McFarlane Alexander C, Van Hooff Miranda
Dip Psychother, Centre for Military and Veterans' Health, Adelaide, South Australia 5000, Australia.
Br J Psychiatry. 2009 Aug;195(2):142-8. doi: 10.1192/bjp.bp.108.054270.
Studies examining the impact of childhood disaster exposure on the development of adult psychopathology report increased rates of post-traumatic stress disorder (PTSD) and other psychopathology.
To examine the rates of PTSD and other lifetime DSM-IV disorders in adults exposed to an Australian bushfire disaster as children in 1983 using a matched control sample recruited at the time of the original study.
A total of 1011 adults recruited from an original sample of 1531 were assessed 20 years following the fires using the Composite International Diagnostic Interview (CIDI-2.1).
Results showed only a small direct impact of the fires on adult psychiatric morbidity. A higher proportion of bushfire survivors met criteria for 'any DSM-IV disorder' and ;any anxiety'.
Findings suggest that the long-term impact of a prominent trauma in childhood should be assessed in the context of other lifetime trauma in order to provide a more accurate account of PTSD prevalence rates.
研究童年时期暴露于灾难对成人精神病理学发展的影响发现，创伤后应激障碍（PTSD）和其他精神病理学疾病的发病率有所上升。
利用原始研究时招募的匹配对照样本，研究1983年儿童时期经历澳大利亚丛林火灾灾难的成年人中PTSD和其他终生DSM-IV障碍的发病率。
从1531名原始样本中招募了1011名成年人，火灾发生20年后使用复合国际诊断访谈（CIDI-2.1）进行评估。
结果显示火灾对成人精神疾病发病率的直接影响很小。更高比例的丛林火灾幸存者符合“任何DSM-IV障碍”和“任何焦虑症”的标准。
研究结果表明，童年时期重大创伤的长期影响应结合其他终生创伤进行评估，以便更准确地了解PTSD患病率。
