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目的 :了解洪灾区成人PTSD的发生率及其影响因素。方法 :用美国《精神障碍的诊断统计手册》第四版(MSD -Ⅳ )中对于PTSD的诊断标准对洪灾区成人进行PTSD评定。结果 :洪灾后PTSD检出率为 33.8% ,其主要的影响因素为洪灾类型 (OR =4 .0 7)、曾被水围困等待救援 (OR =2 .6 5 ) ,曾亲眼看见别人被洪水淹死 (OR =2 .77) ,有和水中死人呆在一起的经历 (OR =3.14 ) ,对支持的满意度 (OR =0 .72 )等。结论 :我国洪灾区成年人中PTSD的发生并非罕见 ,应采取针对性的干预措施。
Objective: To understand the incidence of PTSD and its influencing factors in flood-prone adults. METHODS: PTSD assessment of adults in flooded areas was performed using diagnostic criteria for PTSD in the fourth edition of the Diagnostic Statistics Handbook of Mental Disorders (MSD-IV). Results: The detection rate of PTSD after flood was 33.8%. The main influencing factor was flood type (OR = 4.07), which was awaited rescue by water siege (OR = 2.55). Some people had witnessed others being flooded Drowning (OR = 2.77), experience with the dead in the water (OR = 3.14), satisfaction with support (OR = 0.72) and so on. Conclusion: The incidence of PTSD among adults in flood-prone areas in China is not uncommon, and targeted interventions should be taken.