Symptoms and Analysis of Correlation Factors of Patients with Post-traumatic Stress Disorder in Malpractice Evaluation

GUO Nai-shuang; LIU Zhen-jing

doi:10.3969/j.issn.1002-3429.2014.06.032

Abstract：Objective To explore the patients ' symptoms and correlation factors of posttraumatic stress disorder ( PTSD) in appraisable malpractice. Methods The incidence rate of PTSD and symptom correlation of 154 patients in ap-praisable malpractice were evaluated with PTSD Check list-Civilian Version (PCL-C), State-Trait Anxiety Inventor (STAI) questionnaire, Self-Rating Depression Scale ( SDS) and Eysenck Personality Questionnaire ( EPQ) . Results In this study, 151 valid questionnaires were retrieved, and the incidence rate of PTSD was 21. 19% (32/151 in PtSD group) with a score of 50 as the boundary value. The incidence rate of PTSD in identified malpractice group was higher compared with those in non malpractice group and termination identification group ( P<0.05 ) . The intruded symptom, high alertness and total PCL-C scores in malpractice group were significantly higher than those in the other two groups (P<0.05). The intruded symptoms, high alertness, approach-avoidance symptom and total PCL-C scores in PTSD group were significantly higher than those in non PTSD group (P<0.05);incidence rates of intruded symptom and high alertness in females were significantly higher than those in males, but the incidence rate of approach-avoidance symptom in males was significantly higher than in females (P<0.05). Regression analysis result showed that anxiety state, depression and neuroticism were important predictors of PTSD. Conclusion The incidence rate of PTSD in appraisable malpractice patients is high with obvious symptoms and mental problems for pa-tients. The anxiety state, depression and neuroticism are the risk factors of PTSD. So intervention for PTSD is necessary.