Objective We want to understand the Wenchuan earth quake after 2 months to 2 years of primary school teachers, and in order to develop targeted interventions in mental health. Methods SCL-90 scale and the defense style questionnaire, after the earthquake in Wenchuan 2 months, 8 months and 24 months respectively, the epicenter of Wenchuan county, wisconsin primary survey of 53 teachers, a teacher at the same time, survey results were used to group counseling, individual counseling. Results After 2 months, About 39. 6％ of the teachers showed significant psychological barrier, 18.9％ of teachers have a serious psychological disorder, psychological problems were mainly sort of forced, depression, somatization , relationships, sleep,etc. Through psychological intervention, 8 months after the disaster, the proportion of teachers with psychological problems was 20. 8％, have serious psychological problems to teacher ratio was 11.3％, 2 years after the survey of mental problems was 18.9％ , the ratio of serious psychological problems 16. 9％. Conclusion After the earthquake two months, some teachers have significant psychological problems, about 8 months, after a psychological crisis intervention, psychological problems were significantly lower, indicating that psychological intervention had a significant effect, but in post-disaster two years of survey psychological problems of the teachers had no obvious improvement, indicating poor long-term intervention.%目的 了解灾后2个月至2年间小学教师的心理健康状况变化,以便有针对性的制定干预措施.方法 使用SCL-90量表和防御方式问卷量表,在汶川地震后2、8、24个月分别对震中汶川县城威州小学53名教师进行调查,同时对调查结果中老师分别采用团体辅导、个别辅导等进行心理干预.结果 2个月时39.6%的教师表现为明显心理障碍,18.9%的教师有严重心理障碍,心理问题主要表现排序分别为强迫、抑郁、躯体化、人际关系、睡眠等.通过心理干预,灾后8个月,有心理问题的教师比例为20.8%,有严重心理问题的教师的比例为11.3%,2年后调查显示教师心理问题发生率为18.9%,严重心理问题比例为16.9%.结论 地震后2个月,灾区教师有明显的心理问题,灾后8个月,经过心理危机干预后,心理问题发生率显著降低,显示心理干预有明显的效果,但是在灾后2年的调查显示有心理问题的教师改善不明显,提示远期干预效果不佳.
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