5.12汶川大地震后24個月災區小學生心理健康狀況調查_《華西醫學》

作者：

杜娜 , 朱翠珍 , 閆靜 ,  黃頤

四川大學華西醫院心理衛生中心（成都，610041）;

關鍵詞：

地震小學生創傷應激量表兒童抑郁障礙自評量表長處與困難問卷

DOI：

CNKI: 51-1356/R.20120214.1531.041

視頻：

導出 下載 收藏 掃碼 引用

摘要 全文 圖表 視頻 參考文獻 施引文獻 補充材料

目的　了解5.12汶川大地震24個月后震區小學生的心理健康狀況，為進行震后長期心理危機干預提供依據。方法　于2010年5月即汶川大地震發生后24個月，分別使用創傷應激量表兒童版（CRIES-13）、兒童抑郁障礙自評量表（DSRSC）、長處與困難問卷（SDQ）學生版，調查了553名來自于彭州災區的小學生的心理健康狀況及其影響因素。結果　 ① 災區小學生CRIES-13總分為（22.98 ± 12.29）分，其中大于劃界分（30分）者為143人，占總人數的25.9%；女性總分高于男性（Z=?2.031，P=0.042）；震后被轉移至安全地點的時間越長（OR=1.025，P=0.012）、家人傷亡越嚴重（OR=1.141，P=0.021），其CRIES-13總分大于劃界分的可能性越高。② 災區小學生DSRSC總分為（11.07 ± 5.78）分，其中總分大于劃界分（15分）者為120人，占總人數的21.7%；女性總分高于男性（Z=?2.508，P=0.012）；災區小學生的年齡（r=0.098，P=0.021）、震后被轉移至安全地點的時間（r=0.117，P=0.004）與DSRSC總分呈正相關。③ 災區小學生SDQ總困難因子得分為（14.97 ± 5.44）分，62.9%的人報告自身存在主觀困難；女性的情緒因子、親社會因子得分高于男性（Z=?3.123，P=0.002；Z=?2.243，P=0.025）；年齡越大，品行因子（χ2=7.604，P=0.023）、親社會因子（χ2=8.102；P=0.017）得分增加。結論　震后災區小學生的心理健康狀況受到性別、年齡、震后被轉移至安全地點的時間、家人傷亡程度的影響，震后長期心理危機干預應綜合考慮這些相關因素以確定高危人群。

引用本文： 杜娜,朱翠珍,閆靜,黃頤. 5.12汶川大地震后24個月災區小學生心理健康狀況調查. 華西醫學, 2012, 27(2): 254-258. doi: CNKI: 51-1356/R.20120214.1531.041 復制

1.	Yorbik O, Akbiyik DI, Kirmizigul P, et al. Post-traumatic stress disorder symptoms in children after the 1999 Marmara earthquake in Turkey[J]. Int J Mental Health, 2004, 33(1): 46-58.
2.	Dyregrov A, Yule W. Screening measures: the development of the UNICEFF screening battery[J]. Clin Child Psychol Psy, 2005, 10(2): 235-250.
3.	Smith P, Perrin S, Yule W, et al. War exposure among children from Bosnia Hercegovina: psychological adjustment in a community sample[J]. J Trauma Stress, 2002, 15(2): 147-156.
4.	景璐石, 陳婷, 司徒明鏡, 等. 中文版兒童事件影響量表劃界分研究[J]. 中華行為醫學與腦科學雜志, 2010, 19(8): 757-759.
5.	Birleson P. The validity of depressive disorder in childhood and the development of a self-rating scale: a research report[J]. J Child Psychol Psy Allied Disciplines, 1981, 22(1): 73-88.
6.	蘇林雁, 王凱, 朱焱, 等. 兒童抑郁障礙自評量表的中國城市常模[J]. 中國心理衛生雜志, 2003, 17(8): 547-549.
7.	Goodman R. Psychometric properties of the strengths and difficulties questionnaire[J]. J Am Acad Child Psy, 2000, 40(11): 1337-1345.
8.	Ronning JA, Handegaard BH, Sourander A, et al. The strengths and difficulties self-report questionnaire as a screening instrument in Norwegian community samples[J]. Eur Child Adoles Psy, 2004, 13(2): 73-82.
9.	劉書君, 黃頤, 鄧先華, 等. 中文版長處和困難量表的初步因子分析[J]. 華西醫學, 2006, 21(2): 295-296.
10.	Bulut S. Children’s posttraumatic stress reactions and sub-symptoms: three years of a longitudinal investigation study after a direct exposure to the earthquake and school’s collapse[J]. Turk Psychol Assoc, 2010, 25(66): 87-100.
11.	Dell'Osso L, Carmassi C, Massimetti G, et al. Full and partial PTSD among young adult survivors 10 months after the L’Aquila 2009 earthquake: gender differences[J]. J Affect Disord, 2011, 131(1-3): 79-83.
12.	Foa FB, Street GP. Women and traumatic events[J]. J Clin Psychiat, 2001, 62(7): 29-34.
13.	Hsu CC, Chong MY, Yang P, et al. Posttraumatic stress disorder among adolescent earthquake victims in Taiwan[J]. J Am Acad Child Adolesc Psychiatry, 2002, 41(7): 875-881.
14.	Vehid HE, Alyanak B, Eksi A. Suicide ideation after the 1999 earthquake in Marmara, Turkey[J]. Tohoku J Exp Med, 2006, 208(1): 19-24.
15.	Goenjian AK, Roussos A, Steinberg AM, et al. Longitudinal study of PTSD, depression, and quality of life among adolescents after the Parnitha earthquake[J]. J Affect Disord, 2011, 133(2): 509-515.
16.	Hankin BL, Abramson LY, Moffitt TE, et al. Development of depression from preadolescence to young adulthood: emerging gender differences in a 10-year longitudinal study[J]. J Abnorm Psychol, 1998, 107(1): 128-140.
17.	Roussos A, Goenjian AK, Steinberg AM, et al. Posttraumatic stress and depressive reactions among children and adolescents after the 1999 earthquake in Ano Liosia, Greece[J]. Am J Psychiatry, 2005, 162(3): 530-537.
18.	Verhulst FC, Achenbach TM, van der Ende J, et al. Comparison of problems reported by youths from seven countries[J]. Am J Psychiatry, 2003, 160(8): 1479-1485.

