Tucker P, Pfefferbaum B, Nixon S J, Dickson W
Department of Psychiatry and Behavioral Sciences, University of Oklahoma, Oklahoma City, USA.
J Behav Health Serv Res. 2000 Nov;27(4):406-16. doi: 10.1007/BF02287822.
Eighty-five adults seeking mental health assistance six months after the Oklahoma City bombing were assessed to determine which of three groups of variables (exposure, peri-traumatic responses, and social support) predicted development of post-traumatic stress disorder (PTSD) symptoms. Variables most highly associated with subsequent PTSD symptoms included having been injured (among exposure variables), feeling nervous or afraid (peri-traumatic responses), and responding that counseling helped (support variables). Combining primary predictors in the three areas, PTSD symptoms were more likely to occur in those reporting counseling to help and those feeling nervous or afraid at the time of the bombing. Implications of these findings are discussed for behavioral health administrators and clinicians planning service delivery to groups of victims seeking mental health intervention after terrorist attacks and other disasters.
对85名在俄克拉何马城爆炸事件发生6个月后寻求心理健康援助的成年人进行了评估，以确定三组变量（暴露、创伤周围反应和社会支持）中的哪一组能够预测创伤后应激障碍（PTSD）症状的发展。与随后的PTSD症状关联度最高的变量包括受伤（在暴露变量中）、感到紧张或害怕（创伤周围反应）以及认为咨询有帮助（支持变量）。综合这三个领域的主要预测因素，报告咨询有帮助以及在爆炸发生时感到紧张或害怕的人更有可能出现PTSD症状。针对行为健康管理人员和临床医生，讨论了这些研究结果对于为恐怖袭击和其他灾难后寻求心理健康干预的受害者群体规划服务提供的意义。
