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火灾灾民创伤后应激障碍的发生及其影响因素
引用本文:陈树林,李凌江,卢原,高雪屏,张锦黎,李晏,李卫晖.火灾灾民创伤后应激障碍的发生及其影响因素[J].中国神经精神疾病杂志,2005,31(3):198-201.
作者姓名:陈树林  李凌江  卢原  高雪屏  张锦黎  李晏  李卫晖
作者单位:1. 杭州市第七人民医院
2. 中南大学湘雅二医院精神卫生研究所
3. 南华大学附属第一医院精神科
基金项目:教育部博士点基金(编号:20030533022),湖南省自然科学基金(编号:03JJY3055),国家自然科学基金(编号:30470621)的资助
摘    要:目的调查火灾创伤后应激障碍(PTSD)的发生及其影响因素。方法采用PTSD症状自评和诊断工具,在灾后40天对87名火灾的直接受害者进行评估。结果40天后有人21.8%的灾民发生PTSD,女性明显多于男性;而且在不符合PTSD诊断的灾民中,71.7%存在再体验症状,51.7%存在麻木/回避症状,65%存在过度唤起症状;既往有创伤事件经历的灾民更容易产生PTSD。结论经历火灾后,有相当一部分灾民存在PTSD症状。

关 键 词:火灾  灾民  创伤后应激障碍
修稿时间:2004年10月19

The prevalence and influencing factors of PTSD in victims of the fire
CHEN Shu-lin,LI Ling-jiang,LU Yuan,GAO Xue-ping,ZHANG Jin-li,LI Yan,LI Wei-hui.The prevalence and influencing factors of PTSD in victims of the fire[J].Chinese Journal of Nervous and Mental Diseases,2005,31(3):198-201.
Authors:CHEN Shu-lin  LI Ling-jiang  LU Yuan  GAO Xue-ping  ZHANG Jin-li  LI Yan  LI Wei-hui
Affiliation:CHEN Shu-lin,LI Ling-jiang,LU Yuan,GAO Xue-ping,ZHANG Jin-li,LI Yan,LI Wei-hui. Mental Health Instiute of the Second Xiangya Hospital,Central South University.139 Mid-RenMin Road,Changsha. 410011.
Abstract:Objective To explore the prevalence and influencing factors of post traumatic stress disorder(PTSD) in victims of the fire. Methods At the 40 thday after a fire disaster, 87 survivors were evaluated by PTSD Symptoms Self Rating Scale and SCID.Results After 40 days, the prevalence of PTSD in these survivors was 21.8%, the prevalence in women was significantly higher than that in men; In those non-PTSD survivors, 71.7% had re-experienced symptoms, 51.7% had numbness/exaping symptoms, 65% had excessive arousing symptoms; those survivors who had traumas exposing history in life time were prone to PTSD. Conclusions The prevalence of PTSD after the fire disaster was high; survivors after the fire disaster need to be intervened effectively.
Keywords:Fire disaster  Victims  Post-traumatic stress disorder
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