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中国汶川地震三年后成年幸存者创伤后应激障碍及一般精神疾病发病率的横断面研究

A Cross-sectional Study on Posttraumatic Stress Disorder and General Psychiatric Morbidity Among Adult Survivors 3 Years After the Wenchuan Earthquake, China.

作者信息

Zhang Wei, Duan Guangfeng, Xu Qin, Jia Zhaobao, Bai Zhengyang, Liu Weizhi, Pan Xiao, Tian Wenhua

机构信息

Department of Heath Services Management, the Second Military Medical University, Shanghai, China.

Department of Health Statistics, the Second Military Medical University, Shanghai, China.

出版信息

Asia Pac J Public Health. 2015 Nov;27(8):860-70. doi: 10.1177/1010539515602089. Epub 2015 Aug 27.

Abstract

After the Wenchuan earthquake, a large number of studies have focused on postearthquake psychological disorders among survivors; however, most of these studies were conducted within a relatively short period. This study was conducted to examine the symptoms of posttraumatic stress disorder (PTSD) and general psychiatric morbidity among adult survivors 3 years after the Wenchuan earthquake, China. Through a multistage systematic sampling approach, a cross-sectional survey of 360 participants, 18 years or older, was conducted. The prevalence of PTSD and general psychiatric morbidity was 10.3% and 20.6%, respectively. Multivariate analysis revealed significant predictors for PTSD, including female gender and having felt guilt concerning someone's death or injury. Significant predictors for general psychiatric morbidity included unmarried status and having been in serious danger. These results suggest that mental health services should be continuously available to earthquake survivors.

摘要

汶川地震后,大量研究聚焦于幸存者的震后心理障碍;然而,这些研究大多在相对较短的时间内进行。本研究旨在调查中国汶川地震3年后成年幸存者的创伤后应激障碍(PTSD)症状和一般精神疾病发病率。通过多阶段系统抽样方法,对360名18岁及以上的参与者进行了横断面调查。PTSD和一般精神疾病发病率分别为10.3%和20.6%。多变量分析揭示了PTSD的显著预测因素,包括女性性别以及对他人的死亡或受伤感到内疚。一般精神疾病发病率的显著预测因素包括未婚状态和曾身处严重危险之中。这些结果表明,应持续为地震幸存者提供心理健康服务。

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