Department of Medicine and Surgery, University of Parma, Via Volturno n. 39, 43125, Parma, PR, Italy.
Department of Mental Health, Extensive Area 2, ASUR, Via dei Colli, 60035, Jesi, Italy.
Psychiatr Q. 2021 Dec;92(4):1489-1511. doi: 10.1007/s11126-021-09908-9. Epub 2021 May 11.
Central Italy suffered from the earthquake of 2016 resulting in great damage to the community. The purpose of the present study was to determine the long-term traumatic outcomes among the population. A preliminary study aimed at obtaining the Italian translation of the first 16 item of HTQ IV part [1] which was administered, 20 months after the disaster, at 281 survivors. In backward stepwise logistic regressions models, we estimated among the respondent's characteristics and event-related variables the best predictors of Post-Traumatic Stress Disorder (PTSD).A Confirmatory Factor Analysis (CFA) revealed a HTQ five-factors solution as best model, with satisfactory indexes of fit. HTQ held a positive correlation with both the SQD-P (r = .65, p < .05) and SQD-D subscales (r = .47, p < .05). ROC analysis suggested an area of .951 (95% CI = .917-.985) for the PTSD prediction. Basing on sensibility (.963) and specificity (.189), the best cut-off of 2.0 allowed discriminating for PTSD positive cases. After 20 months of the earthquake, the estimate prevalence of PTSD among the survivors is of 21.71% with a consistent and graded association between exposure variables and vulnerability factors (gender, age, exposure to death and home damage) and PTSD symptoms.
意大利中部地区遭受了 2016 年地震的影响，社区遭受了巨大损失。本研究旨在确定该地区居民的长期创伤后果。一项初步研究旨在获得 HTQ IV 部分前 16 项的意大利语翻译[1]，在灾难发生 20 个月后，对 281 名幸存者进行了测试。在逐步向后的逻辑回归模型中，我们估计了受访者特征和与事件相关的变量中，哪些是创伤后应激障碍（PTSD）的最佳预测因素。验证性因子分析（CFA）显示，HTQ 具有五个因素的解决方案，是最佳模型，拟合度指数良好。HTQ 与 SQD-P（r = .65，p < .05）和 SQD-D 分量表（r = .47，p < .05）呈正相关。ROC 分析表明 PTSD 预测的面积为.951（95%CI = .917-.985）。基于敏感性（.963）和特异性（.189），最佳截断值为 2.0，可用于区分 PTSD 阳性病例。地震发生 20 个月后，幸存者 PTSD 的估计患病率为 21.71%，暴露变量和脆弱性因素（性别、年龄、死亡和家庭破坏的暴露）与 PTSD 症状之间存在一致的、渐进的关联。
