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2004年佛罗里达飓风过后,老年人与年轻人心理病理学的风险及保护因素。

Risk and protective factors for psychopathology among older versus younger adults after the 2004 Florida hurricanes.

作者信息

Acierno Ron, Ruggiero Kenneth J, Kilpatrick Dean G, Resnick Heidi S, Galea Sandro

机构信息

Medical University of South Carolina, Charleston, SC 29425, USA.

出版信息

Am J Geriatr Psychiatry. 2006 Dec;14(12):1051-9. doi: 10.1097/01.JGP.0000221327.97904.b0. Epub 2006 Oct 11.

Abstract

OBJECTIVE

Previous research demonstrates increased resiliency to psychopathology after disasters among older adults. However, little is known about differences in age-based risk and protective factors for postdisaster mental illness.

METHOD

The authors used random-digit dialing methodology to survey 1,130 older adults (60+ years) and 413 younger adults residing in Florida counties directly affected by the 2004 hurricanes. Assessed risk and protective factors included demographics, social support, displacement, incurred dollar losses, perceived positive outcomes, and self-rated health status. Outcome variables included symptom counts of Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition-defined posttraumatic stress disorder (PTSD), major depressive disorder (MDD), and generalized anxiety disorder (GAD).

RESULTS

Older adults reported fewer symptoms of PTSD, MDD, and GAD. Explanatory risk variables accounted for large proportions of variance, but differed in meaningful ways across age groups.

CONCLUSION

Although older adults are less symptomatic, their psychologic reactions appear more closely connected to economic consequences of disasters.

摘要

目的

先前的研究表明,老年人在经历灾难后对精神病理学的恢复力有所增强。然而,对于基于年龄的灾后精神疾病风险和保护因素的差异,我们知之甚少。

方法

作者采用随机数字拨号方法,对居住在2004年飓风直接影响的佛罗里达县的1130名老年人(60岁及以上)和413名年轻人进行了调查。评估的风险和保护因素包括人口统计学、社会支持、流离失所、经济损失、感知到的积极结果以及自我评定的健康状况。结果变量包括《精神疾病诊断与统计手册》第四版定义的创伤后应激障碍(PTSD)、重度抑郁症(MDD)和广泛性焦虑症(GAD)的症状计数。

结果

老年人报告的PTSD、MDD和GAD症状较少。解释性风险变量占方差的很大比例,但在不同年龄组中有显著差异。

结论

尽管老年人的症状较少,但他们的心理反应似乎与灾难的经济后果联系更为紧密。

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