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评估贝鲁特港口爆炸的心理影响:一项横断面研究。

Assessing the psychological impact of Beirut Port blast: A cross-sectional study.

机构信息

Vice President for Medical and Health Science Office, QU Health, Qatar University, Doha, Qatar.

Department of Emergency Medicine, American University of Beirut Medical Center, Beirut, Lebanon.

出版信息

Medicine (Baltimore). 2022 Oct 14;101(41):e31117. doi: 10.1097/MD.0000000000031117.

Abstract

Beirut Port blast's magnitude is considered the third after Hiroshima and Nagasaki atomic bombings. This blast occurred in the densely populated section of Beirut, leaving more than six thousand injured patients. The psychological disturbances were assessed in the blast survivors who presented to the Emergency Department (ED) at the American University of Beirut Medical Center (AUBMC). This was a cross-sectional study at the ED of AUBMC. Identified patients were contacted and consented to participate in the study. Post-Traumatic Stress Disorder (PTSD) was selected as an outcome. Depression, PTSD, and concussion were assessed using patient health questionnaire (PHQ)-9, PTSD checklist for DSM-5 (PCL5), and brain injury symptoms (BISx) tools, respectively. The association of patients and injury characteristics with the study outcome was assessed using logistic regression. 145 participants completed the study procedures. The participants' average age was 39.8 ± 15.4 years, and 60% were males. Almost half of the participants showed depression on PHQ, and 2-thirds had PTSD. The participant's age was negatively associated with PTSD, whereas being a female, having depression, and having a concussion were positively associated with PTSD. The results of this study were in line with the previous literature report except for the association between younger age and PTSD, which warrants further investigations to delineate the reasons.

摘要

贝鲁特港口爆炸的震级被认为是继广岛和长崎原子弹爆炸之后的第三次。这次爆炸发生在贝鲁特人口稠密的地区,造成超过 6000 名受伤患者。在贝鲁特美国大学医学中心(AUBMC)急诊部就诊的爆炸幸存者中评估了心理障碍。这是 AUBMC 急诊部的一项横断面研究。联系并征得确定患者的同意参加研究。选择创伤后应激障碍(PTSD)作为结果。使用患者健康问卷(PHQ)-9、DSM-5 创伤后应激障碍检查表(PCL5)和脑损伤症状(BISx)工具分别评估抑郁、PTSD 和脑震荡。使用逻辑回归评估患者和损伤特征与研究结果的关联。145 名参与者完成了研究程序。参与者的平均年龄为 39.8±15.4 岁,其中 60%为男性。几乎一半的参与者在 PHQ 上显示出抑郁,而三分之二的人患有 PTSD。参与者的年龄与 PTSD 呈负相关,而女性、抑郁和脑震荡与 PTSD 呈正相关。除了年龄与 PTSD 之间的关联外,该研究结果与之前的文献报告一致,这需要进一步调查以阐明原因。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a56/9575829/52371fb303ae/medi-101-e31117-g001.jpg

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