汶川地震30个月后中小学生的身心状况研究

摘要/Abstract

摘要： 通过对汶川地震极重灾区的中小学生进行问卷调查，考察其在地震30个月后的创伤后应激障碍、抑郁、学习倦怠和创伤后成长等身心状况。结果发现：（1）震后30个月的中小学生创伤后应激障碍和抑郁情况较为严重，发生率分别达到6.6%和69.5%，女生和高年级学生是其高危人群；（2）学习倦怠总体情况比较轻微，学习的低效能感相对较严重；（3）创伤后成长的程度较高，且性别和年级间差异与创伤后应激障碍相似；（4）创伤后应激障碍、抑郁及学习倦怠等3个消极变量和创伤后成长之间分别为正相关、零相关和零相关。建议心理疏导人员将重心放在降低创伤后应激障碍和抑郁的程度及激发受灾学生的创伤后成长方面，并充分意识到创伤后成长程度较高的学生也有出现心理不良状况的可能性。

关键词: 中小学生, 汶川地震, 创伤后应激障碍(PTSD), 抑郁, 学习倦怠, 创伤后成长(PTG)

Abstract: A survey on posttraumatic stress disorder(PTSD), depression, learning burnout and posttraumatic growth(PTG) was conducted on primary and secondary school students in the severely-stricken areas of Wenchuan earthquake at 30 months after the earthquake. The results showed that the level of primary and secondary students' PTSD and depression were comparatively high, and the prevlence rate is 6.6% and 69.5% respectively, among which girls and high school students were high risk populations. The overall situation of learning burnout was not serious,but their learning self-efficiency was comparatively low. In addition, the level of primary and secondary school students' PTG was high, and had the similar difference of sex and grade with PTSD; the relationship between PTSD, depression, learning burnout and PTG are positive, zero and zero respectively. It's suggested that the mental health educators pay more importance attention to reducing students' PTSD and depression as well as stimulating students' PTG. Meanwhile, they should be fully aware of psychological distress occurred in the students with high levels of PTG.

Key words: primary and secondary school students, Wenchuan earthquake, PTSD, depression, learning burnout, PTG

中图分类号:

B844.2

林崇德, 伍新春, 张宇迪, 臧伟伟, 周宵, 戴艳. 汶川地震30个月后中小学生的身心状况研究[J]. 心理发展与教育, 2013, 29(6): 631-640.

LIN Chong-de, WU Xin-chun, ZHANG Yu-di, ZANG Wei-wei, ZHOU Xiao, DAI Yan. Investigation on Mental Health State of Primary and Secondary School Students after 30 Months of Wenchuan Earthquake[J]. Psychological Development and Education, 2013, 29(6): 631-640.

