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| 1 | 中国汶川地震现场救援军人创伤后应激障碍及相关因素的调查显示文摘目的调查抗震救灾一线救援军人任务完成6个月创伤后应激障碍(PTSD)的患病率及相关因素。方法采用目前美国PTSD流行病学调查和诊断工具,按整群分层抽样原则对1125名汶川抗震救灾现场救援军人PTSD的患病率及相关因素进行调查。PTSD诊断采用Davidson创伤量表(DTS)症状发生频率和严重程度总分≥40分标准确定,并使用美国精神障碍诊断与统计手册第4版(DSM-Ⅳ)诊断标准复查,使用SPSS13.0软件对调查资料和DTS诊断结果进行单因素和Logistic回归分析。结果实际调查1056人;DTS诊断PTSD69例,患病率6.53%;DSM-Ⅳ复查符合诊断63例,患病率5.97%;独生子女、服役满意度低、吸烟、创伤暴露阶段未进行心理干预及有饮酒习惯者PTSD患病率显著高于相对应的人群(P〈0.05);地震经历暴露程度高(P〈0.01,OR=6.258)、创伤暴露阶段未进行心理干预(P=0.019,OR=3.106)是抗震救灾现场救援军人PTSD的显著危险因素,而独生子女是PTSD潜在的危险因素(P=0.057,OR=2.235)。结论PTSD是抗震救灾现场军人常见的心理障碍,加强创伤暴露者的心理防护和危机干预十分必要。 | 王焕林 过伟 Hua Jin Dewleen G. Baker 孙剑 施建安 郭渝成 赵彬 毕银花 闫同军 余海鹰 汪广剑 国家喜 高志勤 赵汉清 欧阳晖 宋梓祥 陈方斌 杨征 | 2010 | 中华精神科杂志2010,43,2: | 21 |
| 2 | 地震救援军人创伤后应激障碍患者生命质量及风险因素研究显示文摘目的评估汶川地震救援军人创伤后应激障碍(PTSD)患者生命质量的现状并分析其危险因素,为改善患者的生命质量提供依据。方法采用健康调查问卷SF-36中文版对63例PTSD患者(PTSD组)和997例健康对照(对照组)进行调查。用两样本t检验比较两组生命质量评分,以多元逐步回归分析筛选影响PTSD患者生命质量的危险因素。结果 (1)PTSD组在生理功能、生理职能、躯体疼痛、精力、社会功能、情感职能、精神健康及生理健康总评、心理健康总评、健康调查问卷SF-36总分得分低于对照组(t=-2.213~-8.669,P<0.05),而总体健康得分高于对照组(t=4.947,P<0.05);(2)多元线性回归分析显示,影响PTSD患者健康调查问卷SF-36总评分及生理综合评分的危险因素有创伤再体验因子及服役满意度,心理综合评分的危险因素为地震经历。结论 PTSD患者生命质量低,通过控制其影响因素如创伤再体验、服役满意度等可能有助于改善患者的生命质量。 | 赵彬 王焕林 高志勤 过伟 Hua Jin Dewleen G. Baker 余海鹰 施建安 孙剑 毕银花 闫同军 欧阳晖 | 2012 | 精神医学杂志2012,25,4: | 4 |
| 3 | 汶川地震救援官兵创伤后应激障碍患者的生存质量显示文摘本文就汶川地震救援官兵创伤后应激障碍(post-traumaticstressdisorder,PTSD)患者的生存质量及相关因素进行研究。 | 赵彬 王焕林 高志勤 过伟 JIN Hua DEWLEEN G.Baker 余海鹰 施建安 孙剑 毕银花 闫同军 欧阳晖 | 2011 | 中国心理卫生杂志2011,25,8: | 3 |
| 4 | Biomarkers of PTSD: Neuropeptides and immune signaling显示文摘 | Dewleen G. Baker Caroline M. Nievergelt Daniel T. O’Connor | 2011 | Neuropharmacology2011,,2: | 1 |
| 5 | Serial CSF Corticotropin-Releasing Hormone Levels and Adrenocortical Activity in Combat Veterans With Posttraumatic Stress Disorder显示文摘 | Dewleen G Baker SA West WE | 1999 | Am J Psychiatry1999,156,4: | 1 |
| 6 | Effects of traumarelated audiovisual stimulation on cerebrospinal fluid norepinephrine and co-rticotropin-releasing hormone concentrations in post-traumatic stress disorder显示文摘 | Thomas D Geracioti Jr Dewleen G | 2008 | Psychoneuroendocrinology2008,33,4: | 1 |
| 7 | Peritraumatic Behavior Questionnaire- Observer Rated: Validation of the objective version of a measure for combatrelated peritraumatic stress显示文摘AIM: To validate the first third-person-rated measure assessing combat-related peritraumatic stress symptoms and evaluate its psychometric properties and war-zone applicability.METHODS: The valid assessment of peritraumatic symptoms in the theater of military operations represents a significant challenge in combat-related, mental health research, which mainly relies on retrospective, subjective self-report ratings. This longitudinal observational study used data from actively deployed troops to correlate third-person observer ratings of deployment peritraumatic behaviors [Peritraumatic Behavior Questionnaire- Observer Rated(PBQ-OR)] collected on a bimonthly basis with post-deployment(1-wk follow-up) ratings of the previously validated PBQ self-rate version(PBQ-SR), and(3-mo follow-up) clinician assessed and self-report posttraumatic stress disorder(PTSD) symptoms(Clinician Administered PTSD Scale, PTSD Checklist). Cronbach's alpha(α) and correlation coefficients were calculated to assess internal reliability and concurrent validity respectively. RESULTS: Eight hundred and sixty male Marines were included in this study after signing informed consents at pre-deployment(mean age 23.2 ± 2.6 years). Although our findings were limited by an overall sparse return rate of PBQ-OR ratings, the main results indicate satisfactory psychometric properties with good internal consistency for the PBQ-OR(α = 0.88) and high convergent and concurrent validity with 1-wk post-deployment PBQSR ratings and 3-mo posttraumatic stress symptoms. Overall, later PBQ-OR report date was associated with higher correlation between PBQ-OR and postdeployment measures. Kappa analysis between PBQOR and PBQ-SR single items, showed best agreement in questions relating of mortal peril, desire for revenge, and experience of intense physical reactions. Logistic regression demonstrated satisfactory predictive validity of PBQ-OR total score with respect to PTSD caseness(OR = 1.0513; 95%CI: 1.011-1.093; P = 0.02).CONCLUSION: Since no comparable tools have been developed, PBQ-OR could be valuable as real-time screening tool for earlier detection of Service Members at risk. | Agorastos Agorastos Abigail C Angkaw Heather E Johnson Christian J Hansen Camille V Cook Dewleen G Baker | 2016 | World Journal of Psychiatry2016,6,2: | 0 |