中国临床心理学杂志

SARS患者、疫区公众PTSD的对照研究

作者：徐勇⁵ 张克让⁵ 刘中国⁵ 杨辉⁵ 宋丽萍⁵ 薛云珍¹ 5 卢莉¹ 5 彭超英² 5 车志强² 5 武海涛³ 5 原天岗³ 5 冯枚⁴ 5

单位：1. 山西医科大学
2. 太原精神病医院
3. 山西医科大学第二医院
4. 山西省人民医院
5. 山西医科大学第一医院山西太原 030001

分类号：B845.67

出版年,卷(期):页码：2005,13(2):210-212

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(χ²=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。

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.(χ²=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.

基金项目：

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

作者简介：

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