摘要
目的了解2022年9月5日泸定地震中受灾居民在灾后重建时期的心理状态,为心理干预及康复提供依据。方法采用12项一般健康问卷(GHQ-12)、事件影响量表修订版(IES-R)、创伤后应激障碍自评量表(PCL-C)、躯体化症状自评量表(SSS)、总体幸福感量表(GWB)调查受灾居民在灾后重建时期的一般心理状态、应激状态及幸福感。选择非参数秩和检验、X^(2)检验、Spearman秩相关及非条件二分类Logistic回归进行数据分析。结果本研究调查了214名受灾居民。结果提示灾后重建时期GHQ-12、IES-R、PCL-C和SSS总分分别为29(24,31)分、38(23,49)分、35(30,46)分和42(34,51)分,GHQ-12、IES-R和SSS总分均高于成人常模;而GWB总分为82(66,90)分。在灾后重建时期,调查对象GHQ-12检出率在性别和地区方面差异有统计学意义(P<0.05)。IES-R和PCL-C总分或检出率在不同性别、年龄段或地区差异均无统计学意义(P>0.05)。受灾居民的SSS总分及检出率在不同地区差异有统计学意义(P<0.05)。受灾居民的GWB总分在不同地区差异有统计学意义(P<0.05),检出率与性别和年龄段有关。灾后重建时期受灾居民GWB总分与GHQ-12、IES-R、PCL-C和SSS得分均呈负相关。结论在地震灾后重建时期受灾群体的心理状态普遍较差,幸福感较低,应激水平较高。需要加强对受灾居民的心理援助和社会支持。
Objective To investigate psychological status of residents affected by the Luding earthquake on September 5,2022 during the post-disaster reconstruction period,so as to provide a basis for psychological intervention and rehabilitation.Methods The general health questionnaire-12(GHQ-12),impact event scale-revised(IES-R),post-traumatic stress disorder checklist-civilian(PCL-C),somatic self-rating scale(SSS),and general well-being schedule(GWB)were used to investigate general mental state,stress,and well-being of the affected residents during the post-disaster reconstruction period.Nonparametric rank sum test,X^(2) test,Spearman rank correlation and unconditional binary Logistic regression were selected for statistic analysis.Results 214 affected residents were investigated in this study.Results showed that during the post-disaster reconstruction period,total scores of GHQ-12,IES-R,PCL-C and SSS were 29(24,31),38(23,49),35(30,46)and 42(34,51),respectively.And total scores of GHQ-12,IES-R and SSS were higher than those of adult norm,while total score of GWB was 82(66,90).There were differences in the detection rate of GHQ-12 between sexes and regions(P<0.05).No significant difference was found in the total score or detection rate of IES-R and PCL-C among different genders,ages or regions(P>0.05).Total score and detection rate of SSS of affected residents were different in different areas(P<0.05).Total score of GWB of affected residents was different in different areas,and detection rate was related to sex and age(P<0.05).Total score of GWB was negatively correlated with scores of GHQ-12,IES-R,PCL-C and SSS.Conclusion Earthquake would made psychological state of affected residents during the post-disaster reconstruction period generally poorer,with a lower sense of well-being and higher levels of stress.It is necessary to strengthen psychological assistance and social support to the affected residents.
作者
姜永芬
罗钰鼎
赵思佳
邹永蓉
李车琼
牟燕
陈晨
Jiang Yongfen;Luo Yuding;Zhao Sijia(Ya‘an People‘s Hospital,Ya’an,Sichuan 625000;Affiliated Hospital of Southwest Medical University,Luzhou,Sichuan 646000,China)
出处
《四川医学》
CAS
2023年第10期1013-1019,共7页
Sichuan Medical Journal
基金
世界健康基金会(美国)上海代表处2023年度活动计划(9.5泸定地震救灾)。
关键词
心理健康
创伤后应激障碍
躯体化症状
自然灾害
地震
mental health
post-traumatic stress disorder
somatization symptoms
natural disasters
earthquakes
