摘要目的 探讨甘肃文县地震灾区人群在5.12汶川大震2年后的心理健康状况.方法 采用症状自评量表(SCL-90)、应对方式问卷(CSQ)、社会支持评定量表(SSQ)对50名文县部分地震灾区人群,在震后2年的心理卫生健康状况进行问卷调查,以甘肃中医学院附属医院后勤保障中心工作人员及国内常模作对照.结果 受灾人群SCL-90中5个因子分高于对照组及常模:躯体化(F=4.31)、恐怖(F=5.25)、强迫(F=5.91)(P＜0.01),抑郁(F=3.11)、焦虑(F=3.74)(P＜0.05).受灾人群的客观支持、解决问题、幻想、合理化与对照组比较差异有统计学意义(P＜0.05).受灾人群客观支持和支持利用与SCL-90各因子呈负相关(r=-0.31～-0.40,-0.36～-0.36),解决问题与SCL-90各因子呈负相关(r=-0.33～-0.41),幻想、退避、合理化与SCL-90各因子呈正相关(r=0.40～0.60,0.35～0.64,0.33～0.45).结论 文县地震灾区群众2年后仍存在一定的心理问题,需得到必要的心理干预.

abstractsObjective To study mental status of recovered two year after in shake area crowd of gansu wen-xian. Methods Fifty former disaster crowd were assessed with SCL-90, Coping Style Questionnaire and Social Support Questionnaire two year after their discharge, 50 healthy medical staffs of gan-su CTM Affiliated Hospital of logistics ensure center were assessed with same instruments as control. Results The former disaster crowd and 5 subscores of SCL-90 with higher average scores than Chinese norm and results of control, they were somatization( F =4. 31) , phobia ( F = 5. 25) , obtrude ( F =5. 91) , P＜0. 01, depression ( F = 3. 11) anxiety ( F = 3. 74) , P ＜ 0. 05; The former disaster crowd felt more objective support, used more rationalization, but were less capable in problem solving. In former disaster crowd, problem-solving, objective social support and utility of the support were negatively correlated with subscores of SCL-90 ( r = -0. 31～-0. 40, P ＜0. 05) ; while immature coping, such as fantasy, withdrawal and rationalization were positively correlated with subscores of SCL-90 ( r = 0. 40 ~ 0. 60, P ＜ 0. 05).Conclusion Former disaster crowd still have psychosomatic symptoms and need social and psychology intervene and support.