汶川地震灾民创伤后应激障碍、抑郁及躯体健康研究图书
Post-Traumatic Stress Disorder, Depression and Physical Health among Adult Survivors of the Wenchuan Earthquake in China
[内容简介] 作者先后五次深入地震灾区收集一手数据,并对数据进行整理分析,了解到 PTSD(创伤后应激障碍,Post-traumatic Stress Disorder)、抑郁症状在灾难发生短期内会迅速增加,但随着时间推移而降低;PTSD、抑郁在灾民中往往以两种症状共存的形式存在,地震后不同的人群表现不同的症状特征。本书有助于促进灾难精神健康研究的推进,并为灾难精神疾患的预防、治疗及康复提供支持。
相关信息
前言
表目
序言
缩略语表
附录 问卷
华中科技大学社会学文库总序
第一章 灾害与健康
第一节 概念界定
一 灾害
二 地震
(1)肾系统
(2)肌肉骨骼损伤(与挤压伤密切相关)
(3)心血管系统
(4)胸部损伤
(5)传染病
(6)精神健康
(7)神经问题
三 PTSD
四 抑郁
五 共病
六 躯体健康
第二节 灾后健康研究综述
一 灾难暴露:创伤、损失、逆境
二 灾后躯体健康
三 灾后物质滥用
四 抗逆力
五 灾后医疗救助政策
第三节 PTSD相关研究
一 PTSD理论研究
二 PTSD的患病率
三 PTSD的测量工具
四 PTSD的社会心理学影响因素
五 PTSD的发展结果
六 PTSD的干预治疗
第四节 抑郁相关研究
一 抑郁相关理论
二 抑郁的患病率
三 抑郁的测量工具
四 抑郁的社会心理学影响因素
五 抑郁的发展结果
六 抑郁的干预治疗
第五节 灾后PTSD、抑郁、躯体健康的关系
一 PTSD、抑郁、共病作为灾难的独立结果
二 PTSD与抑郁相互影响
三 PTSD、抑郁及共病与躯体健康之间的关系
第二章 震后健康研究框架
一 震后健康研究的核心问题
二 震后健康研究的技术路线
三 震后健康研究的研究设计
(一)被试
(二)变量
(三)研究工具
1.结果变量
2.控制变量
3.社会人口学信息
(四)数据采集
(五)数据分析
四 震后健康研究的理论价值和现实意义
第三章 震后灾民PTSD的变化及影响因素
一 研究对象
二 统计方法
三 研究结果
(一)震后PTSD的变化
(二)震后不同人群的PTSD变化及内部差异
(三)震后PTSD的影响因素
(四)PTSD回避症状的影响因素
(五)PTSD闯入症状的影响因素
(六)PTSD警觉症状的影响因素
四 讨论
五 结论
第四章 震后灾民抑郁的变化及影响因素
一 研究对象
二 统计方法
三 研究结果
(一)震后抑郁的变化
(二)震后不同人群抑郁的变化及内部差异
(三)震后抑郁的影响因素
四 讨论
五 结论
第五章 PTSD与抑郁的关系
一 研究对象
二 统计方法
三 研究结果
(一)PTSD、抑郁的相关分析
(二)PTSD、抑郁影响因素的一致性与独特性
1.震后8个月单纯PTSD、单纯抑郁及二者共病的影响因素
2.震后14个月单纯PTSD、单纯抑郁及二者共病的影响因素
3.震后26个月单纯PTSD、单纯抑郁及二者共病的影响因素
4.震后44个月单纯PTSD、单纯抑郁及二者共病的影响因素
5.小结
(三)PTSD、抑郁关系的因果推断
1.相关分析
2.交叉滞后分析
四 讨论
五 结论
第六章 PTSD、抑郁与躯体健康的关系
一 研究对象
二 统计方法
三 研究结果
(一)躯体健康(两周患病率)变化
(二)PTSD与躯体健康的关系
1.PTSD与两周患病率的双变量相关
2.PTSD各症状得分与两周患病率的T检验
3.PTSD对躯体健康影响的回归分析
(三)抑郁与躯体健康的关系
1.抑郁与两周患病率的双变量分析
2.抑郁对躯体健康影响的回归分析
(四)PTSD、抑郁及共病与躯体健康的关系
1.单纯PTSD、单纯抑郁及共病与两周患病率的双变量分析
2.单纯PTSD、单纯抑郁及共病对躯体健康影响的回归分析
四 讨论
五 结论
第七章 灾后健康研究综合讨论
第一节 研究结果的讨论
一 震后PTSD、抑郁随着时间的推移而降低
三 震后PTSD与抑郁相关,PTSD能够预测抑郁发生
四 震后PTSD、抑郁预测了较差的躯体健康状况
五 局限性
第二节 研究结果的实践指导价值
一 区别灾后健康急性期、缓解期的特点
二 关注弱势群体与抗逆力
三 区别PTSD、抑郁及躯体健康的关系
四 灾后心理预防、救援的阶段性与针对性
第三节 灾后精神健康研究展望:机遇与挑战
一 研究计划
二 数据收集
三 研究设计
四 测量工具
五 影响因素
六 干预研究
七 灾后救助及卫生政策
八 分析方法
九 其他
第四节 研究结论
主题词索引
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