参考文献

American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders: DSM-IV-TR. American Psychiatric Publishing, Inc.
Arnberg, F. K., Johannesson, K. B., & Michel, P.O. (2013). Prevalence and Duration of PTSD in Survivors Six Years After a Natural Disaster. Journal of anxiety disorders, 27(3), 347-352.
Aslam, N., & Tariq, N. (2011). Trauma, Depression, Anxiety, and Stress among Individuals Living in Earthquake Affected and Unaffected Areas. Pakistan Journal of Psychological Research, 25(2), 131-148.
Ayub, M., Poongan, I., Masood, K., Gul, H., Ali, M., Farrukh, A., et al. (2012). Psychological morbidity in children 18 months after Kashmir Earthquake of 2005.Child Psychiatry & Human Development, 43, 323-336.
Bal, A. (2008). Post-Traumatic Stress Disorder in Turkish Child and Adolescent Survivors Three Years after the Marmara Earthquake. Child and Adolescent Mental Health, 13(3), 134-139.
Bal, A., & Jensen, B. (2007). Post-traumatic stress disorder symptom clusters in Turkish child and adolescent trauma survivors. European child & adolescent psychiatry, 16(7), 449-457.
Başoglu, M., Kılıç, C., Şalcıoglu, E., & Livanou, M. (2004). Prevalence of posttraumatic stress disorder and comorbid depression in earthquake survivors in Turkey: an epidemiological study. Journal of traumatic stress, 17(2), 133-141.
Bulut, S., Bulut, S., & Tayli, A. (2005). The dose of exposure and prevalence rates of post traumatic stress disorder in a sample of Turkish children eleven months after the 1999 Marmara earthquakes. School Psychology International, 26(1), 55-70.
Campbell, D. G., Felker, B. L., Liu, C. F., Yano, E. M., Kirchner, J. A. E., Chan, D., et al. (2007). Prevalence of depression-PTSD comorbidity: implications for clinical practice guidelines and primary care-based interventions. Journal of General Internal Medicine, 22(6), 711-718.
Cavalcanti-Ribeiro, P., Andrade-Nascimento, M., Morais-de-Jesus, M., De Medeiros, G. M., Daltro-Oliveira, R., Conceição, J. O., et al. (2012). Post-traumatic stress disorder as a comorbidity: impact on disease outcomes. Expert Review of Neurotherapeutics, 12(8), 1023-1037.
Chan, C. L. W., Wang, C. W., Qu, Z., Lu, B. Q., Ran, M. S., Ho, A. H. Y., et al. (2011). Posttraumatic stress disorder symptoms among adult survivors of the 2008 Sichuan earthquake in China. Journal of traumatic stress, 24(3), 295-302.
Dekel, S., Ein-Dor, T., & Solomon, Z. (2012). Posttraumatic growth and posttraumatic distress: A longitudinal study. Psychological Trauma: Theory, Research, Practice, and Policy; Psychological Trauma: Theory, Research, Practice, and Policy, 4(1), 94-101.
Diaz, C. A., Quintana, G. R., & Vogel, E. H. (2012). Depression, anxiety and post-traumatic stress disorder symptoms in adolescents seven months after the february 27 2010 earthquake in Chile. Terapia Psicologica, 30(1), 37-43.
Fan, F., Zhang, Y., Yang, Y., Mo, L., & Liu, X. (2011). Symptoms of posttraumatic stress disorder, depression, and anxiety among adolescents following the 2008 Wenchuan earthquake in China. Journal of traumatic stress, 24(1), 44-53.
Foa, E. B., Johnson, K. M., Feeny, N. C., & Treadwell, K. R. H. (2001). The Child PTSD Symptom Scale: A preliminary examination of its psychometric properties. Journal of clinical child psychology, 30(3), 376-384.
