上海交通大学学报（医学版）

›› 2011, Vol. 31 ›› Issue (4): 434-.doi: 10.3969/j.issn.1674-8115.2011.04.011

• 论著（临床研究） • 上一篇    下一篇

创伤后分离体验和精神痛苦评估及其关系

苏珊珊, 王 振, 贾秀珍, 陈 珏, 肖泽萍   

  1. 上海交通大学 医学院附属精神卫生中心, 上海 200030
  • 出版日期:2011-04-28 发布日期:2011-04-28
  • 通讯作者: 肖泽萍, 电子信箱: xiaozeping@gmail.com。
  • 作者简介:苏珊珊（1986—）, 女, 硕士生；电子信箱: su.lingshan@163.com。
  • 基金资助:

    国家自然科学基金（30800370）和上海市科委“浦江人才”计划（09PJ1408900）

Evaluation of peritraumatic dissociative experiences and peritraumatic distress and their relationship

SU Shan-shan, WANG Zhen, JIA Xiu-zhen, CHEN Jue, XIAO Ze-ping   

  1. Shanghai Mental Health Centre, Shanghai Jiaotong University School of Medicine, Shanghai 200030, China
  • Online:2011-04-28 Published:2011-04-28
  • Supported by:

    National Natural Science Foundation of China, 30800370；Shanghai Science and Technology Committee Foundation, 09PJ1408900

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摘要：

目的 评估经历创伤事件者的创伤后分离体验与精神痛苦，并探讨两者之间的关系。方法 对60名交通事故伤员、生产事故伤员或经历暴力事件者分别采用创伤后分离体验问卷（PDEQ）和创伤后精神痛苦调查（PDI）对其经历创伤事件后的分离体验和精神痛苦进行评估，比较不同PDEQ和PDI得分在男性与女性中的分布情况，并分析创伤后分离体验和精神痛苦的相关性。结果 经历创伤事件者的PDEQ和PDI均分中位数分别为1.00和0.92，创伤后分离和创伤后精神痛苦呈正相关（r=0.823，P<0.001）。无重度创伤后分离体验者创伤后精神痛苦处于低水平状态；分别有71.43%和28.57%的创伤后重度分离体验者伴有重度和中度创伤后精神痛苦。结论 创伤事件后个体心理健康问题至关重要，在创伤事件发生1周内及时对经历创伤事件者进行PDEQ和PDI心理评定非常必要。创伤后分离更趋向于是由重度创伤后精神痛苦所导致的或其本身就是重度创伤后精神痛苦的一种附属现象。

关键词: 创伤, 创伤后精神痛苦, 创伤后分离体验

Abstract:

Objective To investigate peritraumatic dissociative experiences and peritraumatic distress after traumatic events, and explore the relationship between peritraumatic dissociative experiences and peritraumatic distress. Methods Peritraumatic dissociative experiences questionnaire (PDEQ) and peritraumatic distress inventory（PDI） were employed to evaluate peritraumatic dissociative experiences and peritraumatic distress, respectively in 60 people who had experienced traffic accidents, industrial accidents or incidents of violence. The gender distribution of different PDI/PDEQ scores was determined, and the relationship between peritraumatic dissociative experiences and peritraumatic distress was explored. Results The median PDI score and PDEQ score were 0.92 and 1.00, respectively, and PDEQ was significantly correlated with PDI （r=0.823, P＜0.001). Those without serious peritraumatic dissociative experiences maintained a low level of peritraumatic distress, and 71.43% and 28.57% of people with serious peritraumatic dissociative experiences had serious and medium peritraumatic distress, respectively. Conclusion Peritraumatic psychological health is an important issue, and it is necessary to conduct psychological evaluation with PDI and PDEQ within a week after traumatic events. Peritraumatic dissociative experiences tend to be caused by serious peritraumatic distress or may be an epiphenomenon of serous peritraumatic distress.

Key words: trauma, peritraumatic distress, peritraumatic dissociative experiences