Unit for Social and Community Psychiatry (WHO Collaborating Centre for Mental Health Services Development), Queen Mary University of London, London, United Kingdom.
Department of Biomedical, Metabolic and Neuronal Sciences, Section of Psychiatry, Universita degli Studi di Modena e Reggio Emilia, Modena, Italy.
PLoS One. 2020 May 12;15(5):e0233172. doi: 10.1371/journal.pone.0233172. eCollection 2020.
In 2005, a random sample of 200 people were assessed in Camerino, Italy, eight years after an earthquake. Psychological symptom levels were low and only one person had current Post-Traumatic Stress Disorder (PTSD). In 2016 a new earthquake occurred in Camerino. The study aims to assess the impact of the second exposure in the same cohort. A longitudinal study was conducted, 130 participants were re-interviewed between July and December 2017. Psychological symptoms were self-rated on the Brief Symptom Inventory (BSI) and the Global Severity Index (GSI) was analysed. Post-traumatic stress symptoms were self-rated on the Impact of Event Scale-Revised (IES-R). Subjective quality of life (SQOL) was assessed on the Manchester Short Assessment of Quality of Life (MANSA). Mean scores of GSI and IES-R were significantly higher than in 2005 (p<0.01 and p<0.001), whilst SQOL remained almost unchanged (p = 0.163). In 2017, 16.9% of the sample had reached the PTSD threshold whilst in 2005 only the 0.5% had reached it. Despite low symptom levels several years after an earthquake, people can show psychological distress after a new exposure, whilst average quality of life levels are not affected.
2005 年，在意大利卡梅里诺地震八年后，对 200 名随机抽样的人进行了评估。心理症状水平较低，只有 1 人患有当前的创伤后应激障碍（PTSD）。2016 年，卡梅里诺发生了新的地震。本研究旨在评估同一队列中第二次暴露的影响。进行了一项纵向研究，2017 年 7 月至 12 月期间对 130 名参与者进行了重新访谈。使用Brief Symptom Inventory（BSI）对心理症状进行自评，使用 Global Severity Index（GSI）进行分析。使用修订后的事件影响量表-R（IES-R）对创伤后应激症状进行自评。使用曼彻斯特短期生活质量评估（MANSA）评估主观生活质量（SQOL）。GSI 和 IES-R 的平均得分明显高于 2005 年（p<0.01 和 p<0.001），而 SQOL 几乎没有变化（p = 0.163）。2017 年，样本中有 16.9%的人达到了 PTSD 阈值，而 2005 年只有 0.5%的人达到了这一阈值。尽管地震发生几年后症状水平较低，但人们在新的暴露后可能会出现心理困扰，而平均生活质量水平不受影响。
