Study Of Influencing Factors Of Post Traumatic Stress Disorder In Patients With Trauma And Correlation Between Alexithymia And Coping Styles

Objectives:The objectives of this study are to make a survey of the present situation and affected factors of Post-Traumatic Stress Disorder in the patients with trauma in traumatology department. To analyze the correlations of Post-Traumatic Stress Disorder, Alexithymia and coping styles. To provide scientific theoretical basis and practical guidance in order to promote the patients’ physical and mental health. Methods:This research conducted a survey with convenience sampling method to 230 patients with trauma in trauma surgery who came back to hospital for checking again in a Grade-III A Comprehensive hospitals in Changchun in 2015(Jun.-Dec.). Research tools include basic information questionnaires, disease-related information questionnaire, the PTSD Checklist-Civilian(PCL-C), Alexithymia Scale(TAS-20), Simplified Coping Style Questionnaire(SCSQ). The results were analyzed by statistical software SPSS 18.0. Statistical analysis methods include descriptive statistic analysis, χ2 test, unconditioned logistic regression analysis, and Pearson relevant analysis. Results:1. There are 65 patients suffer from Post-Traumatic Stress Disorder in the 220 valid questionnaires, the positive rates were 29.5%,the scores of PTSD were 39.54±10.25.2. According to the single factor analysis, the factors that could influence PTSD are as follows: gender(χ2=4.769, P=0.029), age(χ2=12.950, P=0.002), marital status(χ2=30.820, P<0.001), education(χ2=11.006, P=0.012), different periods to trauma(χ2=9.750, P=0.008), whether to be hospitalized in Intensive Care Unit(χ2=6.642, P=0.010), whether to ask for assistance from others(χ2=6.758, P=0.009), multiple trauma(χ2=5.823, P=0.016), physical disability after trauma(χ2=8.348, P=0.004).3. The affected factors to post-traumatic stress disorder by unconditioned logistic regression analysis are as follows: gender(OR=2.160, 95%CI: 1.055~4.423), marital status(OR=4.411, 95%CI:1.327~14.669), education(OR=3.659, 95%CI:1.055~12.684), whether to be hospitalized in Intensive Care Unit(OR=2.342, 95%CI:1.053~5.209), whether to ask for assistance from others(OR=0.398, 95%CI:0.188~0.846), multiple trauma(OR=2.338, 95%CI: 1.123~4.868), physical disability after trauma(OR=2.400, 95%CI:1.138~5.062).4. According to Pearson analysis, PTSD was positively correlated with alexithymia(r=0.964, P<0.001), recognition of emotional disorders(r=0.977, P<0.001), description of emotional disorders(r=0.954, P<0.001), extroversion thought(r=0.793, P<0.001), and negative correlated with coping styles(r=-0.960, P<0.001). Alexithymia was negative correlated with coping styles(r=-0.977, P<0.001). Conclusions:1. In this study, patients who suffer from PTSD have higher positive rates compared with other research at home and abroad.2. Patients who were female, 60 years old or elder, widowed, low education levels, different periods to trauma(more than 6months), hospitalized in ICU, never asked for help from others, multiple trauma, post-traumatic physical disabilities have higher posttraumatic stress disorder.3. Patients with trauma in surgical trauma department who were female, widowed, lower level of education, hospitalized in ICU, never asked for help from others, multiple trauma, post-traumatic physical disabilities were independent influenced factors of PTSD.4. Such patients, the harder to recognize their own feeling, the harder to describe their own feeling, the poorer extroversion thought, would have a higher post-traumatic stress disorder. The higher of alexithymia level, the poorer of coping ability.