地震受灾人群创伤后应激障碍危险因素的病例对照研究

目的:探讨地震3年后受灾人群中创伤后应激障碍(PTSD))的危险因素。方法:采用病例对照研究的方法,分析地震3年后云南省鲁甸县龙头山镇重灾区受灾群众155人的调查资料,以PTSD筛查阳性人群为病例组,阴性人群为对照组,对自编人口学基本信息调查表、创伤后应激障碍自评量表(PCL-C)的问卷数据进行单因素分析,采用非条件logistic回归分析探讨年龄、性别等人口学资料及灾难暴露程度、参与现场救援、地震中失去亲人与否等对创伤后应激障碍的影响。结果:病例组与对照组单因素分析比较显示,性别(χ²=4.65,P<0.05)、受教育程度(χ²=9.63,P<0.01)、灾难暴露程度(χ²=7.15,P<0.01)有统计学意义。非条件logistic回归分析显示女性(OR=4.89,P<0.01)、非文盲(OR=6.30,P<0.01)、高暴露者(OR=17.44,P<0.05)是发生PTSD的危险因素。结论:地震三年后重灾区受灾人群中女性、非文盲、高暴露者发生PTSD的危险性大,提示应当重点对这类...

A case-control study of risk factors of post-traumatic stress disorder in earthquake-affected population

Objective:To explore the risk factors of post-traumatic stress disorder(PTSD)in affected people after three yeas of earthquake.Methods:Using the method of case-control study,the investigation data of 155 people in Longtou Mountain Town,Ludian County,Yunnan Province after 3 yeas of earthquake were analyzed.The people with screened positive PTSD were as the case group and the negative people as the control group.The Selfreport Information Questionnaire including age,gender,disaster exposure degree,participating in on-site rescue,and loosing relatives or not in earthquake,and the Post-traumatic Stress Disorder Self-rating scale(PCL-C)were applied to investigate 155 affected people in Longtoushan Town,Ludian County,Yunnan Province three yeas after the earthquake.Results:The univariate analysis of the case group and the control group showed that there were signifi cant differences in gender(χ^2=4.65,P<0.05),education level(χ^2=9.63,P<0.01),and disaster exposure degree(χ^2=7.15,P<0.01).The non-conditional logistic regression analysis showed that female(OR=4.89,P<0.01),non-illiterate(OR=6.30,P<0.01),those who had high disaster exposure(OR=17.44,P<0.05)were the risk factors of PTSD.Conclusion:Three years after the earthquake,women,non-illiterate,those who had high disaster exposure have a high risk of PTSD,suggesting that emphasis should be placed on post-disaster trauma related intervention for this kind of high-risk population of PTSD.