目的:追踪调查5.12地震10个月后,极重灾区老年人心理健康变化趋势。方法:采用自编震后受灾群众基本状况登记表、中国心理健康量表(老年版)和事件影响量表,追踪调查北川安昌镇板房区146位受灾老人。结果:老年灾民在认知效能、情绪体验、适应能力维度和心理健康总分上,地震后水平均显著低于震前;震后4个月与震后10个月相比,受灾老人的心理健康总分及各个维度分值差异不显著。除侵扰症状外,PTSD总分及唤醒、逃避症状水平前后差异不显著。结论:汶川震后,极重灾区老年人的心理健康状况随时间的延长并未发生好转。近一年后,其情绪水平仍较低,可能与其不能良好适应生活环境,以及较少的社会支持有关。 OBJECTIVE: To follow up the trend of psychological health of the elderly in extremely severely affected areas after 10 months of 5.12 earthquake. Methods: A total of 146 affected elderly in Banfang District, Anchang Town, Beichuan were investigated by using the registration form of the basic conditions of the affected people after the earthquake, the Chinese Mental Health Inventory (Aged Version) and the Impact Scale of Events. Results: The levels of cognitive performance, emotional experience, resilience and mental health of the elderly victims were significantly lower than those before the earthquake. In the 4 months after the earthquake, the psychology of the elderly affected There was no significant difference between the total score of health and each dimension. In addition to invade symptoms, PTSD total score and wake-up, evasive symptoms before and after the difference was not significant. Conclusion: After the Wenchuan earthquake, the mental health status of the elderly in severely affected areas did not improve with time. Almost a year later, its emotional level is still low, may not be well adapted to their living environment, and less social support.