Yang Yen Kuang, Yeh Tzung Lieh, Chen Chwen Cheng, Lee Chih Kuei, Lee I Hui, Lee Li-Ching, Jeffries Keith J
Department of Psychiatry, College of Medicine and Hospital, National Cheng Kung University and University Hospital, Tainan, Taiwan
Gen Hosp Psychiatry. 2003 Jul-Aug;25(4):253-61. doi: 10.1016/s0163-8343(03)00022-7.
Three months after the devastating Chi-Chi earthquake (magnitude of 7.3 on the Richter scale) struck the central area of Taiwan, 663 victims were screened for psychiatric morbidity at a local general hospital in a community mental health program. The rate of psychiatric morbidity as defined by the 12-item Chinese Health Questionnaire as greater than 4, was 24.5%. Posttraumatic symptoms were still prevalent. The rate of posttraumatic stress disorder was 11.3%, and the rate of partial PTSD was 32.0%. Variables associated with the presence of psychiatric morbidity and posttraumatic symptoms included female gender, old age, financial loss, obsessive trait, and nervous trait. A disproportionate use of mental health services (18%) was found, suggesting an urgent need to deliver mental health care to disaster victims at local medical settings. In addition, health care professionals who work with the earthquake victims need to be promptly and efficiently trained in mental health crisis intervention.
集集大地震（里氏7.3级）袭击台湾中部地区三个月后，在一项社区心理健康项目中，一家当地综合医院对663名受害者进行了精神疾病筛查。根据12项中文版健康问卷定义，精神疾病发病率大于4的比例为24.5%。创伤后症状仍然普遍存在。创伤后应激障碍的发病率为11.3%，部分创伤后应激障碍的发病率为32.0%。与精神疾病和创伤后症状存在相关的变量包括女性、年龄较大、经济损失、强迫特质和神经质特质。研究发现心理健康服务的使用比例失调（18%），这表明迫切需要在当地医疗机构为灾难受害者提供心理健康护理。此外，与地震受害者打交道的医护人员需要迅速且高效地接受心理健康危机干预方面的培训。
