应对方式对洪灾后创伤后应激障碍预后的影响
Effects of coping style on the prognosis of PTSD after flood
目的 了解洪灾后创伤后应激障碍（PTSD）预后情况，进一步研究应对方式对洪灾后PTSD预后的影响。 方法 对经历1998年洞庭湖洪且在1999年调查期间被诊断患有PTSD的洪灾灾民采用整群随机抽样的方法进行随访调查，运用创伤后应激障碍量表平民版对研究对象进行PTSD再次诊断，根据诊断结果将研究对象分为康复组和未康复组，采用简易应对方式问卷对康复组和未康复组研究对象进行测评和比较。 结果 120名研究对象中，14名（11.67%）符合PTSD诊断标准。康复组与未康复组患者积极应对维度得分和应对方式总分得分差异具有统计学意义（P＜0.05）；多因素logistic回归显示社会支持（OR=0.281，95%CI：0.117~0.678）和应对方式（OR=0.293，95%CI：0.128~0.672）是PTSD预后的保护因素；受灾经历（OR=1.626，95%CI：1.118~2.365）是PTSD预后的危险因素。 结论 洪灾后PTSD患者预后情况值得重视，良好的社会支持和积极的应对方式能显著改善洪灾后PTSD患者的预后情况。
Objective: To explore the long-term prognosis of patients with PTSD after flood and investigate the influence of coping style on the long-term prognosis of PTSD after flood. Methods: Flood survivors who were diagnosed with PTSD in 1999 and experienced the Dongting lake flood in 1998 were enrolled in this study by cluster random sampling method. The post-traumatic stress disorder scale-civilian version (PCL-C) was used to examine the paiticipants' PTSD status and the simple coping style questionnaire was used to examine participants' coping style. Results: 14 (11.67%) subjects were diagnosed as having PTSD at follow-up. Compared with those recovered from PTSD, the positive coping score and total score of coping style were both significantly lower in those with PTSD (P<0.05). The multivariable logistic regression showed that social support (OR=0.281, 95%CI: 0.117~0.678) and coping style(OR= 0.293, 95%CI: 0.128~0.672)were protective factors for the prognosis of PTSD after flood, while the flood-related experience(OR=1.626, 95%CI: 1.118~2.365) was risk factor. Conclusion: The prognosis of PTSD after flood is worth attention. High levels of social support and positive coping style can significantly improve the long-term prognosis of patients with PTSD after flood.
吴鑫、刘爱忠、戴文杰
神经病学、精神病学预防医学医学研究方法
创伤后应激障碍应对方式预后
PTSDcoping styleprognosis
吴鑫,刘爱忠,戴文杰.应对方式对洪灾后创伤后应激障碍预后的影响[EB/OL].(2017-05-02)[2025-08-02].http://www.paper.edu.cn/releasepaper/content/201705-44.点此复制
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