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Post-traumatic stress disorder status in a rescue group after the Wenchuan earthquake relief

Neural Regeneration Research 2013年第20期8卷 1898-1906页

作者： Junhua Huang Qunying Liu Jinliang Li Xuejiang Li Jin You Liang Zhang Changfu Tian Rongsheng Luan Department of Epidemiology Huaxi Public Health School of Sichuan University Yunnan General Hospital of the Chinese People's Armed Police Forces Department of Psychological Counseling Yunnan General Hospital of the Chinese People's Armed Police Forces Department of Psychological Counseling Sichuan General Hospital of the Chinese People's Armed Police Forces Department of Infectious Diseases First Affiliated Hospital of Kunming Medical College Kunming Center for Disease Control Scientific Research and Experimental Center Kunming Medical College

Previous studies have suggested that the incidence of post-traumatic stress disorder in earthquake rescue workers is relatively high. Risk factors for this disorder include demographic characteristics, earthquake-related high-risk factors, risk factors in the rescue process, personality, social support and coping style. This study examined the current status of a unit of 1 040 rescue workers who participated in earthquake relief for the Wenchuan earthquake that occurred on May 12th, 2008. Post-traumatic stress disorder was diagnosed primarily using the Clinician-Administered Post-traumatic Stress Disorder Scale during structured interviews. Univariate and multivariate sta-tistical analyses were used to examine major risk factors that contributed to the incidence of post-traumatic stress disorder. Results revealed that the incidence of this disorder in the rescue group was 5.96%. The impact factors in univariate analysis included death of family members, contact with corpses or witnessing of the deceased or seriously injured, near-death experience, severe injury or mental trauma in the rescue process and working at the epicenter of the earthquake. Correlation analysis suggested that post-traumatic stress disorder was positively correlated with psychotic and neurotic personalities, negative coping and low social support. Impact factors in mul-tivariate logistic regression analysis included near-death experience, severe injury or mental trauma, working in the epicenter of the rescue, neurotic personality, negative coping and low social support, among which low social support had the largest odds ratio of 20.42. Findings showed that the oc-currence of post-traumatic stress disorder was the result of the interaction of multiple factors.

关键词： neural regeneration post-traumatic stress disorder incidence Wenchuan earthquake rescue groups influencing factor coping style personality social support cross-sectional investigation risk factors neuroregeneration

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