• 1.四川大學(xué)華西醫(yī)院心理衛(wèi)生中心;2. 成都市第七中學(xué),四川成都 610041;

目的:了解汶川大地震自然災(zāi)難對(duì)幸存者心理健康狀況的影響。方法:在地震發(fā)生后1月內(nèi)采用SCL-90對(duì)地震災(zāi)區(qū)幸存者進(jìn)行心理健康狀況評(píng)估。結(jié)果:SCL-90各因子分中,軀體化、抑郁、焦慮及敵對(duì)因子災(zāi)區(qū)幸存者均高于常模,其余各因子災(zāi)區(qū)幸存者均低于常模;男性、女性之間和不同文化程度之間比較, SCL-90總均分及各因子分差異均無(wú)統(tǒng)計(jì)學(xué)意義(P均 gt;0.05);不同居住地之間比較,軀體化、恐怖和偏執(zhí)因子差異有統(tǒng)計(jì)學(xué)意義。 其中,軀體化癥狀中,居住農(nóng)村者均分最高(2.06±1.23),其次為山區(qū)幸存者(1.75±0.47),城市幸存者最輕(1.63±0.51)(P= 0.042),而在恐怖、偏執(zhí)因子分中,居住山區(qū)者最高(1.36±0.68;1.59±0.79),其次為農(nóng)村(1.15±0.39;1.34±0.45),城市最低(1.07±0.30;1.25±0.35)(P均= 0.015)。結(jié)論:特大地震自然災(zāi)難給幸存者造成的心理創(chuàng)傷很普遍,需要對(duì)幸存者進(jìn)行及時(shí)的心理危機(jī)干預(yù),政府衛(wèi)生部門(mén)在制定救援政策時(shí)有必要納入心理危機(jī)干預(yù)計(jì)劃。

引用本文: 黃雪花,梁雪梅,張建承. 汶川大地震幸存者心理健康狀況調(diào)查研究. 華西醫(yī)學(xué), 2009, 24(4): 1003-1005. doi: 復(fù)制

1.
2. 張明園,主編.精神衛(wèi)生評(píng)定量表手冊(cè)[M].長(zhǎng)沙:湖南科學(xué)技術(shù)出版社,1993:16-41..
3. METIN B A, SOGLU, EBRU S, et al. Traumatic Stress Responses in Earthquake Survivors in Turkey[J]. Journal of Traumatic Stress, 2002,15,(4):269–276..
4. SANDRO GALEA, ARIJIT NANDI, DAVID VLAHOV.The Epidemiology of Post-Traumatic Stress Disorder after Disasters[J]. Epidemiologic Reviews,2005;27:78–91..
5. J ZOHAR, Y SASSON, D AMITAL, et al. Current diagnostic issues and and Epidemiological Insights in PTSD[J]. CNS Spectrums, 1998,3(7-Suppl.2):12-14..
6. YEHUDA R, MCFARLANCE A C. Conflict between current Knowledge about posttraumatic stress disorder and its original conceptual basis[J]. Am J Psychiatry,1995,152:1705-1713..
7. VEYSEL YILMAZ, SENGUL CANGUR H, ERAY C ELIK. Sex difference and earthquake experience effects on earthquake victims[J]. Personality and Individual Differences, 2005,39:341–348..
  1. 1.
  2. 2. 張明園,主編.精神衛(wèi)生評(píng)定量表手冊(cè)[M].長(zhǎng)沙:湖南科學(xué)技術(shù)出版社,1993:16-41..
  3. 3. METIN B A, SOGLU, EBRU S, et al. Traumatic Stress Responses in Earthquake Survivors in Turkey[J]. Journal of Traumatic Stress, 2002,15,(4):269–276..
  4. 4. SANDRO GALEA, ARIJIT NANDI, DAVID VLAHOV.The Epidemiology of Post-Traumatic Stress Disorder after Disasters[J]. Epidemiologic Reviews,2005;27:78–91..
  5. 5. J ZOHAR, Y SASSON, D AMITAL, et al. Current diagnostic issues and and Epidemiological Insights in PTSD[J]. CNS Spectrums, 1998,3(7-Suppl.2):12-14..
  6. 6. YEHUDA R, MCFARLANCE A C. Conflict between current Knowledge about posttraumatic stress disorder and its original conceptual basis[J]. Am J Psychiatry,1995,152:1705-1713..
  7. 7. VEYSEL YILMAZ, SENGUL CANGUR H, ERAY C ELIK. Sex difference and earthquake experience effects on earthquake victims[J]. Personality and Individual Differences, 2005,39:341–348..