POSTTRAUMATIC-STRESS-DISORDER IN ADOLESCENTS AFTER HURRICANE-ANDREW
POSTTRAUMATIC-STRESS-DISORDER IN ADOLESCENTS AFTER HURRICANE-ANDREW
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DOI：
10.1097/00004583-199509000-00017
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发表时间：
1995-09-01
影响因子：
13.3
通讯作者：
KILPATRICK, DG
中科院分区：
文献类型：
--
作者：
GARRISON, CZ;BRYANT, ES;KILPATRICK, DG
目的：研究安德鲁飓风后青少年创伤后应激障碍（PTSD）的发生率及其相关因素。方法：安德鲁飓风过后6个月，在佛罗里达戴德县的高影响和低影响地区，对158名西班牙裔、116名黑人和104名白色白人父母进行了随机数字拨号样本调查。受试者完成了一个结构化的电话采访，重点是在灾难中的经验和情绪反应，灾害相关的损失，一生中暴露于暴力或创伤性事件，最近的压力经历，和精神病学。结果如下：大约3%的男性（95%置信区间0.4至5.3）和9%的女性（95%置信区间4.6至13.7）符合PTSD的标准。黑人的发病率最高（8.3%，95%置信区间2.3至14.2）和西班牙裔（6.1%，95%置信区间2.2 - 9.9），并随年龄增长而增加（比值比为1.34，95%置信区间为1.04 - 1.72）和报告的不良事件数量（比值比为1.38，95%置信区间为1.21至1.57）。结论：虽然只有相对较小比例的青少年报告了与PTSD诊断一致的症状，但大多数人报告了一些创伤后症状。灾后规划应该认识到，灾难后发生的常见压力事件可能与PTSD的联系比与实际灾难的联系更紧密。
Objective: To examine rates and correlates of posttraumatic stress disorder (PTSD) in adolescents after Hurricane Andrew. Method: A random-digit dialing sample of 158 Hispanic, 116 black, and 104 white adolescent-parent pairs were surveyed in high- and low-impact areas within Dade County, Florida, 6 months after Hurricane Andrew. Subjects completed a structured telephone interview focused on within-disaster experiences and emotional reaction, disaster-related losses, lifetime exposure to Violent or traumatic events, recent stressful experiences, and psychiatric symptomatology. Results: Approximately 3% of males (95% confidence interval 0.4 to 5.3) and 9% of females (95% confidence interval 4.6 to 13.7) met the criteria for PTSD. Rates were highest among blacks (8.3%, 95% confidence interval 2.3 to 14.2) and Hispanics (6.1%, 95% confidence interval 2.2 to 9.9) and increased with age (odds ratio of 1.34, 95% confidence interval 1.04 to 1.72) and the number of undesirable events reported (odds ratio of 1.38, 95% confidence interval 1.21 to 1.57). Conclusions: While only a relatively small percentage of adolescents reported symptoms consistent with a diagnosis of PTSD, most reported some posttraumatic symptoms. Postdisaster planning should recognize that common stressful events occurring after disasters may be more strongly associated with PTSD than magnitude of contact with the actual disaster.