摘要
目的：探讨不同亚型应激相关障碍患者遭受的精神创伤事件类型及应对方式的差异。方法将84例应激相关障碍患者按亚型分为急性应激障碍31例（A 组）、创伤后应激障碍28例（B 组）和适应障碍25例（C 组），于病情稳定时采用创伤性生活事件量表、简易应对方式问卷进行测评分析，并统计临床症状；将30名健康者设为健康组，并进行简易应对方式问卷测评。结果3组患者8种临床症状比较差异有显著性（P＜0．05或0．01），生理功能障碍比较差异无显著性（P＞0．05）；多数创伤事件比较差异无显著性（P＞0．05），发生自身死亡或疾病威胁、遭受伴侣暴力或婚姻受挫事件比较差异有显著性（P＜0．05或0．01）；简易应对方式问卷总分及积极应对、消极应对维度分比较差异有显著性（P＜0．01），消极应对维度分均较高。3组患者简易应对方式问卷总分及消极应对维度分均显著高于健康组（P ＜0．01），积极应对维度分显著低于健康组（P＜0．01）。结论不同亚型应激相关障碍患者遭受精神创伤事件的类型大致类似，但严重程度不同，采取消极应对方式是各亚型应激障碍的共性。
Objective To explore the differences in psychological trauma event types and coping styles a‐mong patients with stress‐related disorders （SRD） of different subtypes .Methods According to subtypes 84 SRD patients were divided into acute stress disorder （n= 31 ,group A） ,post‐traumatic stress disorder （n= 28 ,group B） and adjustment disorder （n= 25 ,group C） ,assessments carried out using the Traumatic Life Event Questionnaire （TLEQ） and Simplified Coping Style Questionnaire （CSQ） when patients’ condi‐tions were stable ,clinical symptoms added up ;30 healthy adults were assigned to health group and as‐sessed with the CSQ .Results There were significant differences in 8 kind clinical symptoms of 3 group patients （P〈 0 .05 or 0 .01） ,no significant difference in physiological dysfunction （P〉 0 .05） ;comparisons of most trauma events had no significant differences （P〉 0 .05） ,those of death or illness threat ,suffering from partner’s violence and marriage frustration did significant differences （P 〈 0 .05 or 0 .01） ;compari‐sons of total ,positive and negative coping scores of the CSQ had significant differences （P〈 0 .01） ,nega‐tive coping scores of 3 groups were all higher .The total and negative coping scores of 3 group patients were significantly higher （P〈 0 .01） and positive lower （P〈 0 .01） than those of health group .Conclusion Psychological trauma event types of patients with SRD of different subtypes are more or less similar ,but severities different ,adopting negative coping styles is the commonness of all subtypes SRD .
出处
《临床心身疾病杂志》
CAS
2015年第5期91-93,97,共4页
Journal of Clinical Psychosomatic Diseases
