郭静老师研究阐述汶川地震后灾民创伤心理的症状差异
创伤后应激障碍(Post-traumatic Stress Disorder, PTSD)及抑郁是常见于地震受灾者中的精神疾患,且两者常以共病的形式出现。目前国内外学者对于灾民创伤心理的研究多关注创伤心理的单一症状,鲜有对创伤心理的多元特征的研究。探究灾民创伤心理的症状差异,对于心理干预治疗有重要意义。
2015年6月,郭静老师与其北京师范大学博士生导师课题组合作的相关研究成果发表于《Journal of Nervous and Mental Disease》。该论文题目为《The Symptoms of Posttraumatic Stress Disorder and Depression Among Adult Earthquake Survivors in China》(汶川地震灾民PTSD与抑郁症状研究)。郭静老师为该论文的第一作者及通讯作者。
研究对汶川地震中1362名受灾群众的PTSD及抑郁症状进行筛查、分析。研究发现,当把灾民的PTSD症状及抑郁症状作为两种相互独立的疾患时,两者几乎共享了相似的预测因素。然而,当把这两种症状进一步区分为单纯PTSD症状、单纯抑郁症状及两者共病时,发现这些症状被不同的因素所预测。研究还发现,汶川地震后创伤暴露使一部分灾民表现为单纯的抑郁症状,而另一部分灾民则表现为PTSD和抑郁的共病症状。
该工作得到了华中科技大学自主创新基金的支持,北京师范大学社会发展与公共政策学院的研究团队也为该研究做出了贡献。
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