Department of Medicine, Tokyo Women's Medical University, Medical Centre East, Tokyo, Japan.
Int J Soc Psychiatry. 2013 Aug;59(5):468-73. doi: 10.1177/0020764012440677. Epub 2012 Apr 9.
Heavy rainfall in northern India in August 2010 caused flash floods, seriously damaging homes and infrastructure. There have been no major disasters in the history of Ladakh, and no surveys on post-disaster psychiatric disorders have been conducted in this area.
To examine the impact of this disaster in Ladakh one month post-disaster, we visited Choglamsar, located near the town of Leh, where the flood had the most severe impact. In total, 318 survivors (mean age: 58.6 years; female-male ratio: 59.7%; Tibetan refugees: 86.2%) participated in the survey. We used the two-item Patient Health Questionnaire (PHQ-2) along with questions covering background characteristics and disaster exposure. A psychiatrist interviewed the survivors with a single or double positive score in the PHQ-2 or with post-traumatic stress disorder (PTSD) symptoms.
There were only two PTSD cases and five of major depressive disorders. PTSD and depression were less common in the Tibetan cultural areas than in other areas. The social background and temperamental characteristics of the Tibetan culture may play a suppressive role in psychiatric disorders.
2010 年 8 月，印度北部的强降雨引发了洪水泛滥，严重破坏了房屋和基础设施。拉达克地区历史上从未发生过重大灾害，也从未在该地区进行过灾后精神障碍调查。
为了研究此次灾害对拉达克的影响，我们在受灾一个月后走访了位于列城附近的乔格萨尔。在那里，洪水的影响最为严重。共有 318 名幸存者（平均年龄：58.6 岁；男女比例：59.7%；藏人难民：86.2%）参与了调查。我们使用了包含背景特征和灾害暴露情况的两个项目的患者健康问卷（PHQ-2），对 PHQ-2 得分单项或两项阳性或有创伤后应激障碍（PTSD）症状的幸存者进行访谈。
只有两例 PTSD 病例和五例重度抑郁障碍。藏人文化地区的 PTSD 和抑郁比其他地区少见。藏文化的社会背景和性格特征可能对精神障碍起到抑制作用。
