摘要
目的探讨地震后消化道症状严重度与心理应激程度的相关性。方法以地震灾区宝兴县的全体教师为研究对象,采用创伤后应激障碍检查量表平民版（PCL-C）分别于地震后2-3周、2-3个月和6个月,进行纵向多时点评估教师的心理应激水平,用患者健康问卷-15（PHQ-15）量表中3个消化道症状来评估消化道症状的严重度,采用Spearman秩相关分析3个时点心理应激水平与地震后2-3个月与6个月时消化道症状的动态相关性。结果地震后2-3个月与6个月,严重困扰教师的消化道症状的发生率分别为：胃痛（6.7%）或腹痛（4.7%）;便秘（6.7%）或腹泻（5.6%）;恶心（9.1%）、胃肠道胀气或消化不良（8.1%）。消化道症状最严重的时期发生于地震后3个月。地震后2-3个月和6个月,3组消化道症状与地震后3个时点的心理应激水平均相关（P〈0.05）。结论地震会带来明显的消化道症状反应,症状的高发生率会持续到地震后6个月。地震心理应激水平与消化道症状严重度在同一时点的相关性最强,前期的心理应激水平可以预测后期的消化道症状严重度,前期的消化道症状严重度可以预测后期的心理应激水平。
Objective To explore the relationship between severity of gastrointestinal symptoms and psychological stress after the earthquake. Methods The sample was teachers from Baoxing county which was most affected by the earthquake. Post-traumatic stress disorder checklist civilian version（PCL-C） scale was used to assess the symptoms of psychological stress at 2-3 weeks, 2-3 months, and 6 months after the earthquake, and gastrointestinal symptoms were evaluated using three questions of patient health questionare（PHQ）-15 at 2-3 months and 6 months after the earthquake. Spearman rank correlation was used to explore the dynamic relationship between the symptoms of psychological stress evaluated at the three waves and gastrointestinal symptoms evaluated at 2-3 months and 6 months after the earthquake. Results Prevalence rates of gastrointestinal symptoms in teachers were 6.7% and 4.7% for stomach and abdominal pain, 6.7% and 5.6% for constipation and diarrhea, and 9.1% and 8.1% for nausea and gastrointestinal flatulence or dyspepsia at 2-3 months and 6 months after the earthquake. The relationships between three gastrointestinal symptoms evaluated at 2-3 months and 6 months after the earthquake and psychological stress symptoms evaluated at the three waves were all significant（all P〈0.05）. Conclusions Gastrointestinal symptoms are common among the teachers. The association between psychological stress symptoms and severity of gastrointestinal symptoms at the same point after the earthquake is most strong, and psychological stress symptoms in the early period can predict the severity of subsequent gastrointestinal symptoms, and gastrointestinal symptoms in the early period can predict symptoms of subsequent psychological stress.
出处
《华西医学》
CAS
2016年第2期297-300,共4页
West China Medical Journal
基金
四川大学地震灾后重建应急项目(2013SCU190)~~
关键词
心理
应激
消化系统
地震
Psychological
Stress
Digestive system
Earthquake
