| 李国正
，钟文波
，张志斌
，杨敏
，宋永斌.驻疆官兵创伤后应激障碍及睡眠障碍的调查[J].神经损伤功能重建,2018,13(3):138-141 |
| 驻疆官兵创伤后应激障碍及睡眠障碍的调查 |
| A survey of post-traumatic stress disorder and sleep disorder in military personnelin Xinjiang |
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| DOI： |
| 中文关键词: 创伤后应激障碍 焦虑 抑郁 睡眠障碍 |
| 英文关键词: post-traumaticstress disorder anxiety depression sleep disorders |
| 基金项目:军队后勤科研计划
（No.CLJ16J006） |
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| 摘要点击次数: 3635 |
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| 中文摘要: |
| 目的：调查驻疆某部官兵创伤后应激障碍（PTSD）及焦虑、抑郁的共病症状，及睡眠状况。方法：通过
结构式问卷调查和心理量表测评对 400 例驻疆官兵进行相关调查。PTSD 诊断采用 PTSD 筛查量表
（PCL-C）进行初筛，然后精神心理科专家按美国精神疾病诊断统计手册第五版（DSM-V）标准中PTSD的诊
断标准，对PCL-C评分阳性的士兵单独谈话并确定诊断。共病症状分别采用焦虑自评量表（SAS）、抑郁自
评量表（SDS），以及睡眠情况采用阿森斯失眠量表（AIS）、军人心理应激自评问卷进行评估。调查的问卷结
果使用 SPSS17.0 软件进行统计。结果：实际纳入356例，确诊PTSD 27例（7.58%）。PTSD组及非PTSD组
在军龄、文化程度、婚姻、民族、训练伤史、骨干、岗位等方面差异无统计学意义（P<0.05），参加娱乐活动及干
部管理情况差异有统计学意义（P<0.05）。与非PTSD组相比，PTSD组近半月应激状体及失眠情况均有显著
性差异（P<0.001），PTSD组的焦虑与抑郁评分均较高，且有统计学差异。结论：新疆因地域特殊性，驻疆官
兵PTSD的患病率较常人高。 |
| 英文摘要: |
| To investigate the symptoms of post-traumatic stress disorder (PTSD), anxiety, and
depression, as well assleep quality status in military personnel stationed in Xinjiang. Methods: Four hundred
military personnelstationed in Xinjiang were investigated through structural questionnaire survey and
psychological scale evaluation. The diagnosis of PTSD was first determined withthe PTSD screening scale
(PCL-C) then assessedby psychiatrists according to the Diagnostic and Statistical Manual of Mental Disorders,
Fifth Edition (DSM-V) criteria for diagnosis of PTSD; one-on-one psychiatrist evaluation of patients whose
PCL-C score indicate PTSD confirmed the diagnosis. The symptoms of comorbidity were assessed by the
Self-Rating Anxiety Scale (SAS), Self-Rating Depression Scale (SDS), Athens Insomnia Scale (AIS) for sleep
quality status,and psychological stress questionnaire. The data were analyzed by SPSS17.0 software. Results:
Of the 356 valid questionnaires received, 27 cases (7.58% ) were confirmedwithPTSD. The PTSD group and
non-PTSD group showed no statistical difference with respect tolength of service,education level, marital status,
training injury history, ethnicity, essential personnel status, or position of post. Participation in entertainment and
management status is associated with a significantly increased rate of PTSD diagnosis. There was significant
difference in the two-week stress and insomnia status between the PTSD group and non-PTSD group (P<0.001);
the PTSD group showed significantly higher levels of anxiety and depression.Conclusion: Due to Xinjiang’s
regional uniqueness, its military personnel experience greater psychological stress and show a higher prevalence
of PTSD than the general population |
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