Pfefferbaum Betty, Palka Jayme M, North Carol S
Department of Psychiatry and Behavioral Sciences, College of Medicine, University of Oklahoma Health Sciences Center, P.O. Box 26901, WP3217, Oklahoma City, OK 73126-0901, USA.
Department of Psychiatry, University of Texas Southwestern Medical Center, 6363 Forest Park Road, BL316, Dallas, TX 75390-9070, USA.
Behav Sci (Basel). 2021 Feb 27;11(3):29. doi: 10.3390/bs11030029.
Research has examined the association between contact with media coverage of mass trauma events and various psychological outcomes, including depression. Disaster-related depression research is complicated by the relatively high prevalence of the major depressive disorder in general populations even without trauma exposure. The extant research is inconclusive regarding associations between disaster media contact and depression outcomes, in part, because most studies have not distinguished diagnostic and symptomatic outcomes, differentiated postdisaster incidence from prevalence, or considered disaster trauma exposures. This study examined these associations in a volunteer sample of 254 employees of New York City businesses after the 11 September 2001, terrorist attacks. Structured interviews and questionnaires were administered 35 months after the attacks. Poisson and logistic regression analyses revealed that post-9/11 news contact significantly predicted the number of postdisaster persistent/recurrent and incident depressive symptoms in the full sample and in the indirect and unexposed groups. The findings suggest that clinical and public health approaches should be particularly alert to potential adverse postdisaster depression outcomes related to media consumption in disaster trauma-unexposed or indirectly-exposed groups.
研究探讨了接触大规模创伤事件的媒体报道与包括抑郁症在内的各种心理结果之间的关联。即便没有经历创伤,普通人群中重度抑郁症的患病率相对较高,这使得与灾难相关的抑郁症研究变得复杂。关于灾难媒体接触与抑郁症结果之间的关联,现有研究尚无定论,部分原因在于大多数研究没有区分诊断结果和症状结果,没有区分灾后发病率和患病率,也没有考虑灾难创伤暴露情况。本研究在2001年9月11日恐怖袭击后,对纽约市企业的254名员工志愿者样本进行了这些关联的研究。袭击发生35个月后进行了结构化访谈和问卷调查。泊松回归分析和逻辑回归分析显示,在整个样本以及间接接触组和未接触组中,9·11事件后接触新闻显著预测了灾后持续/复发及新发抑郁症状的数量。研究结果表明,临床和公共卫生方法应特别警惕灾难创伤未接触或间接接触群体中与媒体消费相关的潜在灾后不良抑郁后果。