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土耳其 2023 年地震幸存者中创伤后应激障碍的患病率。

Prevalence of probable post-traumatic stress disorder among survivors of the 2023 earthquakes in Türkiye.

机构信息

Department of Midwifery, Faculty of Health Sciences, Suleyman Demirel University, Isparta, Türkiye.

Department of Public Health, Faculty of Medicine, Suleyman Demirel University, Isparta, Türkiye.

出版信息

East Mediterr Health J. 2024 Oct 1;30(9):622-631. doi: 10.26719/2024.30.9.622.

Abstract

BACKGROUND

Post-traumatic stress disorder (PTSD) is one of the most prevalent conditions following a devastating earthquake or disaster.

AIM

To explore the prevalence of probable PTSD and its risk factors among earthquake survivors in Türkiye.

METHODS

This cross-sectional study examined 1100 survivors, aged ≥ 18 years, in 11 provinces of Türkiye affected by the 2 June 2023 earthquakes. We collected the data 5 months after the earthquakes and measured PTSD using the PTSD checklist for the diagnostic and statistical manual of mental disorders fifth edition (DSM-5), the Connor-Davidson resilience scale, and multidimensional scale of perceived social support. We analysed the data using SPSS version 28.

RESULTS

The earthquake survivors were aged 18-89 years, mean age 35.59 years, and more than half of them were female (58.8%). Prevalence of probable PTSD was 55.2%. Multiple logistic regression analysis revealed that prevalence of probable PTSD was predicted by female gender, current smoking, sleep disturbance, chronic disease, being trapped under the rubble, loss of a first-degree relative, post-earthquake sheltering in a tent or container or someone else's house, high post-earthquake anxiety, and low socioeconomic status. Survivors with high psychological resilience had lower probable PTSD prevalence.

CONCLUSION

Prevalence of PTSD was high among our participants and psychological resilience seemed to be a mitigating factor for PTSD. There is therefore a need to focus on improving psychological resilience among earthquake survivors to prevent or minimise PTSD.

摘要

背景

创伤后应激障碍(PTSD)是毁灭性地震或灾难后最常见的病症之一。

目的

探究土耳其地震幸存者中 PTSD 的患病率及其危险因素。

方法

本横断面研究调查了 2023 年 6 月 2 日地震影响的土耳其 11 个省份的 1100 名年龄≥18 岁的幸存者。我们在地震发生 5 个月后收集数据,并使用精神障碍诊断和统计手册第五版(DSM-5)创伤后应激障碍检查表、Connor-Davidson 韧性量表和多维感知社会支持量表来测量 PTSD。我们使用 SPSS 版本 28 分析数据。

结果

地震幸存者年龄在 18-89 岁之间,平均年龄为 35.59 岁,其中超过一半为女性(58.8%)。PTSD 的患病率为 55.2%。多因素逻辑回归分析显示,女性、当前吸烟、睡眠障碍、慢性疾病、被埋在废墟下、失去一级亲属、地震后在帐篷或集装箱或他人家中避难、地震后焦虑高和社会经济地位低与 PTSD 患病率增加有关。心理韧性高的幸存者 PTSD 患病率较低。

结论

本研究参与者 PTSD 的患病率较高,心理韧性似乎是 PTSD 的一个缓解因素。因此,有必要关注提高地震幸存者的心理韧性,以预防或最小化 PTSD 的发生。

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