Wahlström Lars, Michélsen Hans, Schulman Abbe, Backheden Magnus
Center for Family and Community Medicine, Karolinska Institute, Stockholm, Sweden.
J Nerv Ment Dis. 2009 Dec;197(12):918-22. doi: 10.1097/NMD.0b013e3181c29a60.
Disaster studies of the effects of trauma exposure on subsequent psychological health have seldom used population comparisons. A total of 1463 tsunami survivors from Stockholm were categorized according to type of exposure, and compared on measures of General Health Questionnaire and sick leave, with a matched population-based sample of 12,045 individuals from the same region. Data from the survivor group were obtained through a postal questionnaire 14 months postdisaster. Data from the population sample were collected in the same year. In comparison to the population sample, levels of sick leave ranged from higher in multiply exposed groups to lower in the least exposed group. For psychological distress, levels in multiply and moderately exposed groups were higher, and in lower exposed groups comparable. The use of a population comparison resulted in a support of recent research showing a relative resiliency of survivors exposed during disaster to potential trauma of lesser severity.
关于创伤暴露对后续心理健康影响的灾害研究很少采用人群对照。来自斯德哥尔摩的1463名海啸幸存者根据暴露类型进行了分类，并与来自同一地区的12045名基于人群的匹配样本在一般健康问卷和病假措施方面进行了比较。幸存者组的数据通过灾后14个月的邮政问卷获得。人群样本的数据在同一年收集。与人群样本相比，病假水平从多重暴露组较高到最少暴露组较低不等。对于心理困扰，多重和中度暴露组的水平较高，而低暴露组的水平相当。使用人群对照支持了最近的研究，该研究表明在灾难期间暴露的幸存者对较轻严重程度的潜在创伤具有相对的恢复力。
