Fraguas D, Terán S, Conejo-Galindo J, Medina O, Sainz Cortón E, Ferrando L, Gabriel R, Arango C
Department of Psychiatry, Gregorio Marañón General Hospital, Ibiza 43, CP 28009 Madrid, Spain.
Eur Psychiatry. 2006 Apr;21(3):143-51. doi: 10.1016/j.eurpsy.2006.03.003. Epub 2006 Apr 4.
To determine the change in prevalence of posttraumatic stress disorder (PTSD) symptoms in victims of the March 11 attacks and their relatives, 1 and 6 months after the attacks.
Evaluation of PTSD symptoms using the Davidson Trauma Scale (DTS) and General Health Questionnaire (GHQ) in a sample of 56 patients admitted to an emergency room of a general hospital, and assessment of PTSD symptoms in relatives of the patients.
At Month 1, 41.1% of patients (31.3% of males and 54.2% of females) presented with PTSD. At Month 6, this figure was 40.9% (30.4% of males and 52.4% of females). There was a significant improvement in perception of health among females between Month 1 and Month 6. Relatives presented similar DTS scores at baseline and at 6 months.
We verified that rates of PTSD did not vary substantively between the two evaluations. PTSD symptoms positively correlated with psychological health involvement. This correlation points out that both PTSD symptoms and subjective general health involvement are part of the psychological response to trauma.
The prevalence of PTSD symptoms was high and remained stable between Month 1 and Month 6, while subjective perception of health improved significantly.
确定3月11日袭击事件受害者及其亲属在袭击发生1个月和6个月后创伤后应激障碍(PTSD)症状的患病率变化。
采用戴维森创伤量表(DTS)和一般健康问卷(GHQ)对一家综合医院急诊室收治的56例患者进行PTSD症状评估,并对患者亲属的PTSD症状进行评估。
在第1个月时,41.1%的患者(男性为31.3%,女性为54.2%)出现PTSD。在第6个月时,这一数字为40.9%(男性为30.4%,女性为52.4%)。在第1个月至第6个月期间,女性的健康感知有显著改善。亲属在基线和6个月时的DTS评分相似。
我们证实,两次评估之间PTSD的发生率没有实质性变化。PTSD症状与心理健康问题呈正相关。这种相关性表明,PTSD症状和主观总体健康问题都是对创伤的心理反应的一部分。
PTSD症状的患病率很高,在第1个月至第6个月期间保持稳定,而健康的主观感知有显著改善。