Taymur İbrahim, Sargin A Emre, Özdel Kadir, Türkçapar Hakan M, Çalişgan Lale, Zamki Erkut, Demirel Başak
Clinic of Psychiatry, Ankara Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, Turkey.
Clinic of Psychiatry, Çankırı Public Hospital, Çankırı, Turkey.
Noro Psikiyatr Ars. 2014 Mar;51(1):23-29. doi: 10.4274/npa.y6510. Epub 2014 Mar 1.
There have been deaths and injuries after an explosion which happened in an industrial region in Ankara in February 2011. The aim of this study was to determine the prevalence of acute stress disorder (ASD) and posttraumatic stress disorder (PTSD), and to determine the variables which can be the risk factors for PTSD.
In this study, we included a total of 197 subjects who were present at the factory building and at the four offices nearby when the disaster occurred. All the participants were assessed one month after the explosion and 157 of them were reassessed six months after the explosion. Socio-demographic information forms were given and the Clinician-Administered PTSD Scale (CAPS) was administered to the participants one month after the explosion. Psychiatric assessments were done using the structured clinical interview for DSM-IV axis-I disorders (SCID-I). The CAPS was re-applied six month after the disaster.
At the first-month assessments, ASD was detected in 37.1% of participants and PTSD in 13.7%, whereas PTSD was observed in 16.6% of subjects at the sixth month of the accident. According to the first month data, having any psychiatric disorder before the incident, physical injury, acquaintances among the dead and the injured people, being involved in the incident and seeing dead people were detected as the risk factors for PTSD. At the sixth month assessment, physical injury, acquaintances among the dead and the injured, being involved in the incident were seen as risk factors for PTSD.
ASD and PTSD can be seen after an explosion. Having a previous psychiatric disorder and being directly affected by trauma and being injured are the risk factors for PTSD. This study implies that preventive mental health care services should include the management of current psychiatric condition and employee safety issues.
2011年2月，安卡拉一个工业区发生爆炸，造成了人员伤亡。本研究的目的是确定急性应激障碍（ASD）和创伤后应激障碍（PTSD）的患病率，并确定可能成为PTSD风险因素的变量。
在本研究中，我们纳入了灾难发生时身处工厂建筑及附近四个办公室的197名受试者。所有参与者在爆炸发生一个月后接受评估，其中157人在爆炸发生六个月后再次接受评估。发放了社会人口统计学信息表，并在爆炸发生一个月后对参与者进行了临床医生管理的PTSD量表（CAPS）评估。使用针对DSM-IV轴I障碍的结构化临床访谈（SCID-I）进行精神科评估。灾难发生六个月后再次应用CAPS。
在第一个月的评估中，37.1%的参与者被检测出患有ASD，13.7%患有PTSD，而在事故发生六个月时，16.6%的受试者被观察到患有PTSD。根据第一个月的数据，事故发生前患有任何精神疾病、身体受伤、在死者和伤者中有熟人、参与事故以及看到死人被检测为PTSD的风险因素。在六个月的评估中，身体受伤、在死者和伤者中有熟人、参与事故被视为PTSD的风险因素。
爆炸后可能会出现ASD和PTSD。既往有精神疾病、直接受到创伤影响以及受伤是PTSD的风险因素。本研究表明，预防性心理健康护理服务应包括对当前精神状况的管理和员工安全问题。
