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自然灾害后的心理困扰与躯体症状:老年人中的差异易感性

Psychological distress and somatic symptoms after natural disaster: differential vulnerability among older adults.

作者信息

Phifer J F

机构信息

University of Louisville.

出版信息

Psychol Aging. 1990 Sep;5(3):412-20. doi: 10.1037//0882-7974.5.3.412.

DOI:10.1037//0882-7974.5.3.412
PMID:2242245
Abstract

In a panel study, more than 200 older adults were interviewed before and after a severe flood in southeastern Kentucky in 1984. The issue in this study was whether older adult flood victims were differentially vulnerable to increases in psychological and physical symptoms on the basis of their age, sex, marital status, occupational status, education level, and preflood symptom levels. Flood exposure was related to increases in depressive, anxiety, and somatic symptoms at 18 months postflood. Within this older adult sample, men, those with lower occupational status, and persons aged 55-64 were at significantly greater risk for increases in psychological symptoms. Sociodemographic status did not moderate the impact of flood exposure on physical health. Implications for crisis-intervention services to older adult disaster victims are discussed.

摘要

在一项追踪研究中,对200多名老年人在1984年肯塔基州东南部发生严重洪水之前和之后进行了访谈。该研究的问题是,老年洪水受害者是否因其年龄、性别、婚姻状况、职业状况、教育水平和洪水前的症状水平而在心理和身体症状增加方面存在不同程度的易感性。洪水暴露与洪水后18个月时抑郁、焦虑和躯体症状的增加有关。在这个老年样本中,男性、职业地位较低者以及55至64岁的人出现心理症状增加的风险显著更高。社会人口统计学状况并未缓和洪水暴露对身体健康的影响。文中讨论了对老年灾难受害者提供危机干预服务的意义。

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