目的 了解汶川地震一年半后重灾区群众社会支持状况,研究其与心理卫生状况的关系.方法 采用症状自评量表、社会支持评定量表对重灾区480名群众进行调查分析.结果 灾区群众的SCL-90总分及各因子分与社会支持总分、主观社会支持、支持利用度均存在显著负相关(P＜0.01)；灾区群众的社会支持总分、客观支持分以及对支持的利用度得分上均显著低于全国常模,差异具有统计学意义(P＜0.001),主观支持得分上差异不显著(P＞0.05).一年半(属恢复期)的研究调查结果与震后两周(属急性期)的研究相比较发现,一年半后灾区群众的社会支持总分高于急性期组,恢复期的客观支持分低于急性期组,恢复期的主观支持分高于急性期组,差异均有统计学意义(P＜0.001).结论 地震一年半后,灾区群众的社会支持水平有所提高,但仍然低于全国常模.社会支持与灾区区群众的心理卫生状况存在显著相关性.%Objectives To investigate and analyze the social support situation of people in worst-hit areas a year and one half after the earthquake, and study the relationship between the social support and mental health sta tus. Methods 480 earthquake victims from the Wenchuan and Mianyang area were investigated by SCL-90 and so cial support rating scale. Results There was a negative association respectively between the SCL-90 scores and the total score of social support, the subjective support dimension, the support application dimension(P<0. 01). The scores were lower than national norms in the total score of social support, the objective support dimension and the support application dimension significantly(P<0. 001). In comparwason with the results of the study two weeks after the earthquake( belong to acute stage), the total score of social support in our study( belong to restoration stage) was high er significantly than that in acute stage,the objective support dimension was lower than that in acute stage signifi cantly,the subjective support dimension was higher than that in acute stage significantly(P<0. 001). Conclusions The social support level had been improved with people in worst-hit areas a year and a half after the earthquake, but it was still lower than that of national norms significantly. In worst-hit areas, there was a significant association be tween the social support level and people's mental health.
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