1. Yorbik O, Akbiyik DI, Kirmizigul P, et al. Post-traumatic stress disorder symptoms in children after the 1999 Marmara earthquake in Turkey[J]. Int J Mental Health, 2004, 33(1): 46-58.
2. Dyregrov A, Yule W. Screening measures: the development of the UNICEFF screening battery[J]. Clin Child Psychol Psy, 2005, 10(2): 235-250.
3. Smith P, Perrin S, Yule W, et al. War exposure among children from Bosnia Hercegovina: psychological adjustment in a community sample[J]. J Trauma Stress, 2002, 15(2): 147-156.
4. 景璐石, 陳婷, 司徒明鏡, 等. 中文版兒童事件影響量表劃界分研究[J]. 中華行為醫學與腦科學雜志, 2010, 19(8): 757-759.
5. Birleson P. The validity of depressive disorder in childhood and the development of a self-rating scale: a research report[J]. J Child Psychol Psy Allied Disciplines, 1981, 22(1): 73-88.
6. 蘇林雁, 王凱, 朱焱, 等. 兒童抑郁障礙自評量表的中國城市常模[J]. 中國心理衛生雜志, 2003, 17(8): 547-549.
7. Goodman R. Psychometric properties of the strengths and difficulties questionnaire[J]. J Am Acad Child Psy, 2000, 40(11): 1337-1345.
8. Ronning JA, Handegaard BH, Sourander A, et al. The strengths and difficulties self-report questionnaire as a screening instrument in Norwegian community samples[J]. Eur Child Adoles Psy, 2004, 13(2): 73-82.
9. 劉書君, 黃頤, 鄧先華, 等. 中文版長處和困難量表的初步因子分析[J]. 華西醫學, 2006, 21(2): 295-296.
10. Bulut S. Children’s posttraumatic stress reactions and sub-symptoms: three years of a longitudinal investigation study after a direct exposure to the earthquake and school’s collapse[J]. Turk Psychol Assoc, 2010, 25(66): 87-100.
11. Dell'Osso L, Carmassi C, Massimetti G, et al. Full and partial PTSD among young adult survivors 10 months after the L’Aquila 2009 earthquake: gender differences[J]. J Affect Disord, 2011, 131(1-3): 79-83.
12. Foa FB, Street GP. Women and traumatic events[J]. J Clin Psychiat, 2001, 62(7): 29-34.
13. Hsu CC, Chong MY, Yang P, et al. Posttraumatic stress disorder among adolescent earthquake victims in Taiwan[J]. J Am Acad Child Adolesc Psychiatry, 2002, 41(7): 875-881.
14. Vehid HE, Alyanak B, Eksi A. Suicide ideation after the 1999 earthquake in Marmara, Turkey[J]. Tohoku J Exp Med, 2006, 208(1): 19-24.
15. Goenjian AK, Roussos A, Steinberg AM, et al. Longitudinal study of PTSD, depression, and quality of life among adolescents after the Parnitha earthquake[J]. J Affect Disord, 2011, 133(2): 509-515.
16. Hankin BL, Abramson LY, Moffitt TE, et al. Development of depression from preadolescence to young adulthood: emerging gender differences in a 10-year longitudinal study[J]. J Abnorm Psychol, 1998, 107(1): 128-140.
17. Roussos A, Goenjian AK, Steinberg AM, et al. Posttraumatic stress and depressive reactions among children and adolescents after the 1999 earthquake in Ano Liosia, Greece[J]. Am J Psychiatry, 2005, 162(3): 530-537.
18. Verhulst FC, Achenbach TM, van der Ende J, et al. Comparison of problems reported by youths from seven countries[J]. Am J Psychiatry, 2003, 160(8): 1479-1485.

《華西醫學》

5.12汶川大地震后24個月災區小學生心理健康狀況調查

摘要 全文 圖表 視頻 參考文獻 施引文獻 補充材料

上一篇

下一篇

Format

Content

《華西醫學》

5.12汶川大地震后24個月災區小學生心理健康狀況調查

摘要 全文 圖表 視頻 參考文獻 施引文獻 補充材料

上一篇

下一篇

Format

Content

摘要全文圖表視頻參考文獻施引文獻補充材料