Shore J H, Tatum E L, Vollmer W M
Am J Public Health. 1986 Mar;76(3 Suppl):76-83. doi: 10.2105/ajph.76.suppl.76.
This psychiatric epidemiology study following the Mount St. Helens volcanic disaster revealed a significant morbidity for psychiatric disorders. The increased prevalence showed a dose response pattern in three population groups. The findings are reported as relative and attributable risk for the two exposed populations as compared to a control group. Patterns of significant risk are presented for sex, age, and for victims with pre-existing physical illness. The research utilized a new criteria-based interview schedule for the identification of psychiatric disorders. The methodology is reviewed in the context of the controversies and assumptions within the field of behavioral response to disaster stress. There are important implications for public health planning and intervention.
这项针对圣海伦斯火山灾难开展的精神疾病流行病学研究表明,精神疾病的发病率显著上升。在三类人群中,患病率的增加呈现出剂量反应模式。研究结果报告了两个受影响人群与一个对照组相比的相对风险和归因风险。文中呈现了按性别、年龄以及患有基础躯体疾病的受害者划分的显著风险模式。该研究采用了一种基于新标准的访谈流程来识别精神疾病。本文在灾难应激行为反应领域的争议和假设背景下对研究方法进行了综述。这对公共卫生规划和干预具有重要意义。