标题：海南国际旅游岛旅游区居民心理应激影响因素调查

      作者：郭骏成 1，2，田志良 3，郭敏 2，李蒙勇威 2，王小丹 4，高允锁 2，蒋湘玲 2，符林梅 2，黄涛 2
    （1.南华大学附属海南医院科教处，海南 海口 570311；
2.海南省人民医院科教处，海南 海口 570311；
3.南华大学附属二医院科教科，湖南 衡阳 421001；
4海南医学院公共卫生学院，海南 海口 571199）

      卷次： 2016年27卷17期

      【摘要】 目的 调查海南国际旅游岛旅游区居民心理应激影响因素，为旅游区居民进行心理干预和心理
健康教育提供科学依据。方法 采用创伤后应激障碍量表(PCL-C)、社会支持评定量表(SSRS)、艾森人格量表
(EPQ)、症状自评量表(SCL-90)，在 2013年 1月至 2015年 12月间对海南国际旅游岛旅游区居民 5 114名进行问卷
调查。结果 ①创伤后应激障碍(PTSD)阳性率为 69.73% (3 566/5 114)；②有无创伤后应激障碍两组间 SCL-90
总分、EPQ各因子得分和SSRS总分进行比较，结果显示差异均有统计学意义(P<0.05)；③多重线性回归分析，进入
回归模型的因素有 SCL-90总分、E量表分、N量表分、P量表分、SSRS总分；④通径分析结果表明，N量表分对
PCL-C总分的总效应最强(0.838)，其次是SCL-90总分(0.200)，在直接效应中SSRS总分的效应为(-0.260)，位居第
二。结论 影响PTSD发生的危险因素有心理症状、艾森克人格，PTSD的保护因素有社会支持。

      【关键词】 创伤后应激障碍；影响因素；心理应激；海南

      【中图分类号】 R195 【文献标识码】 D 【文章编号】 1003—6350（2016）17—2876—03


Analysis of psychological stress factors in residents of tourist area of Hainan international tourism island.
GUO
Jun-cheng 1, 2, TIAN Zhi-liang 3, GUO Min 2, LIMENG Yong-wei 2, WANG Xiao-dan 4, GAO Yun-suo 2, JIANG Xiang-ling 2, FU
Lin-mei 2, HUANG Tao 2. 1. Department of Science and Education, Affiliated Hainan Hospital of University of South China,
Haikou 570311, Hainan, CHINA; 2. Department of Science and Education, People's Hospital of Hainan Province, Haikou
570311, Hainan, CHINA; 3. Department of Science and Education, the Second Hospital of University of South China,
Hengyang 421001, Hunan, CHINA; 4. School of Public Health, Hainan Medical University, Haikou 571199, Hainan, CHINA

【Abstract】 Objective To investigate the psychological stress factors in residents of tourist area of Hainan
international tourism island, and provide scientific basis of psychological intervention and mental health education.
Methods A total of 5 114 residents of tourist area of Hainan international tourism island were investigated with
Post-Traumatic Stress Disorder Scale (PCLS-C), Social Support Revalued Scale (SSRS), Eisen Personality Question-
naire (EPQ), Symptom Checklost 90 (SCL-90) from January 2013 to December 2015. Results (1) The positive rate of
post-traumatic stress disorder (PTSD) was 69.73% (3 566/5 114). (2) There were significant differences between PTSD
and non-PTSD group in the total score of SCL-90, EPQ each factor score and total score SSRS (P<0.05). (3) Multiple
linear regression analysis was performed with the related factors including the total score of SCL-90, E scale score, N
scale score, P scale score and the total score of SSRS. (4) Path analysis results showed that the total score of N scale
score had the strongest effect on the total score of PCL-C (0.838), and SCL-90 score had the second effect (0.200); Total
score of SSRS had the second direct effect (-0.260). Conclusion The risk factors of PTSD include psychological symp-
toms and Eysenck personality. The protective factor of PTSD is social support.

      【Key words】 Post-traumatic stress disorder (PTSD); Influencing factors; Psychological stress; Hainan
·调查研究·
6350.2016.17.044