摘要
目的:考察宜宾震后青少年创伤后应激障碍、抑郁与情绪调节策略等状况及其在性别、年级上的差异,探讨PTSD、抑郁与情绪调节策略三者之间的关系,为创伤后心理危机干预提供依据。方法:采用创伤后应激障碍量表、抑郁量表、情绪调节策略量表,对宜宾震中长宁县321名青少年进行测量。结果:(1)震后2周,6.50%的青少年有PTSD倾向,46.40%的青少年有抑郁症状,表现出更多的回避性症状(维度得分3.24±0.77)以及警觉性增高症状(维度得分10.24±2.49);(2)从性别看,女生的CES-D量表得分(t=-2.804,P<0.01)及发生率(χ^(2)=7.100,P<0.05)均显著高于男生,同时其ERQ量表的认知重评维度得分(t=-2.154,P<0.05)亦显著高于男生,而男生的ERQ量表表达抑制维度得分(t=2.650,P<0.01)显著高于女生;从年级看,初中生PCL-5得分(t=3.147,P<0.05)及发生率(χ^(2)=15.797,P<0.01)均显著高于高中生,同时在认知重评维度(χ^(2)=5.747,P<0.05)上高中生得分显著高于初中生;(3)被试的PCL-5量表得分与CES-D量表得分呈显著正相关(r=0.639,P<0.01),与ERQ量表的认知重评维度得分呈显著负相关(r=-0.187,P<0.01),与表达抑制维度得分呈显著正相关(r=0.139,P<0.05);被试CES-D量表上的得分与ERQ量表的认知重评维度得分呈显著负相关(r=-0.260,P<0.01),与表达抑制维度得分呈显著正相关(r=0.120,P<0.05);(4)有PTSD倾向的被试在CES-D量表上得分显著高于没有PTSD倾向的被试(t=5.617,P<0.01);同时,有PTSD倾向的被试在ERQ量表的认知重评维度得分显著低于没有PTSD倾向的被试(t=-2.870,P<0.01),有抑郁症状的被试在PCL-5量表上得分显著高于没有抑郁症状的被试(t=12.194,P<0.01);同时,有抑郁症状的被试和没有抑郁症状的被试分别在ERQ量表的两个维度上得分呈显著差异,表现为有抑郁症状的在表达抑制维度上显著高于没有抑郁症状的(t=2.021,P<0.05);而认知重评维度上,有抑郁症状的则显著低于没有抑
Objective:To investigate the post-traumatic stress disorder(PTSD),depression and emotion regulation strategies among teenagers after the Yibin earthquake and their gender and grade differences,and to explore the relationship among PTSD,depression and emotion regulation strategies,so as to provide evidence for the intervention of post-traumatic psychological crisis.Methods:A total of 321 teenagers in Changning County,the epicenter of Yibin earthquake,were measured with PTSD Scale,depression scale and emotion regulation strategy scale.Results:(1)Two weeks after the earthquake,6.50%of the teenagers had PTSD tendency,and 46.40%of the teenagers had depression,showing more avoidance symptoms(dimension score 3.24±0.77)and increased alertness symptoms(dimension score 10.24±2.49).(2)From the perspective of gender,the CES-D score(t=-2.804,P<0.01)and incidence rate(χ^(2)=7.100,P<0.05)of female students were significantly higher than those of male students.The score of cognitive reappraisal dimension of ERQ scale(t=-2.154,P<0.05)was also significantly higher than that of boys,while the score of inhibition of ERQ scale expression dimension of boys(t=2.650,P<0.01)was significantly higher than that of girls;from the perspective of grade,the score of pcl-5(t=3.147,P<0.05)and incidence(χ^(2)=15.797,P<0.01)of junior high school students were significantly higher than those of senior high school students,and the score of cognitive reappraisal dimension(χ^(2)=5.747,P<0.05)of senior high school students was significantly higher than that of junior high school students;(3)The score of pcl-5 was significantly positively correlated with the score of CES-D(r=0.639,P<0.01),which was negatively correlated with the score of cognitive reappraisal dimension of ERQ(r=-0.187,P<0.01),and positively correlated with the score of expression inhibition dimension(r=0.139,P<0.05);the score of CES-D was negatively correlated with the score of cognitive reappraisal dimension of ERQ(r=-0.260,P<0.01),and positively correlated with the score of expres
作者
卢皓扬
蔡琳
石宇宁
何奎莲
陈秋燕
LU Haoyang;CAI Lin;SHI Yuning(Southwest Minzu University,Chengdu 610000,China)
出处
《中国健康心理学杂志》
北大核心
2021年第5期762-767,共6页
China Journal of Health Psychology
基金
西南民族大学研究生“创新型科研项目”灾区中学生心理成长的一次单元团体辅导实证研究(编号:CX2020SP51)。
关键词
地震灾害
青少年
创伤后应激障碍
抑郁
认知重评
表达抑制
Earthquake disaster
Teenagers
PTSD
Depression
Cognitive reappraisal
Expression inhibition
