PREVALENCE AND RISK FACTORS FOR POSTTRAUMATIC STRESS DISORDER: A CROSS-SECTIONAL STUDY AMONG SURVIVORS OF THE WENCHUAN 2008 EARTHQUAKE IN CHINA
PREVALENCE AND RISK FACTORS FOR POSTTRAUMATIC STRESS DISORDER: A CROSS-SECTIONAL STUDY AMONG SURVIVORS OF THE WENCHUAN 2008 EARTHQUAKE IN CHINA
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DOI：
10.1002/da.20612
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发表时间：
2009-12-01
影响因子：
7.4
通讯作者：
Yao, Lan
中科院分区：
文献类型：
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作者：
Kun, Peng;Han, Shucheng;Yao, Lan
背景：2008年5月汶川大地震（表面波震级为8.0级）对中国公共卫生的影响是显著的和多方面的。根据现有的关于其他自然灾害后创伤后应激障碍（PTSD）患病率和危险因素的数据，我们收集了汶川地震幸存者的数据来估计创伤后应激障碍的患病率，并对一系列创伤后应激障碍的危险因素进行了表征。方法：2008年8月，在四川省北川县地震重灾区，采用横断面多聚类抽样调查方法，对446人进行调查，其中羌族201人，汉族245人。总共有240户家庭参加了调查，平均每户有2.2名受访者。数据收集自结构化访谈，采用哈佛创伤问卷（HTQ）和DSM-IV标准诊断PTSD。结果：PTSD患病率为45.5%（2031446）。低收入家庭、少数民族、住在避难所或临时住所、家庭成员死亡和家庭破坏是与PTSD发病率增加显著相关的因素。结论：创伤后应激障碍在重大灾难后很常见。灾后心理健康恢复方案，包括早期识别、持续监测、预防和干预方案以及持续的社会心理支持，需要面向风险最高的人群，即丧亲者、没有收入的人和家庭遭受严重破坏的人。正如早期研究表明的那样，这些人群也可能受益于提供社会和经济支持的政府和非政府项目。抑郁与焦虑，2009。(C) 2009 Wiley-Liss, Inc。
Background: The impact of the May 2008 Wenchuan earthquake, measuring a massive 8.0 on the surface wave magnitude scale, on public health in China has been significant and multifaceted. In light of extant data on prevalence and risk factors for posttraumatic stress disorder (PTSD) after other natural diasters, we collected data from the Wenchuan earthquake survivors to estimate the prevalence of PTSD and to characterize a range of PTSD risk factors. Methods: A cross-sectional multicluster sample survey of 446 respondents (201 from the Qiang ethnic-minority group, 245 the majority Han Chinese group) was conducted in August 2008 in Beichuan county, Sichuan province, a region that was severely affected by the earthquake. In total, 240 households were represented, with a mean of 2.2 respondents per household. Data were collected from structured interviews and the Harvard Trauma Questionnaire (HTQ) and DSM-IV criteria were used to diagnose PTSD. Results: The prevalence of PTSD was 45.5% (2031446). Low household income, being from an ethnic minority, living in a shelter or temporary house, death in family, and household damage were factors significantly related to increased odds of PTSD. Conclusions: PTSD is common after a major disaster. Postdisaster mental health recovery programs that include early identification, ongoing monitoring, preventive and intervention programs, and sustained psychosocial support are needed for the highest-risk population, namely, the bereaved, people without incomes and those with serious household damage. These populations may also benefit from governmental and nongovernmental programs that provide social and economic support, as suggested by earlier studies. Depression and Anxiety 26:1134-1140, 2009. (C) 2009 Wiley-Liss, Inc.