灾难和大流行后的长期心理健康轨迹：流行率、风险和保护因素的多语言系统评价。
Long term mental health trajectories after disasters and pandemics: A multilingual systematic review of prevalence, risk and protective factors.
机构信息
School of Population Health, Curtin University, Kent Street, Bentley, WA, Australia; Curtin enAble Institute, Kent Street, Bentley, WA, Australia; FXB Center for Health and Human Rights, Harvard T. H. Chan School of Public Health, Boston, USA.
School of Population Health, Curtin University, Kent Street, Bentley, WA, Australia; Curtin enAble Institute, Kent Street, Bentley, WA, Australia.
出版信息
Clin Psychol Rev. 2022 Nov;97:102203. doi: 10.1016/j.cpr.2022.102203. Epub 2022 Sep 14.
The patterns of long-term psychological response after disasters and pandemics remain unclear. We aimed to determine the trajectories for post-traumatic stress symptoms (PTSS), depression and anxiety prevalence following disasters and pandemic exposure; and identify associated risk and protective factors. A systematic review of the English, Chinese, and Japanese longitudinal mental health literature was conducted. We searched Cochrane, MEDLINE, ProQuest, PsycINFO, PubMed, Web of Science, and CINAHL (English), CNKI and SINOMED (Chinese) and CiNii (Japanese) for studies published between January 2000 and May 2022. Following a pre-specified protocol (PROSPERO: CRD42020206424), conditional linear growth curve models and ANOVA analyses were conducted. The search identified 77,891 papers, with a final sample of 234: 206 English, 24 Chinese, and 4 Japanese-language papers. PTSS rates improved for all ages (p = .018, eta = 0.035). In contrast, depression and anxiety prevalence remained elevated for years following exposure (p = .424, eta = 0.019 and p = .051, eta = 0.064, respectively), with significantly higher rates for children and adolescents (p < .005, eta > 0.056). Earthquakes and pandemics were associated with higher prevalence of PTSS (p < .019, eta > 0.019). Multi-level risk and protective factors were identified. The chronicity of mental health outcomes highlights a critical need for tailored, sustainable mental health services, particularly for children and adolescents, in disaster- and pandemic-affected settings.
灾害和大流行后的长期心理反应模式仍不清楚。我们旨在确定创伤后应激症状（PTSS）、抑郁和焦虑在灾害和大流行暴露后的轨迹；并确定相关的风险和保护因素。对英文、中文和日文的纵向心理健康文献进行了系统回顾。我们在 Cochrane、MEDLINE、ProQuest、PsycINFO、PubMed、Web of Science 和 CINAHL（英文）、CNKI 和 SINOMED（中文）和 CiNii（日文）上搜索了 2000 年 1 月至 2022 年 5 月发表的研究。按照预先规定的方案（PROSPERO：CRD42020206424），进行了条件线性增长曲线模型和 ANOVA 分析。搜索共确定了 77891 篇论文，最终样本为 234 篇：206 篇英文、24 篇中文和 4 篇日文论文。所有年龄段的 PTSD 发生率都有所改善（p=0.018，eta=0.035）。相比之下，暴露后多年抑郁和焦虑的发生率仍然居高不下（p=0.424，eta=0.019 和 p=0.051，eta=0.064，分别），儿童和青少年的发生率明显更高（p<0.005，eta>0.056）。地震和大流行与 PTSD 发生率较高有关（p<0.019，eta>0.019）。确定了多层次的风险和保护因素。心理健康结果的慢性特点突出表明，在受灾害和大流行影响的环境中，特别需要针对儿童和青少年的定制、可持续的心理健康服务。
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