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高雄气爆事件后居民生活品质与精神障碍之社区调查:一项为期五年的横断性追踪研究。

A Community Survey of Quality of Life and Psychiatric Disorders among Residents Following the Kaohsiung Gas Explosion: a 5-Year Cross-Sectional Follow-Up Study.

机构信息

Department of Community Psychiatry, Kaohsiung Municipal Kai-Syuan Psychiatric Hospital, 130 Kai-Syuan 2nd Rd, Lingya District, Kaohsiung, Taiwan.

Department of Nursing, Kaohsiung Municipal Kai-Syuan Psychiatric Hospital, Kaohsiung, Taiwan.

出版信息

Psychiatr Q. 2021 Sep;92(3):1-12. doi: 10.1007/s11126-021-09911-0. Epub 2021 Mar 25.

Abstract

To investigate factors associated with quality of life (QoL) and disaster-related psychiatric disorders, including posttraumatic stress disorder (PTSD) and major depressive episode (MDE), in the survivors of a gas explosion in Taiwan 5 years after the event. A community-based cross-sectional study of residents from an area that experienced a gas explosion was conducted 5 years after the event. The Short Form 12v2 (SF-12v2) was used to screen 2511 participants. The Disaster-Related Psychological Screening Test (DRPST) was used to assess probable MDE and PTSD. A total of 2511 participants, including 604 males and 1907 females, completed the QoL survey. The average age was 56.02 ± 16.78 years, and most participants were in the ≧65 age group (39.7%). The males had better QoL in the physical dimensions. Lifestyle was significantly positively associated with QoL. A total of 894 participants completed the DRPST, which showed some individuals with probable MDE (n = 93, 10.4%), probable PTSD (n = 22, 2.5%), or probable MDE and PTSD (n = 49, 5.5%); most people had no MDE or PTSD (n = 730, 81.7%). Those in the probable PTSD or MDE groups were significantly more likely to be female or to be experiencing stressors (p < 0.001). The participants continued to be affected by the disaster based on their QoL, even 5 years later. Females had a higher risk of probable psychiatric disorders and poorer QoL in the physical dimensions. Long-term follow-up, interventions and investigations after a disaster are needed.

摘要

为了调查与生活质量(QoL)和与灾害相关的精神障碍相关的因素,包括创伤后应激障碍(PTSD)和重度抑郁发作(MDE),在台湾的一次气体爆炸事件发生 5 年后对幸存者进行了一项基于社区的横断面研究。在事件发生 5 年后,对经历过气体爆炸的地区的居民进行了一项基于社区的横断面研究。使用简短的 12 项健康调查简表(SF-12v2)对 2511 名参与者进行了筛查。使用灾害相关心理筛查测试(DRPST)来评估可能的 MDE 和 PTSD。共有 2511 名参与者完成了 QoL 调查,其中包括 604 名男性和 1907 名女性。平均年龄为 56.02 ± 16.78 岁,大多数参与者属于 ≧65 岁年龄组(39.7%)。男性在身体维度方面的 QoL 更好。生活方式与 QoL 呈显著正相关。共有 894 名参与者完成了 DRPST,结果显示,一些人可能患有 MDE(n=93,10.4%)、可能患有 PTSD(n=22,2.5%)或可能患有 MDE 和 PTSD(n=49,5.5%);大多数人没有 MDE 或 PTSD(n=730,81.7%)。在可能患有 PTSD 或 MDE 的人群中,女性或经历压力源的可能性显著更高(p<0.001)。参与者根据他们的 QoL 仍然受到灾难的影响,即使是 5 年后。女性患有精神障碍和身体维度 QoL 较差的风险更高。灾难后需要进行长期的随访、干预和调查。

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