Hu Xiuying, Cao Xiaoyi, Wang Heng, Chen Qian, Liu Maoqiong, Yamamoto Aiko
Department of Nursing, West China Hospital/West China School of Medicine, Sichuan University, Chengdu, Sichuan Province, China.
Hemodialysis Center, Department of Nephrology, West China Hospital/West China School of Medicine, Sichuan University, Chengdu, Sichuan Province, China.
Arch Psychiatr Nurs. 2016 Apr;30(2):192-7. doi: 10.1016/j.apnu.2015.08.011. Epub 2015 Aug 18.
This study examined the trajectory of probable PTSD prevalence and severity, and analyzed the predictors for PTSD severity in bereaved survivors at 6 months and 18 months after the 2008 Sichuan earthquake. This was a longitudinal study with 226 bereaved survivors sampled at 6 months and 18 months post-earthquake. The instrument used in the study was the revised version of the Impact of Event Scale. The results showed that the prevalence of probable PTSD in bereaved survivors decreased significantly from 38.9% at 6 months to 16.8% at 18 months post-earthquake. Loss of a child, being directly exposed to the death of family members and property loss during the earthquake, and mental health services utilization after the earthquake were significant predictors for PTSD severity at both assessments. These findings can contribute to post-disaster psychological rescue work. The bereaved survivors at high risk for more severe PTSD should be particularly targeted.
本研究考察了可能患有创伤后应激障碍(PTSD)的患病率及严重程度的变化轨迹,并分析了2008年四川地震后6个月和18个月时, bereaved幸存者中PTSD严重程度的预测因素。这是一项纵向研究,对226名bereaved幸存者在地震后6个月和18个月进行了抽样。研究中使用的工具是事件影响量表的修订版。结果显示,bereaved幸存者中可能患有PTSD的患病率从地震后6个月时的38.9%显著下降至18个月时的16.8%。失去孩子、在地震期间直接接触家庭成员死亡和财产损失,以及地震后使用心理健康服务,是两次评估中PTSD严重程度的重要预测因素。这些发现可为灾后心理救援工作提供参考。对于PTSD更严重风险较高的bereaved幸存者应给予特别关注。