干预促进伤员身心康复.

Analysis on mental health status of the victims in Wenchuan earthquake

Objective To analysis the mental health status of the victims in Wenchuan earthquake. Methods Post-traumatic stress disorder checklist-civilian version (PCL-C), symptom checklist-90 (SCL-90) , Zung' s self-rating anxious scale/depressive scale (SAS/SDS) and simple coping style ques-tionnaires were use to investigate the mental health status of the victims that were transferred to Xinaiao Hospital, Third Military Medical University, one month after earthquake. Results (1) Compared with national ensemble, SCL-90 scores ranked the highest in aspects of somatization and anxiety (t = 3.733, P <0.01; t = 2.368, P < 0.05) but the score of paranoid ideation decreased significantly (t =-3.584, P<0.01), with score over 3 accounting for 20.7%. (2) The proportion of moderate anxiety and depres-sion was 21.7% and 26.0%, respectively. (3) The PCL-C total score was positively correlated with SCL-90 scores and SAS scores (r = 0.642, P < 0.01 ; r = 0.506, P < 0.05), but negatively with negative items in SCL-90(r =-0.681, P <0. 01). (4) Multiple linear regression analysis showed that 36. 6% of variation of PCL-C total score could be forecast by comhining SAS scores with positive copy scores. Conclusions One month after earthquake, more. than 20% of the victims transferred to Xinqiao Hospital have moderate mental health problem and need early mental intervention for improvement in physical and mental health.