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SARS患者、疫区公众PTSD的对照研究

Control Study on Posttraumatic Stress Response in SARS Patients and the Public in SARS Prevalent Area

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【作者】 徐勇张克让刘中国杨辉宋丽萍薛云珍卢莉彭超英车志强武海涛原天岗冯枚

【Author】 XU Yong, ZHANG Ke-rang, LIU Zhong-guo, et alThe First Hospital of Shanxi Medical University, Taiyuan 030001, China

【机构】 山西医科大学第一医院山西医科大学太原精神病医院山西医科大学第二医院山西省人民医院 山西太原030001山西太原030001山西太原030001

【摘要】 目的:调查SARS患者、疫区公众创伤后应激障碍(PTSD)症状的发生情况及主要影响因素。方法:采用自编的应激源-认知问卷、经修订的事件影响量表(IES-R)、领悟社会支持量表(PSSS)、简易应对方式问卷(SCSQ)、自尊量表(SES)、艾森克个性问卷(EPQ)对114例SARS患者,93例疫区公众进行测试。结果:①SARS患者PTSD可疑者检出率为55.1%,疫区公众为31.18%,组间比较差异显著(字2=14.840,P=0.000);②相关分析结果:SARS患者、疫区公众PTSD可疑者发生率不同的主要原因是应激源强度与特征的不同;消极应对方式是SARS患者、公众发生PTSD症状的危险因素,自尊是SARS患者发生PTSD症状的保护因素。结论:①SARS事件应激暴露强度不同相关人群中均产生了PTSD症状,SARS患者PTSD可疑者检出率较高。②组间差异的主要原因是应激源强度的不同,不同人群产生PTSD的影响因素不完全相同。

【Abstract】 Objective: This study investigated posttraumatic stress symptoms(PTSS) and its influencing factors in SARS patients and the public in SARS prevalent area. Methods: 114 SARS patients and 93 control subjects were interviewed with Self-compiled stressor investigation, Knowledge Questionnaire, and IES-R, PSSS, SCSQ, SES, EPQ. Results: ①The incidence of PTSD symptoms among SARS patients was 55.1% ,but that of the public in SARS prevalent area was 31.18%. There is significant difference in two groups.(?字2=14.840,P =0.000). ②The main causes of the different incidence were the difference of the stressor intensity and characters. ③Negative coping was the risk factor in the SARS patients and the public; Self-esteem was a protected factor in the SARS patients. Conclusion: ①The incidence of PTSD syndromes in SARS patients was more serious than in the public in SARS prevalent area. ②Difference in stress exposure degree of the two groups was a major suspicious related factor. Different groups of peoplle who had PTSD symptoms had different influencing factors.

【关键词】 严重急性呼吸道综合征应激障碍创伤后
【Key words】 SARSStress disorderPost-traumatic
【基金】 山西省自然科学基金(项目号:2004-1110);山西省科技攻关项目(项目号:032004-8)联合资助
  • 【文献出处】 中国临床心理学杂志 ,Chinese Journal of Clinical Psychology , 编辑部邮箱 ,2005年02期
  • 【分类号】R395
  • 【被引频次】23
  • 【下载频次】394
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