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[恐怖袭击后创伤后应激障碍诊断的影响因素]

[Factors affecting the diagnosis of post-traumatic stress disorder after a terrorist attack].

作者信息

Eşsizoğlu Altan, Yaşan Aziz, Bülbül Israfil, Onal Suna, Yildirim Ejder Akgün, Aker Tamer

机构信息

Uzm., Kocaeli U Tip Fak., Psikiyatri AD., Kocaeli.

出版信息

Turk Psikiyatri Derg. 2009 Summer;20(2):118-26.

Abstract

OBJECTIVE

On 3 January 2008 explosives placed in an automobile on a thoroughfare in Diyarbakir, southeastern Turkey exploded in a terrorist attack. The aim of this study was to determine the risk factors for the diagnosis of and the rate of post-traumatic stress disorder (PTSD) among individuals who were eye- or earwitnesses to the explosion 1 and 3 months after the explosion.

METHODS

Among the residents and workers in close proximity to the explosion site, 216 individuals who were eye- or earwitnesses to the explosion were included in the study. A sociodemographic data form and a traumatic stress symptom scale were administered to the participants 1 and 3 months following the explosion.

RESULTS

In all, 12.5% of the participants were diagnosed with PTSD 1 month post-explosion versus 9.6% 3 months post-explosion. While history of psychiatric disorder and physical injury were risk factors for PTSD 1 month post-explosion, risk factors 3 months post-explosion was history of psychiatric disorder.

CONCLUSIONS

PTSD occurs at high rates in individuals exposed to terrorist attacks. More studies following such events are required in Turkey. In light of these results it is advised that individuals at risk of PTSD receive therapeutic and preventive interventions provided by mental health professionals.

摘要

目的

2008年1月3日,放置在土耳其东南部迪亚巴克尔一条大街上一辆汽车内的炸药在一次恐怖袭击中爆炸。本研究的目的是确定爆炸发生1个月和3个月后,爆炸事件的目击者或耳闻者中创伤后应激障碍(PTSD)的诊断风险因素及发病率。

方法

在爆炸现场附近的居民和工作人员中,216名爆炸事件的目击者或耳闻者被纳入研究。在爆炸发生1个月和3个月后,向参与者发放社会人口统计学数据表格和创伤应激症状量表。

结果

爆炸发生1个月后,12.5%的参与者被诊断为创伤后应激障碍,而爆炸发生3个月后这一比例为9.6%。爆炸发生1个月后,精神疾病史和身体损伤是创伤后应激障碍的风险因素,而爆炸发生3个月后的风险因素是精神疾病史。

结论

遭受恐怖袭击的个体中创伤后应激障碍的发病率很高。土耳其需要更多此类事件后的研究。根据这些结果,建议有创伤后应激障碍风险的个体接受心理健康专业人员提供的治疗和预防干预。

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