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目的调查洪灾3个月后灾区儿童心理韧性和创伤症状的关系。方法采用修订版儿童事件影响量表(CRIES)、青少年心理韧性量表、自编洪灾创伤暴露程度问卷对690名洪灾区儿童进行调查,用方差分析、logistic回归分析进行数据分析。结果1家里受灾组在CRIES量表侵入、高唤醒因子的得分高于家里未受灾组;感受到生命威胁组在CRIES 3个因子的得分均高于未感受到生命威胁组;2心理韧性高分组在CRIES量表回避、高唤醒的因子得分低于心理韧性低分组;3 Logistic回归分析结果显示感受到生命危险、目睹死亡正向预测PTSD倾向,心理韧性量表中的情绪控制因子得分负向预测PTSD倾向,积极认知因子得分正向预测PTSD倾向。结论家里受灾、感受到生命威胁、目睹死亡是重要的洪灾创伤暴露指标;心理韧性尤其是情绪控制能力是儿童重要的复原特征,但心理韧性中的积极认知不利于其心理复原。
Objective To investigate the relationship between psychological resilience and traumatic symptoms of children in disaster-hit areas after 3 months of floods. Methods A total of 690 flood-affected children were surveyed using the revised Children’s Impact Scale (CRIES), the Adolescent’s Mental Toughness Inventory, and the Self-compiled Flood Disaster Exposure Questionnaire. Data were analyzed using ANOVA and logistic regression analysis. Results In the CRICE scale, the scores of high wake-up factor in 1 affected group were higher than those in the non-affected group at home. The score of CRIES in life-threatening group was higher than those in non-life threatened group. 2 The high resilience group In the CRIES scale, factor scores of high arousal were lower than those of low level of mental toughness. 3 Logistic regression analysis showed that life threatening was felt. Death was positively predicted PTSD tendency. The scores of emotional control factor in the mental resilience scale were negatively predicted PTSD tendency, positive cognitive score positively predicted PTSD tendency. Conclusion At home, there is a threat to life and death is an important indicator of flood exposure. Psychological resilience, especially emotional control, is an important recovery feature for children, but positive cognition in mental resilience is not conducive to psychological recovery.