地震后创伤性应激障碍的发生率和影响因素.pdfVIP

28 1999 13 1 1 2 3 2 2 1 汪向东　赵丞智 　新福尚隆　张富　范启亮　吕秋云 : , : 181 , DSM - , : , ( ASD) 6. 1% , 3 (PTSD) 18. 8% , 7. 2% Logistic , PTSD , PTSD Prevalence and predictors of PTSD after earthquake: Findings from a randomized community sample in north China W ang X iang dong , Zhao Chengz hi , N aotak a S hinf uku , et al . I nst it ute of M ental H ealth , B e ij ing M ed ical Un iv ersity , B eij ing , Ch ina 100083 Abstract Ob ective T o invest igat e t e prevalence and predictors of postt raumatic stress disorder (PT SD) in a C inese rural area affected by an eart quake. Method One undred eig t y-one subjects, sampled randomly from tw o vil- lages at different distances from epicenter, were assessed for acute st ress disorder ( ASD) and PT SD wit t e DSM- . - -90 . criteria WHOQOL BREF and t ree subscales of Symptoms C ecklist w ere also administered Result T e incidences of ASD and PT SD w ere 6. 1% and 18. 8% respectively, wit a current PTSD prevalence of 7. 2% at t ree mont s post . T e subjects w it PTSD diagnosis reported poorer quality of life and ig er psyc ological symptoms. Logistic regression , , . indicated t at t e PT SD diagnosis is predict ed by gender satisfact ion wit material support and dissociat ive symptoms Conclusion T ese result s suggest t at prevalence of postdisast er PTSD in C ina is similar to t ose reported elsew ere, w ic is relevant to a group of fact ors including preexisting and posteart quake variables. Key wordsPosttraumatic stress disorderacute stress disorder natural disasterssocial support PTSD