Ekeberg Øivind, Skogstad Laila, Myhrer Siw Helene
Akuttmedisinsk avdeling, Ullevål universitetssykehus, 0407 Oslo.
Tidsskr Nor Laegeforen. 2008 Sep 11;128(17):1939-43.
Survivors from the Tsunami in South East Asia 2004 and their next of kin were examined during the first year after the event with respect to trauma, symptoms and function, and satisfaction with the help they had been offered.
Patients admitted to a surgical department (n = 20), patients self-selected to a psychiatric outpatient unit (n = 10) and relatives (n = 17) completed the anxiety and depression scale [HADS] (sumscore 0-21) and recorded posttraumatic symptoms in the Impact of Event Scale [IES] (sumscore 0-75) at one, three, eight and 13 months after the Tsunami.
Both patients (IES scores fell from 31.7 to 22.7) and relatives (IES scores fell from 38.0 to 23.2) had lower levels of posttraumatic symptoms after 13 months. Patients' anxiety (HAD-scale) was reduced from 8.7 to 7.5 and depression (HAD-scale) from 9.5 to 7.3. For relatives, the corresponding figures were 8.2 to 5.4 for anxiety and 6.5 to 4.1 for depression. After 13 months, 45-65% of the patients had regained at least 80% of their normal function at work, in the family, with friends and during leisure time. 50% had been on sick leave for at least half a year, and 55% were still consulting a psychiatrist/psychologist. The satisfaction with follow-up from Norwegian authorities in the first phase was very low, but medical treatment and psychosocial follow-up in Norway afterwards received high scores.
Survivors after the Tsunami experienced substantial psychological distress at 13 months follow-up. Their relatives had similar levels of symptoms, but functioned better in general.
对2004年东南亚海啸的幸存者及其近亲在事件发生后的第一年进行了检查,涉及创伤、症状、功能以及对所获帮助的满意度。
入住外科病房的患者(n = 20)、自行选择到精神科门诊的患者(n = 10)以及亲属(n = 17)在海啸发生后的1个月、3个月、8个月和13个月完成焦虑和抑郁量表[HADS](总分0 - 21),并在事件影响量表[IES]中记录创伤后症状(总分0 - 75)。
13个月后,患者(IES评分从31.7降至22.7)和亲属(IES评分从38.0降至23.2)的创伤后症状水平均有所降低。患者的焦虑(HAD量表)从8.7降至7.5,抑郁(HAD量表)从9.5降至7.3。亲属方面,焦虑的相应数据从8.2降至5.4,抑郁从6.5降至4.1。13个月后,45% - 65%的患者在工作、家庭、与朋友相处及休闲时光方面至少恢复了80%的正常功能。50%的患者病假至少持续了半年,55%的患者仍在咨询精神科医生/心理医生。第一阶段挪威当局随访的满意度很低,但之后在挪威接受的医疗和心理社会随访获得了高分。
海啸幸存者在13个月的随访中经历了严重的心理困扰。他们的亲属症状水平相似,但总体功能更好。