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青少年创伤后应激症状与创伤后成长的关系
Relationship between posttraumatic stress symptoms and post-traumatic growth in adolescents

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张金凤 1   史占彪 2 *   祝卓宏 2  
文摘 目的探究青少年的创伤后应激症状对创伤后成长的影响。方法于2011年6月,选取汶川地震灾区便于调查的两所中学,随机选取20个班级共1123名初中生进行创伤后应激障碍(PTSD)反应指数修改版、儿童抑郁障碍自评量表(DSRS)、儿童焦虑性情绪障碍筛查表(SCARED)、创伤后成长量表(PTGI)调查。结果女生相比男生有较高的的抑郁[女(14.72±5.49)分,男(13.08±5.83)分]、焦虑得分[女(31.54±15.43)分,男(27.03±17.09)分];少数民族学生相比汉族学生有较高的PTGI[少数民族(59.97±14.06)分,汉族(57.71±15.06)分]、PTSD[ (22.05±12.12)分,(19.42±12.78)分]、焦虑得分[(30.36±16.35)分,(28.01±16.39)分];父亲受教育程度高(高中及以上)的学生比父亲受教育程度低(初中、小学及以下)的学生抑郁得分低、PTGI得分高。差异具有显著性(P<0.05)。相关分析显示,PTGI总分与PTSD总分、麻木与回避、高警觉维度得分、抑郁得分、学校回避维度得分负相关(r=-0.074,-0.091,-0.075,-0.360,-0.088,均P<0.05)。回归分析显示,抑郁量表得分与PTGI总分及各维度得分负相关(β= -0.365,-0.332,-0.332,-0.315,-0.284,均P<0.05)。结论青少年的抑郁症状与创伤后成长具有负性关系,不利于创伤后成长的产生。
其他语种文摘 Objective To investigate the relationship between post-traumatic stress symptoms and posttraumatic growth among adolescents. Methods In total, 1123 junior middle school students sampled from the Wenchuan earthquake area were assessed in june 2011. Questionnaires included the UCLA PTSD Reaction Index for DSM-IV(Revision 1),Depression Self-Rating Scale for Children (DSRS), the Screen for Child Anxiety Related Emotional Disorders(SCARED), and Post-traumatic Growth Inventory (PTGI). Results The girls reported significantly higher levels of depression(girls 14.72±5.49, boys 13.08±5.83) and anxiety(girls 31.54±15.43,boys 27.03±17.09) than boys(P<0.05). The minorities reported significantly higher levels of PTG (minorities 59.97±14.06,Han 57.71±15.06), PTSD (22.05±12.12,19.42±12.78) and anxiety (30.36± 16.35,28.01±16.39) than the Han students (P<0.05). The students whose father had higher degree of education reported lower level of depression and higher level of PTG(P<0.05). Correlation analysis showed that the PTSD total score, avoidance, arousal, DSRS and school avoidance scores were negatively related to PTGI score(r=-0.074, -0.091, -0. 075,-0. 360,-0. 088,P<0.05). Linear regression analysis showed that the DSRS score was negatively related to PTGI total score and its four sub-scores(β=-0.365, -0.332,-0.332, -0.315,0.284,P<0.05). Conclusion Depression symptoms is negatively correlated with PTG and may be an adverse factor for post-traumatic growth in adolescents.
来源 中华行为医学与脑科学杂志 ,2013,22(8):739-742 【扩展库】
关键词 创伤后成长 ; 创伤后应激障碍 ; 抑郁 ; 焦虑
地址

1. 中国科学院大学, 中国科学院心理健康重点实验室, 北京, 100049  

2. 中国科学院心理研究所, 中国科学院心理健康重点实验室

语种 中文
文献类型 研究性论文
ISSN 1674-6554
学科 神经病学与精神病学
文献收藏号 CSCD:4935564

参考文献 共 15 共1页

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引证文献 6

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