Udomratn Pichet
Faculty of Medicine, Department of Psychiatry, Prince of Songkla University, Thailand.
Int Rev Psychiatry. 2008 Oct;20(5):441-4. doi: 10.1080/09540260802397487.
This article presents an overview of natural disasters in Asia, as well as mental disorders and psychosocial interventions related to disasters. Although most of the top ten worst natural disasters occurred in Asia over the past century, little is known about the mental health and psychosocial aspects. After the tsunami incident in 2004, research reports in international journals related to Asian disasters have been growing. The prevalence rate of post-traumatic stress disorder related to natural disasters is currently between 8.6% and 57.3% depending on assessment methodologies, instruments and timing. Cognitive behaviour therapy has been found to be effective with Asian survivors but needs to be adapted for cultural and local sensitivities. Further research is needed in the areas of epidemiology for mental disorders and suitable psychosocial interventions for disaster survivors in Asia.
本文概述了亚洲的自然灾害,以及与灾害相关的精神障碍和心理社会干预措施。尽管在过去一个世纪里,十大最严重的自然灾害大多发生在亚洲,但人们对其心理健康和心理社会方面知之甚少。2004年海啸事件后,国际期刊上有关亚洲灾害的研究报告不断增加。根据评估方法、工具和时间的不同,与自然灾害相关的创伤后应激障碍患病率目前在8.6%至57.3%之间。认知行为疗法已被证明对亚洲幸存者有效,但需要根据文化和当地敏感性进行调整。在亚洲,精神障碍的流行病学以及针对灾害幸存者的合适心理社会干预措施等领域仍需进一步研究。