云南漾濞震后灾民心理状况评价及影响因素分析

Assessment of Psychological Status and Analysis of Influencing Factors among Disaster

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2025, 52(1)
作者
作者单位

大理白族自治州第二人民医院

摘要
[摘要]目的: 了解云南省大理州漾濞县地震中受灾居民的灾后心理状态,分析其影响因素。方法: 使用事件冲击量表(IES-R)、社会支持评定量表(SSRS)、医院焦虑抑郁量表(HADS)、匹兹堡睡眠质量指数量表(PSQI) 调查受灾居民在灾后的心理状态、应激状态及睡眠状态。使用秩和检验、卡方检验、Spearman相关及多元逐步线性回归进行数据分析。结果:本研究测评了389名受灾居民的心理健康状况。结果提示受灾后1个月灾民IES-R、焦虑分量表、抑郁分量表、PSQI检出率分别为59.1%、35.7%、33.4%、49.4%。多元逐步线性回归结果显示女性、家庭经济状况差、家庭居住地为农村、创伤严重程度重、房屋破损重、财产损失重与IESR-总分呈显著负相关,PSQI总分与IESR-总分呈显著正相关(R2=0.37,F=27.30,P<0.01)。结论:地震后灾区居民经历着高水平的应激反应,其影响因素涉及社会人口学特征、地震受灾特征,症状性创伤后应激障碍、焦虑、抑郁、睡眠障碍相互影响,共同损害灾民心理应激反应。
Abstract
[Abstract] Objective: To understand the post-disaster psychological state of the residents affected by the earthquake in Yangbi County, Dali Prefecture, Yunnan Province, and to analyze the influencing factors. Methods: The psychological state, stress condition, and sleep status of disaster-affected residents were investigated using the Impact of Event Scale-Revised (IES-R), the Social Support Rating Scale (SSRS), the Hospital Anxiety and Depression Scale (HADS), and the Pittsburgh Sleep Quality Index (PSQI). Data analysis was conducted using the Mann-Whitney U test, chi-square test, Spearman's correlation, and multiple stepwise linear regression. Results: This study evaluated the psychological health status of 389 residents affected by the disaster. The findings indicated that one month post-disaster, the detection rates for the Impact of Event Scale-Revised (IES-R), anxiety subscale, depression subscale, and Pittsburgh Sleep Quality Index (PSQI) were 59.1%, 35.7%, 33.4%, and 49.4%, respectively. Multivariate stepwise linear regression analysis showed that being female, having poor family economic status, living in rural areas, experiencing severe trauma, having significant house damage, and incurring substantial property loss were significantly negatively correlated with the total score of IES-R. In contrast, the total score of PSQI was significantly positively correlated with the total score of IES-R (R²=0.37, F=27.30, P<0.01).Conclusion: Following the earthquake, residents in the disaster area are experiencing high levels of stress responses, with influencing factors encompassing sociodemographic characteristics and earthquake disaster features. Symptomatic post-traumatic stress disorder (PTSD), anxiety, depression, and sleep disturbances interact with each other, collectively impairing the psychological stress responses of the affected population.
关键词
地震;创伤后应激障碍;焦虑;抑郁;影响因素
KeyWord
Earthquake; Post-Traumatic Stress Disorder (PTSD); Anxiety; Depression; Influencing Factors
基金项目
页码 83-87
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董小娇, 段潇, 李丽洁, 李晓花, 熊凌凯, 杨冲, 杨云彬, 张瑜, 赵婷婷. 云南漾濞震后灾民心理状况评价及影响因素分析 [J]. 国际精神病学杂志. 2025; 52; (1). 83 - 87.

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