非地震灾区大学生创伤后应激障碍及情绪应对研究

目的 探讨汶川地震后,非受灾地区大学生创伤后应激障碍(PTSD)的发生情况与情绪应对的相互关系.方法 采用创伤后应激障碍量表平民版(PCL-C)、情绪应对量表(EACS),整群分层随机从南京地区9所高校选取880名大学生进行调查.结果 (1)非受灾地区大学生PCL-C得分为(30.52±9.64)分,PTSD检出率为5.3%;(2)非受灾地区不同性别大学生在社会功能评分差异有显著性男(1.66±0.80)分,女(1.52±0.63)分,t =2.664,P =0.005)]与PTSD阳性男(31.32±10.81)分,女(29.81±8.41)分,t =2.263,P =0.022)]、情绪加工、情绪表达评分男女差异有显著性;(3)文理科学生在PTSD诸因子上差异无显著性,但在情绪加工与情绪表达上差异有显著性;(4)情绪加工、情绪表达、以及接触地震新闻报道的时间进入了PTSD阳性得分的回归方程.结论 非受灾地区大学生PTSD发生率受接触媒体的时间长短与情绪应对策略使用的影响.

The research about emotional approach coping and PTSD after Wenchuan-earthquake in unaffected region

Objective To investigate the post traumatic stress disorder scores of undergraduate and the correlation between emotional approach coping(EAC) in unaffected region after Wenchuan-earthquake.Methods PTSD Check list-Civilian Version (PCL-C) and emotional approach coping scale(EACS) were used to assessed 880 undergraduates in Nanjing. Results (1)The average score of PCL-C was 30.52±9.64, and the prevalence rates of PTSD was found 5.3%.(2)Gender difference were found in social function(male:1.66±0.80,female:1.52±0.63, t =2.664,P =0.005) and positive scores of PTSD(male:31.32±10.81,female:29.81±8.41,t =2.263,P =0.022).(3)No significant difference was found in different specialty between PTSD,but in emotional procession and emotional expression.(4)Emotional-approach coping and expose time in front of media came into the regression equation of PTSD symptoms.Conclusion The score of PCL-C of undergraduate in unaffected region are infected by how long he spend in front of media and how he use emotion-approach coping strategy to cope with this shock bringing by Wenchuan-Earthquake