玉树地震后罹患创伤后应激障碍、焦虑症和抑郁症调查

摘要

目的：调查玉树地震后不同人群创伤后应激障碍（PTSD）、焦虑症、抑郁症的发生情况。方法：抽取震后灾区人群、其非灾区的亲属人群、灾区救援人群及非灾区人群为对象，每一人群进行随机分成两组，第1组每周进行1次集体心理干预；第2组每周进行3次集体心理干预。采用 PTSD 检查量表平民版（PCL-C）、焦虑自评量表（SAS）、抑郁自评量表（SDS）对不同人群在3个月、6个月进行问卷调查。结果：各人群在干预3个月和6个月均检出 PTSD、焦虑症、抑郁症。各人群中第2组干预6个月时 PTSD、焦虑症、抑郁症检出率明显低于干预3个月时（P 均﹤0.02）。结论：震后不同人群均存有PTSD、焦虑症、抑郁症发生；随着时间推移及积极干预可明显降低其发生。%Objective:To investigate the occurrence of post traumatic stress disorder( PTSD),anxiety and depression for different groups after the earthquake of Yushu. Method:The different population including stricken people,relatives of stricken people,relief workers and non-stricken people were selected. Each people was randomly divided into two groups,one of which received collective psychological intervention once a week, while the other three times a week. PTSD checklist(PCL-C),self-rating anxiety scale(SAS),self-rating depres-sion scale(SDS)were used to investigate different groups of victims in 3 months and six months after the earth-quake. Results:The detection rate of PTSD,anxiety,depression of different groups is different 3 or 6 months after the earthquake. The detection rate of PTSD,anxiety,and depression in people from the same group showed a downward trend as the time passed,the distance from the hypocenter increased and crisis intervention strength-en. Conclusion:There are different degrees of PTSD,anxiety,depression in different groups of people in dif-ferent stages. The psychological intervention can improve them.