Prediction of the occurrence and intensity of post-traumatic stress disorder in victims 32 months after bomb attack
Prediction of the occurrence and intensity of post-traumatic stress disorder in victims 32 months after bomb attack
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DOI：
10.1016/s0924-9338(03)00043-9
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发表时间：
2003-06-01
影响因子：
7.8
通讯作者：
Guelfi, JD
中科院分区：
文献类型：
--
作者：
Jehel, L;Paterniti, S;Guelfi, JD
导论. - 我们的目的是确定恐怖袭击后创伤后应激障碍（PTSD）发生和严重程度的预测因素。- 我们评估了1996年12月在巴黎地铁爆炸袭击的32名受害者在6个月和32个月。- 社会人口学特征，临床资料和身体伤害被用来预测创伤后应激障碍的发生和严重程度的32名受害者。采用沃森创伤后应激障碍量表（PTSD-I）和Horowitz事件影响量表（IES）分别评定创伤后应激障碍的发生率和严重程度。- 39%的参与者在6个月时符合PTSD标准，25%在32个月时仍有PTSD。女性在炸弹袭击后32个月患PTSD的频率高于男性。就业预测PTSD严重程度在32个月。6个月时PTSD-I评估的PTSD评分与32个月随访时IES评分显著正相关（r = 0.55，P = 0.004）。精神药物使用前炸弹袭击显着预测创伤后应激障碍的发生和严重程度在6个月和32个月。在线性回归模型中，身体伤害，就业状况和精神药物使用前的炸弹袭击是独立的预测因素，创伤后应激障碍的严重程度在32个月。- 炸弹袭击暴露导致持续性PTSD在一个显着的比例的受害者;严重程度预测在32个月的身体伤害和精神药物的使用前的恐怖袭击和PTSD评分几个月后的炸弹袭击。(C)2003年，Elsevier SAS科学与医学版。All rights reserved.
Introduction. - Our objective was to identify factors that predict occurrence and severity of post-traumatic stress disorder (PTSD) after a terrorism attack.Population. - We evaluated 32 victims of a bomb attack in a Paris subway in December 1996 at 6 and 32 months.Method. - Sociodemographic characteristics, clinical data and physical injuries were used to predict PTSD occurrence and severity in 32 victims. The Watson's PTSD Inventory (PTSD-I) and the Impact of Event Scale (IES) by Horowitz were used to evaluate occurrence and severity of PTSD, respectively.Results. - Thirty-nine percent of participants met PTSD criteria at 6 months, 25% still had PTSD at 32 months. Women had PTSD 32 months after the bomb attack more frequently than men. Employment predicted PTSD severity at 32 months. PTSD scores assessed by PTSD-I at 6 months were significantly and positively associated with IES scores at 32-month follow-up (r = 0.55, P = 0.004). Psychotropic drug use before the bomb attack significantly predicted PTSD occurrence and severity at 6 and 32 months. In a linear regression model, physical injuries, employment status and psychotropic drug use before the bomb attack were independent predictors of severity of PTSD at 32 months.Conclusions. - Bomb attack exposure resulted in persisting PTSD in a Significant proportion of victims; the severity was predicted at 32 months by physical injuries and psychotropic drug use before the terrorism attack and by the PTSD score few months after the bomb attack. (C) 2003 Editions scientifiques et medicales Elsevier SAS. All rights reserved.