摘要
创伤后应激障碍是震后受害人常见的心理障碍之一,针对震后受害人创伤应激恢复的干预众多,但是全面考虑创伤后应激障碍潜在症状和影响因素的干预措施不多。因此,震后医护人员对受害人进行创伤应激恢复建模分析,研究创伤后应激障碍潜在症状结构,通过创伤后应激障碍症状量表和医学编制的抑郁量表对受害人进行调查,发现精神痛苦唤起模型拟合度最高,且其外部区分效果较佳,模型中的精神痛苦唤醒症状、麻木性症状同震后受害人抑郁的相关度较高,可作为医护人员判定受害人创伤后应激症状的有效标准;医护人员可考虑人口社会学变量、地震暴露变量、社会支持等社会环境因素和地震后其他心理疾患及心理干预等因素,以团体干预、个体干预等形式对受害人创伤应激进行恢复。
Post-traumatic stress disorder (PTSD) is one of the common psychological disorders of post-earthquake victims. There are many interventions for post-earthquake victims to recover from traumatic stress, but few are comprehensively considering the potential symptoms and influencing factors of PTSD. Therefore, after the earthquake, the medical staff conducted a model analysis of traumatic stress recovery, studied the potential symptoms of post-traumatic stress disorder, and investigated the victims through the symptoms scale of post-traumatic stress disorder and the depression scale compiled by the medical department. It was found that the mental distress arousal model had the highest fitting degree, and its external differentiation effect was better. The mental distress arousal symptoms and numbness symptoms in the model had a higher correlation with the depression of the victims after the earthquake, which could be used as an effective criterion for medical staff to determine the symptoms of the victims’ post-traumatic stress. Medical staff can take into account social environmental factors such as demographic sociological variables, earthquake exposure variables, social support and other psychological disorders and psychological intervention after the earthquake to restore traumatic stress in the form of group intervention and individual intervention .
作者
刘爽
汤亚箐
范冬萍
黄映勤
何其英
张先庚
LIU Shuang;TANG Yaqing;FAN Dongping;HUANG Yingqin;HE Qiying;ZHANG Xiangeng(Department of Urology/Institute of Urology, West China Hospital Institute of Urology, Sichuan University,Chengdu 610041, China;Sichuan Vocational College of Nursing, Chengdu 610100, China)
出处
《灾害学》
CSCD
北大核心
2019年第4期185-190,共6页
Journal of Catastrophology
基金
四川地区卫计委项目(18PJ252)
关键词
地震
震后
医护人员
受害人
创伤应激恢复
建模分析
earthquake
post-earthquake
medical staff
victims
trauma stress recovery
modeling analysis
