ACUTE POSTTRAUMATIC-STRESS-DISORDER IN VICTIMS OF A NATURAL DISASTER

ACUTE POSTTRAUMATIC-STRESS-DISORDER IN VICTIMS OF A NATURAL DISASTER
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DOI:
10.1097/00005053-198705000-00008
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发表时间:
1987-05-01
影响因子:
1.9
通讯作者:
OBRIEN, KF
OBRIEN, KF
中科院分区:
医学4区
文献类型:
--
作者:
MADAKASIRA, S;OBRIEN, KF

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龙卷风摧毁了北卡罗莱纳东部的一个农村社区五个月后,作者调查了116名灾难受害者的心理健康状况,使用了霍普金斯症状检查表(HSCL),扩展到包括大多数DSM-III创伤后应激障碍(PTSD)的标准。共有69名(59%)受害者符合急性创伤后应激障碍的标准,其中19人有严重形式。虽然在严重创伤后应激障碍的受害者中更常注意到社会支持程度不足,但其他人口因素和伤害或财产损失程度似乎与创伤后应激障碍的存在无关。所有HSCL分量表因子的高分都支持PTSD的严重程度或存在。这些发现表明,自然灾害受害者中急性PTSD的发生率较高,HSCL在大规模人群中筛查PTSD的潜在价值。
Five months after a tornado devastated a rural community in eastern North Carolina, the authors surveyed the mental health status of the 116 diaster victims, using the Hopkins Symptom Checklist (HSCL) expanded to include most of DSM-III criteria for posttraumatic stress disorder (PTSD). A total of 69 (59%) victims met the criteria for acute PTSD, 19 of whom had a severe form. Although an inadequate degree of social support was more often noted in victims with severe PTSD, other demographic factors and degree of injury or property damage did not appear to be related to the presence of PTSD. Severity or presence of PTSD was supported by high scores on all HSCL subscale factors. These findings suggest a high incidence of acute PTSD in victims of natural diasters and the potential value of HSCL in screening for PTSD in large populations.