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中度抑郁促进创伤后成长(PTG):2009年拉奎拉地震两年后年轻人群的调查

Moderate Depression Promotes Posttraumatic Growth (Ptg): A Young Population Survey 2 Years after the 2009 L'Aquila Earthquake.

作者信息

Bianchini V, Giusti L, Salza A, Cofini V, Cifone M G, Casacchia M, Fabiani L, Roncone R

机构信息

Department of Mental Health, Asl Roma 5, University of L'Aquila, L'Aquila, Italy.

Department of Life, Health and Environmental Sciences, University of L'Aquila, L'Aquila, Italy.

出版信息

Clin Pract Epidemiol Ment Health. 2017 Mar 16;13:10-19. doi: 10.2174/1745017901713010010. eCollection 2017.

Abstract

BACKGROUND

Earthquakes can result in a range of psychopathology and in negative and positive consequences for survivors.

OBJECTIVE

To examine the association between clinical aftereffects (anxiety and depressive symptoms) and post-traumatic growth (PTG) among young survivors of the 2009 L'Aquila earthquake, Italy.

METHOD

316 young earthquake survivors enrolled in the University of L'Aquila were evaluated two years after the natural disaster. Participants completed three main questionnaires, including Patient Health Questionnaire-9 items (PHQ-9), Self-Rating Anxiety Scale (SAS), and Posttraumatic Growth Inventory (PTGI).

RESULTS

59.6% of the student sample showed different levels of depression, whereas 13.3% reported anxiety symptoms. In both clinical dimensions (anxiety and depression), gender differences were found: female gender was confirmed risk factor for a clinical post-traumatic response. Personal PTG, demonstrated by 18% of the L'Aquila youths included in our sample, was predicted by moderate levels of depression (O.R. 2.7). In our model, gender, age, and anxiety did not show any predictive value.

CONCLUSION

In a post-traumatic setting, the development of individual cognitive strategies is crucial, whereas after a natural disaster, paradoxically, a moderate depressive condition and the related distress could promote the drive to overcome the psychological consequences of the traumatic event.

摘要

背景

地震会导致一系列精神病理学问题,并给幸存者带来负面和正面的影响。

目的

研究意大利拉奎拉2009年地震年轻幸存者的临床后遗症(焦虑和抑郁症状)与创伤后成长(PTG)之间的关联。

方法

对拉奎拉大学招募的316名年轻地震幸存者在自然灾害发生两年后进行评估。参与者完成了三份主要问卷,包括患者健康问卷9项(PHQ-9)、自评焦虑量表(SAS)和创伤后成长量表(PTGI)。

结果

59.6%的学生样本表现出不同程度的抑郁,而13.3%报告有焦虑症状。在焦虑和抑郁这两个临床维度上均发现了性别差异:女性被确认为创伤后临床反应的危险因素。我们样本中18%的拉奎拉年轻人表现出个人创伤后成长,其预测因素为中度抑郁水平(比值比2.7)。在我们的模型中,性别、年龄和焦虑均未显示出任何预测价值。

结论

在创伤后环境中,个体认知策略的发展至关重要,而在自然灾害后,矛盾的是,中度抑郁状态及相关痛苦可能会促进克服创伤事件心理后果的动力。

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