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张晓茹, 石静, 彭怀晴, 王可晖, 张瑞娟, 王英霁, 李巫熙. 芦山地震灾区初中生心理干预效果评价[J]. 中国公共卫生, 2014, 30(10): 1338-1341. DOI: 10.11847/zgggws2014-30-10-34
引用本文: 张晓茹, 石静, 彭怀晴, 王可晖, 张瑞娟, 王英霁, 李巫熙. 芦山地震灾区初中生心理干预效果评价[J]. 中国公共卫生, 2014, 30(10): 1338-1341. DOI: 10.11847/zgggws2014-30-10-34
ZHANG Xiao-ru, SHI Jing, PENG Huai-qing.et al, . Effects of mental health intervention among junior middle-school students after Lushan earthquake[J]. Chinese Journal of Public Health, 2014, 30(10): 1338-1341. DOI: 10.11847/zgggws2014-30-10-34
Citation: ZHANG Xiao-ru, SHI Jing, PENG Huai-qing.et al, . Effects of mental health intervention among junior middle-school students after Lushan earthquake[J]. Chinese Journal of Public Health, 2014, 30(10): 1338-1341. DOI: 10.11847/zgggws2014-30-10-34

芦山地震灾区初中生心理干预效果评价

Effects of mental health intervention among junior middle-school students after Lushan earthquake

  • 摘要: 目的 了解雅安市芦山震后灾区初中生心理健康水平及干预效果。方法 应用症状自量表(SCL-90)、焦虑自评量表(SAS)、抑郁自评量表(SDS),对灾区600名初中生进行心理干预前后心理测评。结果 灾区干预前初中生中重度心理问题比例较高的前3位因子依次为抑郁(19.83%),焦虑(19.31%),强迫症状(18.80%);干预前,女生SCL-90总分、躯体化、抑郁、焦虑、恐怖、SDS总分和SAS总分分别为(181.42±32.89)、(1.61±0.43)、(2.20±0.49)、(2.14±0.50)、(2.08±0.54)、(46.97±4.95)、(43.94±5.75)分,均高于男生的(173.61±33.98)、(1.54±0.40)、(2.12±0.53)、(2.03±0.48)、(1.95±0.53)、(45.81±5.43)、(42.11±6.86)分,差异均有统计学意义(P<0.05);干预后,女生SCL-90总分、躯体化、抑郁、焦虑和恐怖因子分别为(151.18±30.41)、(1.56±0.39)、(1.72±0.35)、(1.76±0.41)、(1.58±0.48)分,均高于男生的(147.67±24.17)、(1.49±0.38)、(1.65±0.44)、(1.67±0.40)、(1.44±0.39)分,差异均有统计学意义(P<0.05);干预后男生SCL-90总分、躯体化、强迫症状、抑郁、焦虑、敌对、恐怖、偏执、其他、SDS总分和SAS总分均低于干预前,女生各量表及各因子得分均低于干预前,差异均有统计学意义(P<0.05)。结论 芦山地震灾区初中生经过干预后心理健康状况有明显改善,且不同性别差异明显。

     

    Abstract: Objective To explore mental health and the effect of mental health intervention among junior middle-school students in Lushan earthquake disaster area.Methods Symptoms Checklist-90(SCL-90), Self-Rating Anxiety Scale(SAS)and Self-Rating Depression Scale(SDS)were used to assess the mental health among 600 students before and after a psychological intervention in the disaster area.Results Before the intervention, the three severe psychological problems in the students were depression(19.83%), anxiety(19.31%), and compulsive symptoms(18.80%).Before the intervention, the female students showed significantly higher scores than the male students in total SCL-90 score(181.42±32.89 vs. 173.61±33.98), somatizatiion(1.61±0.43 vs. 1.54±0.40), depression(2.20±0.49 vs. 2.12±0.53), anxiety(2.14±0.50 vs. 2.03±0.48), terror(2.08±0.54 vs. 1.95±0.53), SDS score(46.97±4.95 vs. 45.81±5.43), and SAS score(43.44±5.75 vs. 42.11±6.86)(all P<0.05).After the intervention, female students still showed higher scores than male students in total SCL-90 score(151.18±30.41 vs. 147.67±24.17), somatization(1.56±0.39 vs. 1.49±0.38), depression(1.72±0.35 vs. 1.65±0.44), anxiety(1.76±0.41 vs. 1.67±0.40), and terror(1.58±0.48 vs. 1.44±0.39)(all P<0.05).After the intervention, both male and female students showed significantly decreased scores in total SCL-90 score and its domains, SDS, and SAS(t=2.190-14.548 for male and t=1.974-14.004 for female;all P<0.05).Conclusion The mental health status was improved obviously after the mental health intervention among junior middle-school students in Lushan earthquake disaster area and there was a gender difference in mental health among the students.

     

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