Financial and social circumstances and the incidence and course of PTSD in Mississippi during the first two years after hurricane Katrina
Financial and social circumstances and the incidence and course of PTSD in Mississippi during the first two years after hurricane Katrina
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DOI：
10.1002/jts.20355
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发表时间：
2008-08-01
影响因子：
3.3
通讯作者：
Coffey, Scott F.
中科院分区：
文献类型：
--
作者：
Galea, Sandro;Tracy, Melissa;Coffey, Scott F.
卡特里娜飓风是过去75年来袭击美国的最具破坏性的自然灾害。作者对810人进行了采访，这些人是在卡特里娜飓风之前居住在密西西比州最南端23个县的成年居民的代表。自卡特里娜飓风以来，创伤后应激障碍（PTSD）的患病率为22.5%。PTSD的决定因素是女性、飓风相关的经济损失经历、灾后压力源、低社会支持和灾后创伤事件。Kaplan-Meier生存曲线表明，暴露于飓风相关的创伤事件以及经济和社会压力源都会影响PTSD症状的持续时间。灾后干预旨在改善这些事件后可操纵的压力源可能影响PTSD的发病和病程。
Hurricane Katrina was the most devastating natural disaster to hit the United States in the past 75 years. The authors conducted interviews of 810 persons who were representative of adult residents living in the 23 southernmost counties of Mississippi before Hurricane Katrina. The prevalence of posttraumatic stress disorder (PTSD) since Hurricane Katrina was 22.5%. The determinants of PTSD were female gender, experience of hurricane-related financial loss, postdisaster stressors, low social support, and postdisaster traumatic events. Kaplan-Meier survival curves suggest that exposure to both hurricane-related traumatic events and to financial and social stressors influenced the duration of PTSD symptoms. Postdisaster interventions that aim to improve manipulable stressors after these events may influence the onset and course of PTSD.