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一次严重地震幸存者中精神障碍的初步报告。

Preliminary report of psychiatric disorders in survivors of a severe earthquake.

作者信息

Sharan P, Chaudhary G, Kavathekar S A, Saxena S

机构信息

All India Institute of Medical Sciences, New Delhi, India.

出版信息

Am J Psychiatry. 1996 Apr;153(4):556-8. doi: 10.1176/ajp.153.4.556.

DOI:10.1176/ajp.153.4.556
PMID:8599406
Abstract

OBJECTIVE

The authors' goal was to study psychiatric morbidity after a natural disaster in rural India.

METHOD

As members of a volunteer medical team assigned to 23 households in three villages in India affected by an earthquake, the authors examined the results of semi-structured interviews used to interview all of the adults (older than 14 years) in these households (N=56). DSM-III-R diagnoses were assigned on the basis of these interviews, and non-parametric tests were applied to comparisons of subjects who were or were not given a psychiatric diagnosis.

RESULTS

Thirty-three (59%) of the subjects received a psychiatric diagnosis; the most common diagnoses were posttraumatic stress disorder (13 subjects [23%]) and major depression (12 subjects [21%]). Psychiatric morbidity was associated with female sex, destruction of house, and destruction of possessions.

CONCLUSIONS

Attention to the mental health needs of disaster survivors in third world countries is indicated.

摘要

目的

作者的目标是研究印度农村地区自然灾害后的精神疾病发病率。

方法

作为被派往印度三个受地震影响村庄的23户家庭的志愿医疗队成员,作者检查了用于采访这些家庭中所有成年人(14岁以上)(N = 56)的半结构化访谈结果。根据这些访谈进行DSM-III-R诊断,并对接受或未接受精神疾病诊断的受试者进行非参数检验比较。

结果

33名(59%)受试者被诊断患有精神疾病;最常见的诊断是创伤后应激障碍(13名受试者[23%])和重度抑郁症(12名受试者[21%])。精神疾病发病率与女性、房屋毁坏和财产毁坏有关。

结论

表明需要关注第三世界国家灾难幸存者的心理健康需求。

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