农村青少年创伤经历及创伤后应激障碍流行特征

心理与行为研究 ›› 2019, Vol. 17 ›› Issue (3): 395-401.

农村青少年创伤经历及创伤后应激障碍流行特征

李鸽^1,2, 曹倖^1,2, 王力¹

1. 中国科学院心理研究所心理健康重点实验室创伤应激研究实验室, 北京 100101;
2. 中国科学院大学心理学系, 北京 100049

收稿日期:2017-08-30 出版日期:2019-05-20 发布日期:2019-06-10
通讯作者: 王力,E-mail:wangli1@psych.ac.cn
基金资助:
国家自然科学基金面上项目（31471004；31271099）；中国科学院对外合作项目（153111KYSB20160036）；中国科学院国际人才计划（2016VEA019）

Trauma Experiences and Post-Traumatic Stress Disorder Prevalence in Rural Adolescents

LI Ge^1,2, CAO Xing^1,2, WANG Li¹

1. Laboratory for Traumatic Stress Studies, CAS Key Laboratory of Mental Health, Institute of Psychology, Chinese Academy of Sciences, Beijing 100101;
2. Department of Psychology, University of Chinese Academy of Sciences, Beijing 100049

Received:2017-08-30 Online:2019-05-20 Published:2019-06-10

摘要/Abstract

摘要： 基于《精神障碍诊断与统计手册》（第五版）的诊断标准，考察了农村青少年创伤经历、创伤后应激障碍流行情况及其与人口学特征、创伤经历之间的关系。研究采用《加州大学洛杉矶分校儿童青少年创伤后应激障碍反应指数》和《创伤后应激障碍检查表第五版》，对1781名乡镇初级中学学生进行了调查。结果显示，（1）60%的农村青少年至少经历过1件创伤性事件，发生频率最高的创伤性事件为曾有亲近的人去世（42.6%）；（2）有创伤经历的农村青少年的PTSD检出率为9.7%，与PTSD有关的人口学特征为男性、独生子女以及父母在外打工；（3）最易引发创伤后应激障碍的创伤经历为遭受或目睹家庭暴力。本研究呈现了农村青少年群体创伤相关心理健康现状，并初步识别了一些该群体罹患PTSD的风险因素，这将有助于在临床实践中针对PTSD易感人群进行及时、有效的筛查和干预。

关键词: 农村青少年, 创伤性事件, 创伤后应激障碍, DSM-5

Abstract: The present study was aimed to investigate the trauma experiences, the prevalence of PTSD based on DSM-5 criteria, and the relationships between PTSD and demographics and traumatic events. A sample of 1781 middle school students living in rural areas was assessed by the UCLA PTSD Reaction Index for Children/Adolescents and the PTSD Checklist for DSM-5. The results revealed that 60% of participants experienced at least one traumatic event. The most frequent traumatic event was the death of someone close to you (42.6%). The caseness rate of PTSD among trauma-exposed participants was 9.7%. Male sex, being the only child, and parental labor migration were associated with PTSD diagnosis. The most likely trauma trigger for PTSD was experiencing/witnessing domestic violence. This study provided an presentation of the current status of rural adolescents' trauma-related mental health, and primarily identified some risk factors for PTSD in this population, which would contribute to the timely and efficient screening and intervention for vulnerable individuals in clinical practice.

Key words: rural adolescents, traumatic events, post-traumatic stress disorder, DSM-5

中图分类号:

B844

李鸽, 曹倖, 王力. 农村青少年创伤经历及创伤后应激障碍流行特征[J]. 心理与行为研究, 2019, 17(3): 395-401.

LI Ge, CAO Xing, WANG Li. Trauma Experiences and Post-Traumatic Stress Disorder Prevalence in Rural Adolescents[J]. Studies of Psychology and Behavior, 2019, 17(3): 395-401.

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