Goenjian, A. K., Roussos, A., Steinberg, A. M., Sotiropoulou, C., Walling, D., Kakaki, M., et al. (2011). Longitudinal study of PTSD, depression, and quality of life among adolescents after the Parnitha earthquake. Journal of affective disorders, 133(3), 509-515.
Hafstad, G. S., Kilmer, R. P., & Gil-Rivas, V. (2011). Posttraumatic growth among Norwegian children and adolescents exposed to the 2004 tsunami. Psychological Trauma: Theory, Research, Practice, and Policy, 3(2), 130-138.
Hukkelberg, S. S., & Jensen, T. K. (2011). The dimensionality of posttraumatic stress symptoms and their relationship to depression in children and adolescents. Journal of traumatic stress, 24(3), 326-333.
Jia, Z., Tian, W., He, X., Liu, W., Jin, C., & Ding, H. (2010). Mental health and quality of life survey among child survivors of the 2008 Sichuan earthquake. Quality of Life Research, 19(9), 1381-1391.
Joseph, S., & Linley, P. A. (2005). Positive adjustment to threatening events: An organismic valuing theory of growth through adversity. Review of General Psychology, 9(3), 262-280.
Joseph, S., & Linley, P. A. (2006). Growth following adversity: Theoretical perspectives and implications for clinical practice. Clinical Psychology Review, 26(8), 1041-1053.
Karakaya, I., Ağaoğlu, B., Coşkun, A., Sişmanlar, S. G., & Yildiz, O. O. (2004). The symptoms of PTSD, depression and anxiety in adolescent students three and a half years after the Marmara earthquake. Turkish journal of psychiatry, 15(4), 257-263.
Kleim, B., & Ehlers, A. (2009). Evidence for a curvilinear relationship between posttraumatic growth and posttrauma depression and PTSD in assault survivors. Journal of traumatic stress, 22(1), 45-52.
Kolltveit, S., Lange-Nielsen, I. I., Thabet, A. A. M., Dyregrov, A., Pallesen, S., Johnsen, T. B., et al. (2012). Risk factors for PTSD, anxiety, and depression among adolescents in gaza. Journal of traumatic stress, 25(2), 164-170.
Lewis, V., Creamer, M., & Failla, S. (2009). Is poor sleep in veterans a function of post-traumatic stress disorder? Military medicine, 174(9), 948-951.
Naeem, F., Ayub, M., Masood, K., Gul, H., Khalid, M., Farrukh, A., et al. (2011). Prevalence and psychosocial risk factors of PTSD: 18months after Kashmir earthquake in Pakistan. Journal of affective disorders, 130(1), 268-274.
Önder, E., Tural, Ü., Aker, T., Kılıç, C., & Erdoğan, S. (2006). Prevalence of psychiatric disorders three years after the 1999 earthquake in Turkey: Marmara Earthquake Survey (MES). Social Psychiatry and Psychiatric Epidemiology, 41(11), 868-874.
Papadatou, D., Giannopoulou, I., Bitsakou, P., Bellali, T., Talias, M. A., & Tselepi, K. (2012). Adolescents' reactions after a wildfire disaster in Greece. Journal of traumatic stress, 25(1), 57-63.
Quarantini, L. C., Miranda, S., Nery-Fernandes, F., Andrade-Nascimento, M., Galvão-de-Almeida, A., Guimarães, J. L., et al. (2010). The impact of comorbid posttraumatic stress disorder on bipolar disorder patients. Journal of affective disorders, 123(1-3), 71-76.
Roussos, A., Goenjian, A. K., Steinberg, A. M., Sotiropoulou, C., Kakaki, M., Kabakos, C., et al. (2005). Posttraumatic stress and depressive reactions among children and adolescents after the 1999 earthquake in Ano Liosia, Greece. American Journal of Psychiatry, 162(3), 530-537.
