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地震后创伤后应激障碍相关的心理健康问题及风险因素

Posttraumatic Stress Disorder-Related Mental Health Problems and Risk Factors After an Earthquake.

作者信息

Aker Tamer, Önder Ece

机构信息

Istanbul Bilgi University, Trauma and Disaster Mental Health Master Program, İstanbul, Türkiye.

Trauma and Disaster Mental Health Studies Association (TARDE), İstanbul, Türkiye.

出版信息

Psychiatry Clin Psychopharmacol. 2025 Aug 11;35(Suppl 1):S113-S121. doi: 10.5152/pcp.2025.24997.

DOI:10.5152/pcp.2025.24997
PMID:40865018
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12410236/
Abstract

Earthquakes can have a substantial impact on communities, leading to severe economic losses, structural damage, casualties, and displacement, as well as adverse psychological effects on survivors. Previous studies have highlighted a broad spectrum of adverse psychological effects following disasters, such as sleep disturbances, emotional distress, depression, suicidal thoughts, anxiety, posttraumatic stress disorder (PTSD). Posttraumatic stress disorder is particularly common among disaster survivors. It is characterized by the emergence of specific symptoms following direct exposure (experiencing a traumatic event firsthand or witnessing it happen to others) or indirect exposure (learning about a traumatic event involving loved ones or repeatedly being exposed to distressing details of the event). Disasters, crises, and traumas are difficult life experiences that require individuals to seek support. It is crucial to identify key factors such as individuals' location, emotional state, and their specific needs during these times to provide effective assistance. Addressing these aspects is essential in preventing trauma from worsening or becoming more entrenched. Post-earthquake psychosocial support should include comprehensive, long-term, and sustainable interventions to improve the mental health of both individuals and society. The aim of this article is to evaluate PTSD and related mental health issues following earthquakes.

摘要

地震会对社区产生重大影响,导致严重的经济损失、结构破坏、人员伤亡和流离失所,以及对幸存者产生不良心理影响。先前的研究强调了灾难后广泛的不良心理影响,如睡眠障碍、情绪困扰、抑郁、自杀念头、焦虑、创伤后应激障碍(PTSD)。创伤后应激障碍在灾难幸存者中尤为常见。其特征是在直接暴露(亲身经历创伤事件或目睹他人发生创伤事件)或间接暴露(得知涉及亲人的创伤事件或反复接触事件的令人痛苦的细节)后出现特定症状。灾难、危机和创伤是艰难的生活经历,需要个人寻求支持。在这些时期,识别关键因素,如个人所在位置、情绪状态及其特定需求,以提供有效援助至关重要。解决这些方面对于防止创伤恶化或变得更加根深蒂固至关重要。震后心理社会支持应包括全面、长期和可持续的干预措施,以改善个人和社会的心理健康。本文的目的是评估地震后的创伤后应激障碍及相关心理健康问题。

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本文引用的文献

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Psychiatric Manifestations Following the 2023 Kahramanmaras Earthquakes: A Focus on Children and Adolescents.2023年卡赫拉曼马拉什地震后的精神症状:聚焦儿童和青少年
Psychiatry Clin Psychopharmacol. 2024 Dec 2;34(4):302-310. doi: 10.5152/pcp.2024.24915.
2
Psychological Impact of Disaster Relief Operations: A Study Following Consecutive Earthquakes in Turkey.灾难救援行动的心理影响:土耳其连续地震后的一项研究。
Disaster Med Public Health Prep. 2024 Sep 18;18:e128. doi: 10.1017/dmp.2024.134.
3
The effect of earthquake exposure on PTSD symptoms is mediated by intrusive rumination and moderated by gender: a cross-sectional study on the 2023 Kahramanmaraş earthquake survivors.地震暴露对创伤后应激障碍症状的影响是通过侵入性反刍来介导的,并且受到性别的调节:对 2023 年卡赫拉曼马拉什地震幸存者的横断面研究。
BMC Public Health. 2024 Aug 23;24(1):2294. doi: 10.1186/s12889-024-19736-8.
4
Some Psychological, Gastrointestinal and Cardiovascular Consequences of Earthquakes.地震的一些心理、胃肠道和心血管后果。
Psychiatr Danub. 2021 Spring-Summer;33(Suppl 4):1248-1253.
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Health-related quality of life among older adults who experienced the Pohang earthquake in South Korea: A cross-sectional survey.韩国 Pohang 地震后老年人的健康相关生活质量:一项横断面调查。
Health Qual Life Outcomes. 2022 Mar 4;20(1):37. doi: 10.1186/s12955-022-01944-8.
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Epidemiol Psychiatr Sci. 2021 Mar 17;30:e25. doi: 10.1017/S2045796021000123.
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