Comorbidity of post-traumatic stress disorder and anxiety in flood survivors: Prevalence and shared risk factors.
Comorbidity of post-traumatic stress disorder and anxiety in flood survivors: Prevalence and shared risk factors.
复制标题
洪水幸存者中创伤后应激障碍和焦虑的合并症：流行和共同的危险因素。
DOI：
10.1097/md.0000000000007994
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发表时间：
2017-09
期刊：
影响因子：
1.6
通讯作者：
Liu A
中科院分区：
文献类型：
--
作者：
Dai W;Kaminga AC;Tan H;Wang J;Lai Z;Wu X;Xiong Y;Deng J;Liu A
创伤后应激障碍(PTSD)和焦虑在创伤相关人群中都很普遍。然而，这两种精神疾病在洪灾幸存者中的共病还没有被调查。这项研究旨在评估洪灾幸存者中创伤后应激障碍和焦虑共同出现的程度，并确定仅有创伤后应激障碍的共同危险因素以及创伤后应激障碍和焦虑的共病。本研究采用分层随机抽样的方法，对1998年洞庭湖洪涝灾害的个体进行调查。使用自我报告问卷收集有关社会支持、人格特征、创伤后应激障碍和焦虑的信息。暴露在洪水中的强度是通过一些问题来衡量的。Logistic回归分析被用来确定仅与创伤后应激障碍相关的因素，以及创伤后应激障碍和焦虑的共病。总共有325名参与者参加了这项研究。1998年洞庭湖洪灾幸存者的创伤后应激障碍、焦虑和焦虑的患病率分别为9.54%、9.23%和6.15%。64.52%的创伤后应激障碍患者有焦虑症状，66.67%的焦虑患者有创伤后应激障碍。失去亲人、身体损伤、房屋受损和情绪不稳定是PTSD的共同危险因素，与PTSD和焦虑不同的是PTSD和焦虑的共病。仅创伤后应激障碍和创伤后应激障碍与焦虑的共病在洪灾幸存者中普遍存在，并与洪灾暴露强度和人格特征有关，提示需要对洪灾幸存者采取创伤后应激障碍和焦虑的综合干预策略。
Post-traumatic stress disorder (PTSD) and anxiety are both prevalent in trauma-related populations. However, comorbidity of these 2 psychiatric disorders has not been investigated in flood survivors. This study aimed to estimate the extent to which PTSD and anxiety co-occur in flood survivors, and identify shared risk factors for PTSD only and comorbidity of PTSD and anxiety. Individuals who experienced Dongting Lake flood in 1998 were enrolled in this study using stratified and systematic random sampling method. Information on social support, personality traits, PTSD, and anxiety was collected using self-report questionnaires. The intensity of exposure to the flood was measured by some questions. Logistic regression analyses were used to identify factors associated with PTSD only and comorbidity of PTSD and anxiety. In all, 325 participants were enrolled in this study. The prevalence of PTSD, anxiety, and comorbidity of PTSD and anxiety among survivors of the 1998 Dongting Lake flood at 17-year follow-up was 9.54%, 9.23%, and 6.15%, respectively. Furthermore, 64.52% of those with PTSD had anxiety and 66.67% of those with anxiety had PTSD. Loss of relative, injury of body, damage of house, and emotional instability were shared risk factors for PTSD only and comorbidity of PTSD and anxiety, in comparison with neither PTSD nor anxiety. Post-traumatic stress disorder only and comorbidity of PTSD and anxiety are prevalent in flood survivors, and are both related to the intensity of exposure to the flood and personality traits, indicating that integrated intervention strategies of PTSD and anxiety for flood survivors are needed.