Taku, K., Kilmer, R. P., Cann, A., Tedeschi, R. G., & Calhoun, L. G. (2012). Exploring posttraumatic growth in Japanese youth. Psychological Trauma: Theory, Research, Practice, and Policy, 4(4), 411-419.
Tedeschi, R. G., & Calhoun, L. G. (1995). Trauma and transformation:Growing in the aftermath of suffering. Thousand Oaks: CA: Sage.
Tedeschi, R. G., & Calhoun, L. G. (1996). The Posttraumatic Growth Inventory: Measuring the positive legacy of trauma. Journal of traumatic stress, 9(3), 455-471.
Tedeschi, R. G., & Calhoun, L. G. (2004). Posttraumatic Growth: Conceptual Foundations and Empirical Evidence. Psychological inquiry, 15(1), 1-18.
Tedeschi, R. G., Calhoun, L. G., & Cann, A. (2007). Evaluating resource gain: Understanding and misunderstanding posttraumatic growth. Applied Psychology, 56(3), 396-406.
Uemoto, M., Asakawa, A., Takamiya, S., Asakawa, K., & Inui, A. (2012). Kobe Earthquake and Post-Traumatic Stress in School-Aged Children. International journal of behavioral medicine, 19(3), 243-251.
Wang, W., Fu, W., Wu, J., Ma, X., Sun, X., Huang, Y., et al. (2012). Prevalence of PTSD and Depression among Junior Middle School Students in a Rural Town Far from the Epicenter of the Wenchuan Earthquake in China. PloS one, 7(7), 1-10.
Ying, L. H., Wu, X. C., & Lin, C. D. (2012). Longitudinal linkages between depressive and posttraumatic stress symptoms in adolescent survivors following the Wenchuan earthquake in China: A three-wave, cross-lagged study. School Psychology International, 33(4), 416-432.
Yonemoto, T., Kamibeppu, K., Ishii, T., Iwata, S., & Tatezaki, S. (2012). Posttraumatic stress symptom (PTSS) and posttraumatic growth (PTG) in parents of childhood, adolescent and young adult patients with high-grade osteosarcoma. International Journal of Clinical Oncology, 17(3), 272-275.
Zhang, Z., Ran, M. S., Li, Y. H., Ou, G. J., Gong, R. R., Li, R. H., et al. (2012). Prevalence of post-traumatic stress disorder among adolescents after the Wenchuan earthquake in China. Psychological medicine, 1(1), 1-13.
Zhang, Z., Shi, Z., Wang, L., & Liu, M. (2011). One year later: Mental health problems among survivors in hard-hit areas of the Wenchuan earthquake. Public health, 125(5), 293-300.
安媛媛, 臧伟伟, 伍新春, 林崇德, 周佶. (2011). 创伤暴露程度对中学生创伤后成长的影响——复原力的调节作用. 心理科学, 34(3), 727-732.
范方, 柳武妹, 郑裕鸿, 崔苗苗. (2010). 震后6个月都江堰地区青少年心理问题及影响因素. 中国临床心理学杂志, 18(1), 56-59.
耿富磊, 范方, 张岚. (2012). 汶川地震后18个月都江堰地区青少年睡眠问题共患PTSD、抑郁、焦虑状况. 中国临床心理学杂志, 20(2), 172-175.
胡俏. (2009). 在金华地区三种中学生群体中的学习倦怠状况. 健康研究, 29(1), 50-52.
胡俏, 戴春林. (2007). 中学生学习倦怠结构研究. 心理科学, 30(1), 162-164.
李松蔚, 余红玉, 钱铭怡, 高隽, 王雨吟, 邓晶. (2011). 震后不同地区初中生的抑郁水平及创伤后症状. 中国临床心理学杂志, 19(1), 77-80.
蔺秀云, 方晓义, 刘杨, 兰菁. (2009). 流动儿童歧视知觉与心理健康水平的关系及其心理机制. 心理学报, 41(10), 967-979.
刘娅, 袁萍, 贾红, 李爱玲, 刘潇霞, 叶运莉. (2011). 汶川震后灾区中学生PTSD时间趋势分析. 中国公共卫生, (3), 303-304.
伍新春, 侯志瑾, 臧伟伟, 张宇迪, 常雪亮. (2009). 汶川地震极重灾区中小学校的心理援助现状与需求——以茂县、汶川县和都江堰市为例. 华南师范大学学报(社会科学版), (3), 110-114.
张晨光, 陈秋燕, 程科, 伍新春, 林崇德. (2012). 社会支持在灾区中学生创伤后成长中的中介效应检验. 西南民族大学学报(人文社会科学版), (9), 82-86.
张金凤, 史占彪, 赵品良, 王力. (2012). 汶川震后初中生创伤后成长状况及相关因素. 中国心理卫生杂志, 26(5), 357-362.
张倩, 郑涌. (2009). 创伤后成长:5·12地震创伤的新视角. 心理科学进展, 17(3), 623-630.
赵丞智, 李俊福, 王明山, 范启亮, 张富, 张华彪, 汪向东. (2001). 地震后17个月受灾青少年PTSD及其相关因素. 中国心理卫生杂志, 15(3), 145-147.

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