烟台海难援救军人创伤后应激障碍发生者SCL-90分析

目的　了解海难援救军人的创伤后应激障碍(PTSD)发生者的心理健康状况 .方法　采用创伤后应激障碍自评量表、症状自评量表 (SCL- 90 ) ,在海难事件后 1mo对参与善后援救军人进行调查 ,分析创伤后应激障碍发生者的SCL - 90结果 .结果　 PTSD发生者的阳性症状均分和附加因子得分高于 PTSD未发生者 (P<0 .0 5和 P<0 .0 1) .大部分SCL- 90因子分在 PTSD发生者异常分部明显高于未发生者(P <0 .0 5或 P <0 .0 1) .PTSD得分与 SCL - 90总分 (r=0 .70 4,P<0 .0 1)、总均分 (r=0 .70 4,P<0 .0 1)、阳性项目数(r=0 .6 35 ,P<0 .0 1)、阳性症状均分 (r=0 .5 30 ,P<0 .0 1)、躯体化 (r=0 .6 81,P<0 .0 1)、强迫症状 (r=0 .6 98,P<0 .0 1)、人际敏感 (r=0 .6 48,P<0 .0 1)、抑郁 (r=0 .6 12 ,P<0 .0 1)、焦虑 (r=0 .6 91,P<0 .0 1)、敌对 (r=0 .5 41,P<0 .0 1)、恐怖 (r=0 .476 ,P<0 .0 1)、偏执 (r=0 .5 0 8,P<0 .0 1)、精神病性 (r=0 .5 74,P<0 .0 1)和附加因子 (r=0 .6 32 ,P<0 .0 1)量分均呈显著正相关 ,而与阴性症状项目数呈负相关 (r=- 0 .6 35 ,P<0 .0 1) .结论　创伤后应激障碍发生者的心理卫生状况显著差于 PTSD未发生者 ,创伤后应激障碍自评量表与 SCL - 90具有较高的相关性

Analysis of SCL-90 results of the shipwreck related military rescuers with and without PTSD in Yantai

AIM To study mental health status of the shipwreck related military rescuer with and without posttraumatic stress disorder (PTSD) in Yantai and provide basis for evaluation of their mental health. METHODS Thirty nine shipwrecks related military rescuers were investigated by PTSD self rating scale with the CCMD 2 R criteria and Symptom checklist 90 (SCL 90) at one month after wreck. RESULTS The prevalence of PTSD in the rescuers was 18%. The factor scores of positive mean and additional items of SCL 90 and abnormal distribution of almost SCL 90 items were higher in the group with PTSD than that in the group without PTSD ( P <0.05 or P <0.01). The significant influence factors impacting on PTSD score included almost all items of SCL 90 ( P <0.01). CONCLUSION Mental health status of military rescue personnel with PTSD after wreck is promising. PTSD self rating scale with the CCMD 2 R criteria is significantly correlated with Symptom checklist 90 (SCL 90).