父母外出务工对舟曲儿童创伤后应激障碍的影响的研究.pdfVIP

父母外出务工对舟曲儿童创伤后应激障碍的 影响研究 蒋霞 何健 王成 潘卫民 李铿 康芬艳 [摘要] 目的 探讨父母外出务工对舟曲儿童创伤后应激障碍的影响，为预防和治疗创伤后应激障碍 提供实证数据。方法 舟曲泥石流灾后17个月时，采用分层整群抽样的方法用PCL-C量表对舟曲县四、五、 六年级和初一、初二、初三年级的学生共596名进行问卷调查，收回有效问卷552份，占调查人数的92.62％； 其中留守儿童 （研究组）251人，非留守儿童 （对照组）301人。结果 留守儿童 （研究组）PTSD总分平均得分 高于非留守儿童[(34.3410.25)vs.(31.4910.43);p=0.001]；留守儿童中存在轻微PTSD症状和存在重度 PTSD症状的阳性检出率明显高于非留守儿童；父母外出年限长短不同的留守儿童在PCL-C量表总分、反复 创伤性体验症状、情感麻木与回避症状均不存在统计学差异，但在警觉性增高症状差异显著(F=4.651,P= 0.010)。结论 留守状态下的儿童，其PTSD的患病风险和严重程度均高于非留守状态的儿童，我们必须加强 对留守儿童心理创伤及康复的关注。 [关键词]泥石流；留守儿童；非留守儿童；创伤后应激障碍 Studyingontheinfluenceofmigrantparentsonpost-traumaticstressdisorderoftheirleft-behind childreninZhouqu JIANGXiaHEJianWANGChengPANWei-minLIKeng KANGFen-yanCenterfor DiseaseControlandPreventionofGansu,Lanzhou730000,China [Abstract] Objective Toinvestigatetheleft-behindchildrenspost-traumaticstressdisorderandtofind outthesolidevidencetotreatPTSD.Methods Stratifiedclustersamplingwasusedtochoosechildrentocomplete thePTSDChecklistCiviliaVersion(PCL-C)afterthedisaster17months.552childrenweretested(596suitstotal ly),including251left-behindchildren(studygroup)and301nonleft-behindchildren(controlgroup).Re suits Left-behindchildrensmeanscoreonthePCL-Cwas(34.34± 10.25),whilethenonleft-behindchildren smeanscorewas(31.49± 10.43).ThetwogroupshowedsignificantdifferencethroughT-test(t=3.219,p=0. 001).ThepositiverateofPTSDscreeningoftheleft-behindchildrenissignificanthigherthanthenonleft-behind childrenonboththelightandheavyPTSDsymptoms.Theresnosignificantdifferenceamongthedifferentyearsthat theparentsapartfromthechildrenonthescoreofPCL-Candthedimensionofre-experience,avoidanceandemo tionalnumbing,whilesignificantdifferentontheincreasedarousal(F=4.651,p=0.010).Conclusions Theleft -behindchildrenhaveahigherriskandmoreserioussymptomsthanthenon-left-behindchildren.Theeffectof theparentsapartfromchildrenissignificant.Muchmoreattentionshouldbepaidtotheleft-behindchildrensPTSD. [Keywords] Mudslides;Left-behindchildren;Non-left-