Assessment of prevalence and determinants of posttraumatic stress disorder and depression symptoms in adults survivors of earthquake in Haiti after 30 months

Assessment of prevalence and determinants of posttraumatic stress disorder and depression symptoms in adults survivors of earthquake in Haiti after 30 months
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DOI:
10.1016/j.jad.2014.02.025
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发表时间:
2014-04-01
影响因子:
6.6
通讯作者:
Derivois, Daniel
Derivois, Daniel
中科院分区:
医学2区
文献类型:
--
作者:
Cenat, Jude Mary;Derivois, Daniel

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背景:2010年1月12日,海地共和国发生7.0级强烈地震,摧毁了首都太子港和全国其他城市。虽然一些研究探讨了地震事件对儿童和青少年受害者造成的长期创伤影响,但迄今为止,已有 110 项研究探讨了地震事件对成年人的总体影响。因此,本研究旨在调查地震对成年人造成的创伤后果,包括两年半后的暴露程度、创伤周围应激、抑郁症状和社会人口因素。此外,还确定了 PTSD 和抑郁症状的预测因素。 方法:从 2012 年 6 月到 7 月,除了社会人口统计特征外,还通过创伤暴露问卷、生活事件清单子量表、创伤周围痛苦量表(PM)、事件影响量表 - 修订版(IFS-R)和贝克抑郁量表(BDI)对总共 1355 名成年人(660 名女性)进行了评估。 结果: PTSD和抑郁症状的患病率分别为36.75%(498例)和25.98%(352例)。 PTSD和抑郁症状的危险因素是年轻和年老、女性、失业状况和低教育水平。最佳预测变量是 PTSD 的创伤后应激障碍(β=.57,p
Background: On January 12, 2010, a powerful 7.0 magnitude earthquake struck the Republic of Haiti and destroyed Port-au-Prince, the capital and others cities across the country. While some studies have examined the long-term traumatic effects of the seismic event on children and adolescents victims, so far 110 study has examined the consequences on adults generally. As such, this study aims to investigate the traumatic consequences of the earthquake among adults related to degree of exposure, peritraumatic distress, depressive symptoms and sociodemographic factors two and a half years after. In addition, predictive factors of PTSD and depressive symptoms were also identified.Methods: From June to July 2012, a total of 1355 adults (660 women) was assessed by means the traumatic exposure questionnaire, the Life Events Checklist subscale, the Peritraumatic Distress Inventory (PM), the Impact of Event Scale - Revised (IFS-R) and the Beck Depression Inventory (BDI), in addition to social demographic characteristics.Results: The prevalence rates of PTSD and depressive symptoms were 36.75% (498 cases) and 25.98% (352 cases) respectively. The risk factors for PTSD and depressive symptoms were young and old age, female gender, unemployed status and low level of education. The bests predictives variables were peritraumatic distress for PTSD (beta=.57, p