Protracted acute stress reaction following an earthquake
Protracted acute stress reaction following an earthquake
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DOI：
10.1034/j.1600-0447.2003.01467.x
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发表时间：
2003-01-01
影响因子：
6.7
通讯作者：
Soldatos, CR
中科院分区：
文献类型：
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作者：
Bergiannaki, JD;Psarros, C;Soldatos, CR
目的：为验证ICD-10对地震伤员急性应激反应（ASR）的诊断标准，对91名地震伤员进行了心理社会学调查和ASR诊断。然而，仅10%的患者符合限制性持续时间标准（即症状不超过前48小时）;在其余60%的患者中，症状持续约一周。因此，60%的样本构成了一组与延长ASR（PASR）和40%的一组没有它（n-PASR）。病史更频繁的PASR比n-PASR; PASR表现出更高的焦虑水平（前和灾后）比n-PASR;最后，ASR的持续性呈正相关的死亡恐惧的时间在地震和灾前的焦虑levels.Conclusion：在绝大多数地震灾民的ASR是延长超过48小时，ICD-10指南的修订应考虑。
Objective: To verify the official criteria of ICD-10 diagnosis of acute stress reaction (ASR) among earthquake victims.Method: Data on psychosocial variables and the diagnosis of ASR were collected from 91 subjects.Results: The diagnosis of ASR was made in 70% of the sample. However, the restrictive duration criterion (i.e. symptoms not exceeding the first 48 h) was fulfilled only in 10%; in the remaining 60% the symptoms lasted for about another week. Thus, 60% of the sample constituted a group with protracted ASR (PASR) and 40% a group without it (n-PASR). Medical history was more frequent among PASR than n-PASR; PASR showed higher anxiety levels (both pre- and post-disaster) than n-PASR; finally, the persistence of ASR related positively to the fear of death at the time of the earthquake and pre-disaster anxiety levels.Conclusion: As in the vast majority of earthquake victims the ASR is protracted beyond 48 h, a revision of ICD-10 guidelines should be considered.