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| 创伤暴露1年后创伤后应激障碍的发生率及危险因素 |
| 吴荔荔1,2△,费奥3△,王燕1,2,刘伟志1,2,欧阳慧1,2* |
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(1. 海军军医大学(第二军医大学)心理系基础心理学教研室, 上海 200433;
2. 海军军医大学(第二军医大学)心理系PTSD防护实验室, 上海 200433;
3. 解放军总医院京南医疗区康复二科, 北京 100841
△共同第一作者
*通信作者) |
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| 摘要: |
| 目的 观察创伤暴露1年后创伤后应激障碍（PTSD）发生率的变化，并分析创伤暴露1年后PTSD发展的危险因素。方法 在新型冠状病毒感染疫情暴发初期和暴发后1年分别进行方便取样，被试在线匿名参与调查。调查内容包括2份自填问卷：1份收集个人信息（性别、年龄、受教育程度、职业）和主观睡眠质量；另1份是第5版《精神疾病诊断与统计手册》（DSM-5）的PTSD检查表（PCL-5），在创伤暴露初期和创伤暴露1年后分别回收有效问卷2 091、2 092份。结果 创伤暴露初期PTSD发生率为5.3%（111/2 091），创伤暴露1年后PTSD发生率为19.1%（399/2 092）。多元线性回归分析显示，年龄（P＜0.01）、性别（P＜0.01）和主观睡眠质量（P＜0.01）为PTSD的风险因子。结论 创伤暴露1年后PTSD发生率较创伤暴露初期有所上升。在创伤暴露初期应特别重视年纪轻、女性、睡眠障碍群体，并尽早给予心理干预措施，以防后期发生PTSD。 |
| 关键词: 创伤后应激障碍 创伤后应激症状 新型冠状病毒感染 心理健康 心理障碍 |
| DOI：10.16781/j.CN31-2187/R.20230525 |
| 投稿时间：2023-09-17修订日期：2023-10-09 |
| 基金项目:“三航两海”创新团队项目（20200106），海军科技供给项目（2020JY17），上海市卫生健康委员会卫生行业临床研究专项（20234Y0031），海军军医大学（第二军医大学） 2022年校级基础医学研究课题（2022QN032）. |
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| Prevalence and risk factors of post-traumatic stress disorder 1 year after trauma exposure |
| WU Lili1,2△,FEI Ao3△,WANG Yan1,2,LIU Weizhi1,2,OUYANG Hui1,2* |
(1. Department of Basic Psychology, Faculty of Psychology, Naval Medical University (Second Military Medical University), Shanghai 200433, China;
2. Lab for Post-traumatic Stress Disorder, Faculty of Psychology, Naval Medical University (Second Military Medical University), Shanghai 200433, China;
3. Department of Rehabilitation (Ⅱ), Jingnan Medical District, Chinese PLA General Hospital, Beijing 100841, China
△Co-first authors.
* Corresponding author) |
| Abstract: |
| Objective To observe the change in the prevalence of post-traumatic stress disorder (PTSD) 1 year after trauma exposure and analyze the risk factors of PTSD 1 year after trauma exposure. Methods Convenience sampling was conducted at the initial outbreak of the coronavirus disease 2019 epidemic and 1 year later, respectively. Participants participated in the anonymous online survey. The survey consisted of 2 self-completed questionnaires: 1 collected personal information (gender, age, education level, occupation) and subjective sleep quality; the other is the PTSD checklist (PCL-5) from the Diagnostic and Statistical Manual of Mental Disorders, 5th edition. Valid questionnaires of 2 091 and 2 092 were respectively retrieved at the initial stage of trauma exposure and 1 year later. Results The prevalence of PTSD at the initial stage of trauma exposure was 5.3% (111/2 091) and 1 year after trauma exposure was 19.1% (399/2 092). Multiple linear regression analysis showed that age (P＜0.01), gender (P＜0.01), and subjective sleep quality (P＜0.01) were risk factors related to PTSD. Conclusions One year after trauma exposure, the prevalence of PTSD increases. Psychological intervention measures should be given at the early stage of trauma exposure, and special attention should be paid to young individuals, women, and those with sleep disorders. |
| Key words: post-traumatic stress disorder post-traumatic stress symptoms coronavirus disease 2019 mental health mental disorder |
