Psychopathological consequences after a terrorist attack:: An epidemiological study among victims, the general population, and police officers
Psychopathological consequences after a terrorist attack:: An epidemiological study among victims, the general population, and police officers
复制标题
DOI：
10.1016/j.eurpsy.2006.10.007
复制
发表时间：
2007-09-01
影响因子：
7.8
通讯作者：
Galea, Sandro
中科院分区：
文献类型：
--
作者：
Gabriel, Rafael;Ferrando, Laura;Galea, Sandro
背景和架子。-评估创伤后应激障碍(PTSD)、创伤后应激障碍(PTSD)以外的严重抑郁和焦虑障碍的患病率及其相关性。-我们从三个群体的全面人口普查中随机抽样，对三组人--袭击中受伤的人、Alcala de Henares的居民和参与救援工作的警察--进行了不同程度的接触2004年3月11日的恐怖袭击。面谈是在2004年3月11日后5至12周内对所有三组人进行的。调查问卷包括社会人口学特征的评估，创伤后应激障碍的评估使用戴维森创伤量表，以及一系列精神疾病的评估使用迷你国际神经精神病学访谈(MINI)。-总体样本包括127名在袭击中受伤的人，485名Alcala de Henares居民，以及153名参与救援的警察。在所有三组中，分别有57.5%、25.9%和3.9%的人报告了与任何评估的精神障碍相一致的症状。2004年3月11日以前使用精神活性药物一直是创伤后应激障碍和重度抑郁的主要预测因素，而在阿拉斯加居民中，除创伤后应激障碍外，严重抑郁和焦虑症的主要预测因素。-2004年3月11日恐怖袭击事件发生两个月后，造成了巨大的心理后果负担。在不同的暴露组中，既往有精神疾病的人患上事件后精神病理的风险更高。(C)2006年爱思唯尔·马森公司。版权所有。
Background and airs. - To assess the prevalence and correlates of post-traumatic stress disorder (PTSD), major depression and anxiety disorders other than PTSD, among three samples with different level of exposure to the March 11, 2004 terrorist attacks in Madrid.Method. - We sampled three groups of persons-those injured in the attacks, the residents of Alcala de Henares, and police officers involved with the rescue effort-with different exposure to the March 11, 2004 terrorist attacks, using random sampling from comprehensive censuses of all three groups. In person interviews were conducted with all three groups between 5 and 12 weeks after March 11, 2004. Questionnaire included assessment of socio-demographic characteristics, of PTSD using the Davidson trauma scale, and of a range of psychiatric illnesses using the mini international neuropsychiatric interview (MINI).Results. - The overall sample included 127 persons injured in the attack, 485 residents of Alcala de Henares, and 153 policemen involved in rescue. Of all three groups 57.5%, 25.9% and 3.9% of persons, respectively, reported symptoms consistent with any assessed psychiatric disorder. The use of psychoactive medication before March 11, 2004 was consistently the main predictor of PTSD and major depression among those injured and of major depression and anxiety disorders others than PTSD among residents of Alcala.Conclusions. - There was a substantial burden of psychological consequences of the March 11, 2004 terrorist attacks two months after the event. Persons with prior mental illness are at higher risk of post-event psychopathology, across groups of exposure. (c) 2006 Elsevier Masson SAS. All rights reserved.