Wu Hung-Chi, Chou Pesus, Chou Frank Huang-Chih, Su Chao-Yueh, Tsai Kuan-Yi, Ou-Yang Wen-Chen, Su Tom Tung-Ping, Chao Shin-Shin, Sun Wen-Jung, Chen Ming-Chao
Department of Community Psychiatry, Kai-Suan Psychiatric Hospital, Kaohsiung, and Department of Nursing, I-Shou University 1, Taiwan.
Aust N Z J Psychiatry. 2006 Apr;40(4):355-61. doi: 10.1080/j.1440-1614.2006.01802.x.
To investigate quality of life (QOL) and related risk factors in Taiwanese earthquake survivors diagnosed with different psychiatric disorders 3 years after the 1999 Chi-Chi earthquake.
This study was a population survey. Trained assistants used the Medical Outcomes Study Short Form-36 (MOS SF-36) and questionnaires to interview 405 respondents (189 men and 216 women) aged 16 years or older, who had been exposed to the earthquake. Psychiatrists interviewed the same respondents using the Mini-International Neuropsychiatric Interview, with an adjusted response rate of 70.2%.
The prevalence range for psychiatric disorders in the earthquake survivors was 0.2-7.2% 3 years after the Chi-Chi earthquake, with rates for major depression (MD) and posttraumatic stress disorder (PTSD) of 6.4% and 4.4%, respectively. The QOL scores for the PTSD/MD group were lower than for the other two diagnostic groups, as determined by assessment of physical and mental aspects of functional integrity from MOS SF-36 scores. The predictors for poor QOL were age, female gender, economic problems, physical illness, subjective assessment of memory and social-activity decline and diagnosis of PTSD or MD.
The QOL for earthquake survivors with psychiatric disorders, especially PTSD or MD, was inferior compared with the mentally healthy analogues, with contemporaneous decreases in mental and physical function scores across the QOL subscales. The persistence of long-term economic problems was one of many important factors affecting QOL.
调查1999年集集地震3年后被诊断患有不同精神疾病的台湾地震幸存者的生活质量（QOL）及相关风险因素。
本研究为一项人群调查。训练有素的助手使用医学结局研究简表36（MOS SF - 36）和问卷对405名16岁及以上曾遭受地震影响的受访者（189名男性和216名女性）进行访谈。精神科医生使用迷你国际神经精神病学访谈对相同受访者进行访谈，调整后的应答率为70.2%。
集集地震3年后，地震幸存者中精神疾病的患病率范围为0.2 - 7.2%，其中重度抑郁症（MD）和创伤后应激障碍（PTSD）的患病率分别为6.4%和4.4%。根据MOS SF - 36评分对功能完整性的身心方面进行评估，PTSD/MD组的生活质量得分低于其他两个诊断组。生活质量差的预测因素包括年龄、女性、经济问题、身体疾病、对记忆力和社交活动下降的主观评估以及PTSD或MD的诊断。
患有精神疾病，尤其是PTSD或MD的地震幸存者的生活质量低于心理健康的类似人群，同时生活质量各子量表的心理和生理功能得分均下降。长期经济问题的持续存在是影响生活质量的众多重要因素之一。
