Liang Yong, Zeng Hong, Liu Yu-Geng, Xu Ai-Min, Liu Wen-Hong
Emergency Medicine Clinical Research Center, Beijing Chao-Yang Hospital, Capital Medical University, Beijing 100043, China.
World J Emerg Med. 2021;12(2):137-142. doi: 10.5847/wjem.j.1920-8642.2021.02.009.
The study aims to investigate the occurrence of post-traumatic stress disorder (PTSD) after earthquakes among the elderly.
Data from cross-sectional studies focusing on the prevalence of PTSD after earthquakes among the elderly were collected from PubMed, EMBASE, Cochrane Library, and China National Knowledge Infrastructure in December 2019. The search terms included post-traumatic stress disorder, earthquake, and elderly. This study used Review Manager 5.0 to evaluate the impact of the results. In addition, forest plots, sensitivity analysis, and bias analysis were carried out on the included articles. The combined estimate of the risk ratio and the standard deviation of the 95% confidence interval (95% ) were measurements of the size of the effect.
There were 4,834 patients included from 10 eligible studies. The sample sizes of PTSD group and non-PTSD group were 1,277 and 3,557, respectively. The meta-analysis showed that the overall occurrence of PTSD after earthquakes among the elderly was 0.25; the occurrence in females was higher than that in males, and the occurrence in the same province indicated little difference (Wenchuan city 0.25 and Ya'an city 0.24).
After earthquakes, the occurrence of PTSD is higher among the elderly than among other age groups, and higher among the females than among the males, while there is little difference among different areas within the same province. This indicated that prioritized specific psychological interventions should be provided to the aged and the females.
本研究旨在调查老年人在地震后创伤后应激障碍（PTSD）的发生情况。
2019年12月，从PubMed、EMBASE、Cochrane图书馆和中国知网收集了关注老年人地震后PTSD患病率的横断面研究数据。检索词包括创伤后应激障碍、地震和老年人。本研究使用Review Manager 5.0评估结果的影响。此外，对纳入的文章进行森林图、敏感性分析和偏倚分析。风险比的合并估计值和95%置信区间（95%）的标准差是效应大小的测量指标。
10项符合条件的研究共纳入4834例患者。PTSD组和非PTSD组的样本量分别为1277例和3557例。荟萃分析显示，老年人地震后PTSD的总体发生率为0.25；女性的发生率高于男性，同一省份内的发生率差异不大（汶川县为0.25，雅安市为0.24）。
地震后，老年人中PTSD的发生率高于其他年龄组，女性高于男性，而同一省份内不同地区之间差异不大。这表明应优先为老年人和女性提供特定的心理干预。
