海南国际旅游岛旅游区居民心理应激影响因素调查

目的：调查海南国际旅游岛旅游区居民心理应激影响因素，为旅游区居民进行心理干预和心理健康教育提供科学依据。方法采用创伤后应激障碍量表(PCL-C)、社会支持评定量表(SSRS)、艾森人格量表(EPQ)、症状自评量表(SCL-90)，在2013年1月至2015年12月间对海南国际旅游岛旅游区居民5114名进行问卷调查。结果①创伤后应激障碍(PTSD)阳性率为69.73%(3566/5114)；②有无创伤后应激障碍两组间SCL-90总分、EPQ各因子得分和SSRS总分进行比较，结果显示差异均有统计学意义(P<0.05)；③多重线性回归分析，进入回归模型的因素有SCL-90总分、E量表分、N量表分、P量表分、SSRS总分；④通径分析结果表明，N量表分对PCL-C总分的总效应最强(0.838)，其次是SCL-90总分(0.200)，在直接效应中SSRS总分的效应为(-0.260)，位居第二。结论影响PTSD发生的危险因素有心理症状、艾森克人格，PTSD的保护因素有社会支持。

Analysis of psychological stress factors in residents of tourist area of Hainan international tourism island

Objective To investigate the psychological stress factors in residents of tourist area of Hainan international tourism island, and provide scientific basis of psychological intervention and mental health education. Methods A total of 5 114 residents of tourist area of Hainan international tourism island were investigated with Post-Traumatic Stress Disorder Scale (PCLS-C), Social Support Revalued Scale (SSRS), Eisen Personality Question-naire (EPQ), Symptom Checklost 90 (SCL-90) from January 2013 to December 2015. Results (1) The positive rate of post-traumatic stress disorder (PTSD) was 69.73%(3 566/5 114). (2) There were significant differences between PTSD and non-PTSD group in the total score of SCL-90, EPQ each factor score and total score SSRS (P<0.05). (3) Multiple linear regression analysis was performed with the related factors including the total score of SCL-90, E scale score, N scale score, P scale score and the total score of SSRS. (4) Path analysis results showed that the total score of N scale score had the strongest effect on the total score of PCL-C (0.838), and SCL-90 score had the second effect (0.200);Total score of SSRS had the second direct effect (-0.260). Conclusion The risk factors of PTSD include psychological symp-toms and Eysenck personality. The protective factor of PTSD is social support.