摘要
目的探讨父母外出务工对儿童创伤后应激障碍(PTSD)的影响,为预防和治疗PTSD提供实证数据。方法采用分层整群抽样的方法,用PTSD 17项筛查问卷(PCI-C量表)对甘肃省舟曲县四、五、六年级和初一、初二、初三年级的学生共596名进行问卷调查,收回有效问卷552份,其中留守儿童251人。结果留守儿童PCL-C量表平均得分为34.34±10.25,高于非留守儿童的平均得分31.49±10.43;留守儿童中存在轻微PTSD症状和存在重度PTSD症状的阳性检出率明显高于非留守儿童;父母外出时间长短对留守儿童的PCL-C量表总分、再体验维度、回避与麻木维度的影响均差异无统计学意义,警觉性增高维度有显著性差异(P<0.01)。结论留守儿童的PTSD患病风险较高,应加强对留守儿童心理创伤及康复的关注。
Objective To investigate how the migrant working parents had influenced their children's posttraumatic stress disorder(PTSD) and to provide solid evidence to prevent and treat PTSD.Methods Stratified cluster sampling was used to choose children to complete the PTSD checklist civilia version(PCL-C).Totally 596 students came from primary school and middle school in Zhouqu were tested,and 552 questionnaires were obtained.251 left-behind children were Included,which accounted for 45.5%.Results Left-behind children's mean score on the PCL-C was(34.34±10.25),while the non left-behind children's mean score was(31.49±10.43).The two groups showed significant difference by T-test(P=0.001).The positive rate of PTSD screening of the left-behind children was significantly higher than that of the non left-behind children on both the light and heavy PTSD symptoms.There was no significant difference among the left-behind children whose parents had been apart from their children in variable long time on the score of PCL-C and the dimension of re-experience,avoidance and emotional numbing,while there was significant difference in the increased arousal(P=0.010).Conclusion Compared with the non-left-behind children,the left-behind children have a higher risk and more serious symptoms.The effect of the parents apart from children is obvious and much more attention should be paid to the left-behind children's PTSD.
出处
《兰州大学学报（医学版）》
CAS
2013年第4期65-67,71,共4页
Journal of Lanzhou University（Medical Sciences）
关键词
留守儿童
创伤后应激障碍
舟曲
left-behind child
post-traumatic stress disorder
Zhouqu
