Association between social support and recovery from post-traumatic stress disorder after flood: a 13-14 year follow-up study in Hunan, China.
Association between social support and recovery from post-traumatic stress disorder after flood: a 13-14 year follow-up study in Hunan, China.
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DOI：
10.1186/s12889-016-2871-x
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发表时间：
2016-02-29
影响因子：
4.5
通讯作者：
Liu A
中科院分区：
文献类型：
--
作者：
Dai W;Chen L;Tan H;Wang J;Lai Z;Kaminga AC;Li Y;Liu A
创伤后应激障碍（PTSD）是创伤事件幸存者中最普遍的长期精神疾病之一。众所周知，社会支持与自然灾害后创伤后应激障碍的发生有关。然而，人们很少知道社会支持是否对洪水后诊断出的创伤后应激障碍（PTSD）的恢复有影响。因此，本研究对2000年洪水灾民被诊断患有PTSD后13-14年的PTSD进行了跟踪评估，以衡量他们中PTSD的患病率，并确定社会支持与他们从PTSD中恢复之间的关系。 1998年经历过洞庭湖洪水并于2000年被诊断患有创伤后应激障碍（PTSD）的受害者被纳入本研究。 2013年至2014年间进行了一项跟踪调查，使用DSM-IV标准再次诊断PTSD受害者。采用中文版社会支持评定量表（SSRS）测量社会支持及其三个维度，包括客观支持、主观支持和支持利用。使用结构化调查问卷通过面对面访谈收集数据。采用双变量和多变量逻辑回归分析来检验社会支持与洪水后 PTSD 恢复之间的关系。在 321 名既往患有 PTSD 的受试者中，51 名 (15.89%) 被诊断为仍患有 PTSD。 Logistic 回归分析表明，从既往 PTSD 中恢复与社会支持（比值比 (OR) =0.202，95% 置信区间 (95% CI)：0.047–0.878）、主观支持（OR = 0.236，95% CI：0.080–0.694）和支持利用率显着相关（OR = 0.245，95% CI：0.071–0.844）。目前PTSD的患病率表明，洪水等自然灾害可能会长期影响受害者的心理健康。社会支持与既往 PTSD 的恢复显着相关，尤其是主观支持和支持利用。
Post-traumatic stress disorder (PTSD) is one of the most prevalent long-term psychiatric disorders among survivors of traumatic events. It is well established that social support has been related to the onset of PTSD after natural disasters. However, very little is known whether or not social support has had an influence on the recovery from the PTSD that was diagnosed after floods. This study, therefore, made a follow-up assessment of PTSD in flood victims 13–14 years after they were diagnosed with PTSD in 2000 to measure the prevalence rate of PTSD among them and identify the association between social support and their recovery from PTSD. Victims who had experienced Dongting Lake flood in 1998 and had been diagnosed as having PTSD in 2000 were enrolled in this study. A follow-up survey was done between the years 2013 and 2014 to diagnose the victims again of PTSD using the DSM-IV criteria. Social support and its three dimensions were measured using the Chinese version of Social Support Rating Scale (SSRS), including objective support, subjective support and support utilization. Data were collected through face-to-face interviews using a structured questionnaire. Bivariate and multivariate logistic regression analyses were used to examine the relationship between social support and the recovery from PTSD after flood. Out of 321 subjects with prior PTSD, 51 (15.89 %) were diagnosed as still having PTSD. Logistic regression analyses indicated that the recovery from prior PTSD was significantly associated with social support (odds ratio (OR) =0.202, 95 % confidence interval (95 % CI): 0.047–0.878), subjective support (OR = 0.236, 95 % CI: 0.080–0.694) and support utilization (OR = 0.245, 95 % CI: 0.071–0.844). The prevalence rate of current PTSD indicates that natural disasters, such as floods, may affect the mental health of victims for a long time. Social support was significantly associated with the recovery from prior PTSD, especially subjective support and support utilization.