郭靜老師研究闡述汶川地震後災民創傷心理的症狀差異
創傷後應激障礙(Post-traumatic Stress Disorder, PTSD)及抑郁是常見于地震受災者中的精神疾患,且兩者常以共病的形式出現。目前國内外學者對于災民創傷心理的研究多關注創傷心理的單一症狀,鮮有對創傷心理的多元特征的研究。探究災民創傷心理的症狀差異,對于心理幹預治療有重要意義。
2015年6月,郭靜老師與其北京師範大學博士生導師課題組合作的相關研究成果發表于《Journal of Nervous and Mental Disease》。該論文題目為《The Symptoms of Posttraumatic Stress Disorder and Depression Among Adult Earthquake Survivors in China》(汶川地震災民PTSD與抑郁症狀研究)。郭靜老師為該論文的第一作者及通訊作者。
研究對汶川地震中1362名受災群衆的PTSD及抑郁症狀進行篩查、分析。研究發現,當把災民的PTSD症狀及抑郁症狀作為兩種相互獨立的疾患時,兩者幾乎共享了相似的預測因素。然而,當把這兩種症狀進一步區分為單純PTSD症狀、單純抑郁症狀及兩者共病時,發現這些症狀被不同的因素所預測。研究還發現,汶川地震後創傷暴露使一部分災民表現為單純的抑郁症狀,而另一部分災民則表現為PTSD和抑郁的共病症狀。
該工作得到了6774澳门永利自主創新基金的支持,北京師範大學社會發展與公共政策學院的研究團隊也為該研究做出了貢獻。
The Symptoms of Posttraumatic Stress Disorder and Depression Among Adult Earthquake Survivors in China
Jing Guo,
Abstract: The objective of the study was to examine the relationships between
mental health conditions (posttraumatic stress disorder [PTSD] only, depression
only,andPTSDanddepression)andrelatedfactors.Across-sectionalsurveywas
conducted among 1362 adults from two severely affected townships at 6 months
after the earthquake. The results of the analyses showed that the prevalence of
depression and PTSD were 31.4% and 22.1%, respectively, 6 months after the
earthquake. When PTSD and depression were treated as two separate dependent
variables, PTSD and depression share almost similar sets of predictive factors.
After its four categories (none, PTSD only, depression only, and PTSD and
depression) were used as categorical dependent variables, there are different
predictive factors. The findings suggest that there are two different groups of
individuals, those who develop depression only in response to earthquake expo-
sure and those who develop both depression and PTSD.
Key Words: Posttraumatic stress disorder, depression, earthquake