Psychiatric morbidity following Hurricane Andrew

Psychiatric morbidity following Hurricane Andrew
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DOI:
10.1007/bf02103669
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发表时间:
1996-07-01
影响因子:
3.3
通讯作者:
Schneiderman, N
Schneiderman, N
中科院分区:
医学3区
文献类型:
--
作者:
David, D;Mellman, TA;Schneiderman, N

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在飓风过后 6-12 个月内,对来自受安德鲁飓风影响最严重地区的先前未患病受试者的精神疾病发病性质进行了调查。还确定了发病率与个人和事件相关风险因素的初步关联。百分之五十一 (31/61) 符合新发疾病的标准;其中 36% 患有创伤后应激障碍 (PTSD),30% 患有重度抑郁症 (MD),20% 患有其他焦虑症。 34 名受试者 (56%) 的明显症状持续超过 6 个月。遭受“严重损害”是与结果最密切相关的风险因素。我们的数据强调了与自然灾害相关的精神疾病发病率的范围,并表明与慢性压力源的关系。
The nature of psychiatric morbidity in previously non-ill subjects from the area most affected by Hurricane Andrew was investigated at 6-12 months posthurricane. Preliminary associations of morbidity with personal and event-related risk factors were also determined Fifty one percent (31/61) met criteria for a new-onset disorder; including posttraumatic stress disorder (PTSD) in 36%, major depression (MD) in 30%, and other anxiety disorders in 20%. Thirty four subjects (56%) had significant symptoms persisting beyond 6 months. Having sustained ''severe damage'' was the risk factor most strongly associated with outcome. Our data underscore the range of psychiatric morbidity related to a natural disaster and suggest a relationship to chronic stressors.