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目的调查和了解各地震重灾区民警的创伤后应激紊乱(PTSD)症状的分布和特点,以及与抑郁的相关程度,为相应的心理援助和公安队伍建设工作提供实证依据。方法使用创伤后应激障碍症状清单平民版(PCL-C)和抑郁自评量表(SDS),在绵竹、什邡、北川、青川,剑阁县市公安局随机抽取一线民警作为调查对象。结果地震重灾区民警具有较明显的PTSD症状,可以筛查为阳性的有22.6%;50岁以上的民警的PTSD症状较为突出;北川的PCL-C总均分以43.06显著高于其他地区(P<0.05);地震重灾区民警PTSD病状与抑郁症状呈显著相关(P<0.01)。结论①呈灾情越严重的地区的民警PTSD症状越严重的趋势;②呈年龄越大PTSD症状越严重的趋势,50岁以上年龄组较为突出;③PTSD的3组特征性症状中,警觉症状的均分值较其他2组症状要高,北川在3组特异性症状和PCL-C总分上均显著高于其他地区;④地震重灾区民警PTSD症状与抑郁症状的相关程度高,二者共病的可能性较大。
Objective To investigate and understand the distribution and characteristics of post-traumatic stress disorder (PTSD) symptoms and their correlations with depression in earthquake-hit areas and provide empirical evidences for corresponding psychological assistance and public security contingent building. Methods PCL-C and SDS were used to select first-line police officers in Mianzhu, Shifang, Beichuan, Qingchuan and Jiange County Public Security Bureau. Results The PTSD symptom was more obvious in police affected by earthquake and 22.6% was positive in PTSD screening. PTSD was more obvious in police over 50 years old. The total PCL-C score in Beichuan was significantly higher than that in other regions <0.05). There was a significant correlation between the symptoms of PTSD and depressive symptoms in police-hit areas (P <0.01). Conclusion ① The more serious the PTSD symptom of police in the area where the disaster is more serious; ② The older the PTSD symptom, the more severe the symptoms are, the age group of over 50 years old is more prominent; ③ Among the three characteristic symptoms of PTSD, Beichuan was significantly higher than the other two groups in the three groups of specific symptoms and PCL-C total score; ④The correlation between PTSD symptoms and depressive symptoms in the earthquake-hit areas was high, The possibility of greater.