摘要
目的 了解目击伤害的大学生创伤后应激障碍（PTSD）症状、应对方式及安全感的现状及其关系.方法 方便抽样法抽取广州某大学大一和大二的学生800名,用创伤后应激障碍自评量表（PTSD-SS）、简易应对方式问卷（SCSQ）和安全感量表（SQ）进行调查.结果 曾目击某人被杀死或被严重伤害的大学生有155人,阳性率为20.5%.与未目击伤害的大学生相比,有目击伤害经历的学生安全感总分[（50.78±5.63）分,（52.01±5.19）分]和积极应对因子分[（34.94±5.42）分,（35.88±5.45）分]、确定控制感得分[（25.07±4.25）分,（26.11±3.71）分]均明显偏低,PTSD症状总分及各因子分和消极应对得分均明显偏高,除人际安全感因子外,两组均差异有显著性（P＜0.05或P＜0.01）;相关分析结果 表明：目击伤害的大学生PTSD的因子分、总分与消极应对因子分呈正相关,与积极应对、人际安全感、确定控制感因子分、安全感总分均呈负相关,绝大多数相关具有显著性（P＜0.01或P＜0.05）.结论 有目击伤害经历的大学生,其PTSD症状明显、安全感较差,消极应对方式多、积极应对方式较少.
Objective To explore the posttraumatic stress disorder（PTSD） symptoms, coping styles and security sense of witnessed college students. Methods A cross-sectional survey was carried out among 800 freshmen and sophomores students from a medical university in Guangzhou. The participants were asked to fill posttraumatic stress disorder self-rating scale （PTSD-SS） ,simplified coping style questionnaire（SCSQ） and security questionnaire（SQ）. Results 155 college students had witnessed injury and the ratio was 20.5% （ P 〈 0.05 ）.Compared to the students who hadn＇t witnessed experience, the witnessed college students had less security（ 50.78± 5.63 vs 52.01 ± 5.19 ）, less active coping styles （ 34.94 ± 5.42 vs 35.88 ± 5.45 ） and less sense of control （25.07 ±4.25 vs 26.11 ±3.71 ） ,and they had got a higher score in PTSD symptoms and negative coping styles.Apart from the interpersonal sense of security,the other differences were significant between the two groups （ P〈0.05 ）; the scores of PTSD symptoms had significant correlation with the total and subscales of coping styles and sense of control （P 〈 0.01 or P 〈 0.05 ）. Conclusion The witnessed college students have severer PTSD symptoms and less security,and tend to take negative coping styles.
出处
《中华行为医学与脑科学杂志》
CAS
CSCD
北大核心
2010年第10期910-911,共2页
Chinese Journal of Behavioral Medicine and Brain Science
基金
基金项目：广东省教育厅资助项目（2008ZZ006）
关键词
大学生
目击伤害
VFSD症状
应对方式
安全感
College students
Witnessed violence
PTSD symptoms
Coping styles
Security
