创伤康复期患者应激障碍与心理弹性的相关研究-第三军医大学学报.docVIP

创伤康复期患者应激障碍与心理弹性的相关研究 陈 翰1,2，张佳佳1，李 敏1，许 莹1，缪 毅1，汪 琴2，刘宏亮2 (400038重庆，第三军医大学：护理系心理学教研室1；西南医院康复科2) [摘要] 目的 调查创伤康复期患者创伤后应激障碍（post traumatic stress disorder，PTSD）发生率、心理健康水平与心理弹性的关系。方法 采用创伤后应激障碍症状清单-平民版（PCL-C）、成人心理弹性量表（Resilience Scale for Adults，RSA）、症状自评量表（Symptom Checklist 90，SCL-90）、艾森克人格问卷（Eysenck Personality Questionnaire, EPQ）、应对方式问卷对重庆市三甲医院康复科2008年12月2010年3158名的创伤康复期患者进行问卷调查。以PTSD总分38分划界，将患者分为PTSD阳性组和阴性组结果 ①创伤康复期患者PTSD总分≥38分比例为34.18%，PTSD阳性组和阴性组在心理弹性（t=4.744，P=0.000）、神经质（t=3.549，P=0.001）及应对方式的合理化（t=2.502，P=0.013）上存在显著。②创伤康复期患者SCL-90量表中躯体化、抑郁、焦虑、恐惧、偏执和精神性因子分均显著高于全国常模（P0.05），SCL-90阳性组在心理弹性的自我认知和未来计划上得分显著低于阴性组（P＜0.05），在EPQ的神经质因子得分显著高于阴性组（P0.01），在应对方式上的自责、幻想、退避、合理化因子得分显著高于阴性组（P0.05）。③PTSD总分与RSA总分负相关，与SCL-90总分、神经质和合理化3个因素正相关r值分别为：－0.343、0.390、0.362和0.170，SCL-90总分和RSA总分共能解释PTSD总分的%。结论 创伤康复期患者创伤后应激障碍发生率较高，低心理弹性、低心理健康水平是PTSD的重要预测因素。应激障碍, 创伤后康复心理学, 临床 [中图法分类号] [文献标志码]A Related investigation on the prevalence of post traumatic stress disorder, mental health and resilience in rehabilitation patients with traumatic injury Chen Han1，2, Zhang Jiajia1, Li Min1 , Xu Ying1, Miao Yi1(1Department of Psychology, School of Nursing，2Rehabilitation Department, Southwest Hospital, Third Military Medical University，Chongqing，400038，China.) [Abstract]Objective To investigate the relationship between post traumatic stress disorder(PTSD),mental health and resilience. Methods One hundred and fifty-eight rehabilitation patients with traumatic injury were tested with PTSD Checklist-Civilian Version (PCL-C), Resilience Scale for Adult(RSA), Self-report Symptom Checklist 90 (SCL-90)，Eysenck Personality Questionnaire（EPQ）. Results The rate of PTSD total score which was not lower than 38 in Rehabilitation patients with traumatic injury was 34.18%.The scores on total RSA, nervousness and rationalization in copying style in PTSD positive group were significantly different with those in PTSD negative group（P0.05）. Compare with the norms, evaluative indexes scores of