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目的:研究经历热射病事件后官兵创伤后应激障碍发生的特点及其采取的应对方式。方法:选择经历热射病应激事件的官兵73例,采用国际疾病分类(ICD-10)中急性应激障碍(ASD)和创伤后应激障碍(PTSD)诊断标准进行诊断,并采用症状自评量表(SCL-90)和应对方式问卷进行测查。结果:应激事件后2个月,73例中曾经符合ASR诊断标准17例,符合PTSD诊断标准9例;PTSD组SCL-90总分分值和躯体化、强迫症状、人际关系敏感、抑郁、焦虑、敌对、恐怖、偏执、精神病性等因子分值,均显著或非常显著高于非PTSD组(P<0.05,P<0.01);PTSD组的退避、幻想、自责、不成熟型等应对方式分值均显著或非常显著高于非PTSD组(P<0.05,P<0.01),而解决问题、求助和成熟型等应对方式分值均显著或非常显著低于非PTSD组(P<0.05,P<0.01)。结论:部队官兵发生热射病事件后,PTSD患者并不少见,且多采取不成熟型的应对方式。
Objective: To study the characteristics of post-traumatic stress disorder and its coping style after experiencing thermal incident. Methods: Seventy-three officers and men who were experiencing the heat stroke were enrolled in this study. The diagnostic criteria for acute stress disorder (ASD) and post-traumatic stress disorder (PTSD) in the International Classification of Diseases (ICD-10) were selected. Questionnaire (SCL-90) and Coping Style Questionnaire. Results: In the two months after the stress event, 17 of the 73 cases had met ASR diagnostic criteria and 9 cases met the PTSD diagnostic criteria. The total score of SCL-90 in PTSD group was associated with somatization, obsessive-compulsive symptoms, interpersonal sensitivity, depression, Anxiety, hostility, terror, paranoid, psychotic and other factors were significantly or very significantly higher than non-PTSD group (P <0.05, P <0.01); PTSD group retreat, fantasy, self-blame, immature type (P <0.05, P <0.01), while scores of coping style, help-seeking and maturity type were all significantly or very significantly lower than those in non-PTSD group (P <0.05 , P <0.01). CONCLUSIONS: PTSD patients are not uncommon after the incident of heat and radioactive disease in officers and soldiers of the armed forces, and most adopt the immature type of coping style.