中国湖南洪水受害者的社会支持与创伤后应激障碍

Social support and posttraumatic stress disorder among flood victims in Hunan, China.

作者信息

Feng Shuidong, Tan Hongzhuan, Benjamin Abuaku, Wen Shiwu, Liu Aizhong, Zhou Jia, Li Shuoqi, Yang Tubao, Zhang Yanbo, Li Xinhua, Li Gangqian

机构信息

School of Public Health, Central South University, Changsha, Hunan, PR China.

出版信息

Ann Epidemiol. 2007 Oct;17(10):827-33. doi: 10.1016/j.annepidem.2007.04.002. Epub 2007 Jul 2.

DOI:10.1016/j.annepidem.2007.04.002

PMID:17606382

Abstract

PURPOSE

To explore the relationship between social support and posttraumatic stress disorder (PTSD) among flood victims.

METHODS

A cross-sectional survey was carried out in 2000 among individuals who had suffered floods in 1998 in Hunan, China. Multistage sampling was used to select the subjects from the flood-affected areas. PTSD was diagnosed according to DSM-IV criteria, and social support was measured according to a social support rating scale. Data were collected through face-to-face interviews using a structured questionnaire. Multiple logistic regression analysis and confirmatory factor analysis was used to examine the relationship between social support and PTSD.

RESULTS

Out of a total of 25,478 subjects interviewed, 2336 (9.7%) were diagnosed as having PTSD. PTSD was significantly associated with total social support (odds ratio [OR] 0.80, 95% confidence interval [CI], 0.78-0.82), subjective support (OR 0.48, 95%CI, 0.44-0.52), and support utilization (OR 0.53, 95%CI, 0.49-0.57).

CONCLUSION

PTSD in flood victims is significantly associated with social support; subjective support and support utilization may play more important roles in mitigating the impact of flood than objective support.

摘要

目的

探讨洪灾受害者中社会支持与创伤后应激障碍（PTSD）之间的关系。

方法

2000年对中国湖南省1998年遭受洪灾的人群进行了横断面调查。采用多阶段抽样从受灾地区选取研究对象。根据《精神疾病诊断与统计手册》第四版（DSM-IV）标准诊断PTSD，并使用社会支持评定量表测量社会支持。通过使用结构化问卷进行面对面访谈收集数据。采用多元逻辑回归分析和验证性因素分析来检验社会支持与PTSD之间的关系。

结果

在总共25478名接受访谈的研究对象中，2336人（9.7%）被诊断为患有PTSD。PTSD与总的社会支持（比值比[OR] 0.80，95%置信区间[CI]，0.78 - 0.82）、主观支持（OR 0.48，95%CI，0.44 - 0.52）和支持利用（OR 0.53，95%CI，0.49 - 0.57）显著相关。