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目的:研究“5.12”地震救援武警官兵急性应激阶段创伤后应激障碍(PTSD)发生率及影响因素。方法:采用问卷调查方式,以创伤后应激障碍症状清单平民版(PCL-C)、抑郁自评量表(SDS)和焦虑自评量表(SAS)对1123例武警官兵进行调查。结果:创伤性事件暴露的第1个月(即急性应激阶段),武警官兵PTSD症状的发生率为9‰,高于军队日常状态下PTSD发生率(4.9‰),且创伤性事件3～6个月后才为PTSD高发期;抑郁发生率为32.5%,焦虑发生率为6.1%,抑郁及焦虑量表得分与全国常模比较有显著差异(P<0.01)。结论:急性应激阶段参与救援的武警官兵PTSD症状高于军队日常状态下PTSD发生率,且抑郁、焦虑等心理问题较明显,应认真对待。
Objective: To study the incidence and influencing factors of acute posttraumatic stress disorder (PTSD) in “5.12” earthquake rescue armed police officers and soldiers. Methods: A total of 1123 Armed Police Corps officers and men were investigated by questionnaire survey. PCL-C, SDS and SAS were used to investigate the incidence of post-traumatic stress disorder. Results: The incidence of PTSD was 9 ‰ in the armed police officers in the first month (acute phase) of the traumatic event, which was higher than the incidence of PTSD (4.9 ‰) in the military and the traumatic event was 3 ~ PTSD was the most frequent after 6 months. The incidence of depression was 32.5%, and the incidence of anxiety was 6.1%. There was significant difference between depression and anxiety scale (P <0.01). CONCLUSION: The PTSD symptom of the armed police officers and men participating in the rescue during the acute stress phase is higher than that of the PTSD in the daily state of the army. And the psychological problems such as depression and anxiety are more obvious and should be taken seriously.