首页> 中文期刊> 《临床精神医学杂志》 >军人创伤后应激障碍患者恢复力及心理影响因素调查

军人创伤后应激障碍患者恢复力及心理影响因素调查

         

摘要

Objective:To investigate resilience of soldiers with post-traumatic stress disorder and related influencing factors. Method:Connor-Davidson restore power meter( CD-RISC),Eysenck personality ques-tionnaire,social support scale and cognitive coping style questionnaire were adminstered to 36 soldiers with post-traumatic stress disorder( study group)and 32 matched soldiers( control group),and the results were com-pared. Results:The study group showed lower score on tolerance negative emotions,change acceptance and sense of control of CD-RISC than the control group,there was a significant difference(p﹤0. 05 or p﹤0. 01). The correlation analysis indicated that tolerance negative emotions were positively correlated with objective sup-port(r= 0. 23,p﹤0. 05);change acceptance was positively with E score,subjective support and objective sup-port(r= 0. 24~0. 32,all p﹤0. 05);sense of control was positively correlated with P score and subjective sup-port(r=0. 26,0. 30;both p﹤0. 05);there were significantly negative correlation among tolerance negative e-motions,change acceptance,sense of control and negative coping,N score,cognitive style( r= -0. 24-0. 33, p﹤0. 05). Conclusion:Individual resilience of soldiers with PTSD is a positive factor to resist trauma and promote recovery,and influenced by many factors.%目的:探讨军人创伤后应激障碍患者的个体恢复力及影响因素。方法:采用Connor-Da-vidson恢复力量表( CD-RISC)、艾森克人格问卷、社会支持量表、应对方式问卷和认知方式问卷对36例军人创伤后应激障碍患者(研究组)进行调查,并随机抽取某部32名官兵(对照组)进行测定。结果:研究组CD-RISC评分中忍受消极情感、接受变化和控制感得分低于对照组( p﹤0.05或p﹤0.01);相关分析显示:忍受消极情感与客观支持呈正相关( r=0.23,p﹤0.05),接受变化与E分、主观支持和客观支持呈显著正相关( r=0.24-0.32,p﹤0.05),控制感与P分、主观支持呈显著正相关( r=0.26、0.30,p﹤0.05),而忍受消极情感、接受变化和控制感与消极应对、N分、认知方式和疾病严重程度呈显著负相关(r=-0.24~0.33,p﹤0.05)。结论:军人创伤后应激障碍的个体恢复力是抵抗创伤和促进恢复的积极因素,其受多种因素影响。

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