汶川地震后1.5年空降兵救援部队创伤后应激障碍状况及影响因素分析

目的 探讨汶川地震后1.5年空降兵救援部队的创伤后应激障碍(posttraumatic stress disorder,PTSD)的发生率及其影响因素.方法 在地震后1.5年时,使用自编的一般情况调查表、创伤后应激障碍量表平民版(PCL-C)、症状自评量表(SCL-90)、抑郁自评量表(SDS)、艾克森人格问卷(EPQ)对空降兵某部参加抗震救灾的183名官兵进行调查.结果空降兵救援部队的PCL-C总分≥38分6例,PTSD发生率为3.28%;PCL-C总分与SCL-90总分、神经质得分、SDS总分呈显著正相关(P＜0.01),与内外向得分呈显著负相关.救援人员中受伤组与未受伤组、家庭损失组与未损失组、接触尸体组与未接触尸体组的PCL-C总分差异均有统计学意义(P＜0.05或P＜0.01).回归分析显示军龄、神经质、家庭受损、救灾中受伤、接触死难者尸体为PTSD发生的影响因素.结论地震后1.5年时,空降兵救援部队PTSD的发生率高于军队的平时水平(0.49%),地震后期空降兵救援部队的PTSD值得继续关注.

Abstract：

Objective To investigate the prevalence rate and the related risk factors of posttraumatic stress disorder ( PTSD) in the rescue paratroopers 1.5 year after Wenchuan earthquake. Methods A total of 183 rescue paratroopers who participated in disaster rescue after Wenchuan earthquake were investigated with the questionnaires composed by General state of health questionnaire, PTSD Checklist-Civilian Version ( PCL-C), Symptom Checklist-90 ( SCL-90), Self-Rating Depression Scale ( SDS) and Eysenck Personality Questionnaire (EPQ). Results Six rescue paratroopers had total PCL-C score ≥ 38 points, with the prevalence rate of PTSD for 3.28%. Total PCL-C score was positively correlated with total SCL-90 score, N score of EPQ and total SDS score (P ＜ 0. 01), but negatively correlated with E score of EPQ. Total PCL-C score showed statistical difference between injury group and uninjury group, family loss group and family integrity group, contacting corpses group and none contacting corpses group (P＜0.05 or ＜0.01). Regression analysis showed the length of military service, nervousness, family loss by earthquake, suffering injuries or contacting corpses during relief operations were the risk factors for PTSD. Conclusion The prevalence rate of PTSD in the rescue paratroopers is higher than that in normal troops (0.49% ) 1.5 year after Wenchuan earthquake, indicating that further attention should be paid to the rescue paratroopers in later period after earthquake.

Prevalence and related risk factors of posttraumatic stress disorder in rescue paratroopers 1.5 year after Wenchuan earthquake

Objective To investigate the prevalence rate and the related risk factors of posttraumatic stress disorder ( PTSD) in the rescue paratroopers 1.5 year after Wenchuan earthquake. Methods A total of 183 rescue paratroopers who participated in disaster rescue after Wenchuan earthquake were investigated with the questionnaires composed by General state of health questionnaire, PTSD Checklist-Civilian Version ( PCL-C), Symptom Checklist-90 ( SCL-90), Self-Rating Depression Scale ( SDS) and Eysenck Personality Questionnaire (EPQ). Results Six rescue paratroopers had total PCL-C score ≥ 38 points, with the prevalence rate of PTSD for 3.28%. Total PCL-C score was positively correlated with total SCL-90 score, N score of EPQ and total SDS score (P ＜ 0. 01), but negatively correlated with E score of EPQ. Total PCL-C score showed statistical difference between injury group and uninjury group, family loss group and family integrity group, contacting corpses group and none contacting corpses group (P＜0.05 or ＜0.01). Regression analysis showed the length of military service, nervousness, family loss by earthquake, suffering injuries or contacting corpses during relief operations were the risk factors for PTSD. Conclusion The prevalence rate of PTSD in the rescue paratroopers is higher than that in normal troops (0.49% ) 1.5 year after Wenchuan earthquake, indicating that further attention should be paid to the rescue paratroopers in later period after earthquake.