Coping and PTSD symptoms in Pakistani earthquake survivors: Purpose in life, religious coping and social support
Coping and PTSD symptoms in Pakistani earthquake survivors: Purpose in life, religious coping and social support
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DOI：
10.1016/j.jad.2012.10.027
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发表时间：
2013-05-01
影响因子：
6.6
通讯作者：
Charney, Dennis S.
中科院分区：
文献类型：
--
作者：
Feder, Adriana;Ahmad, Samoon;Charney, Dennis S.
背景资料：在世界欠发达地区的地震幸存者中观察到高比例的创伤后应激障碍（PTSD）和抑郁症状。这项研究是在2005年巴基斯坦地震三年后进行的，旨在确定与较低的PTSD和抑郁症状水平相关的潜在保护性心理社会因素。从巴基斯坦西北部受灾地区招募成年地震幸存者（N=200），并完成自我报告问卷，测量PTSD和抑郁症状，积极和消极影响，以及四个心理社会变量（生活目的、积极和消极的宗教应对以及社会支持）。结果：65%的参与者符合可能的PTSD标准。生活的目的与较低的症状水平和较高的积极情绪有关。一种消极的宗教应对方式（因自己的罪或缺乏灵性而受到上帝的惩罚）与更高的症状水平和负面情绪有关。较高的感知社会支持与较高的积极情绪。其他显着的关系也identified.Limitations：局限性包括招聘的样本的便利，适度的样本量，和横断面性质的study.Conclusions：研究结果表明，一些心理社会因素可能是保护跨文化，并使用消极的宗教应对与地震幸存者心理健康状况较差的结果。这项研究可以为巴基斯坦和其他工业化程度较低的国家的地震幸存者提供预防和治疗干预措施，因为他们发展了精神卫生保健服务。(C)2013爱思唯尔有限公司版权所有。
Background: High rates of posttraumatic stress disorder (PTSD) and depressive symptoms have been observed in earthquake survivors from less developed areas of the world. This study, conducted three years after the 2005 Pakistan earthquake, aimed to identify potentially protective psychosocial factors associated with lower PTSD and depressive symptom levels.Methods: Adult earthquake survivors (N=200) were recruited from affected areas in Northwestern Pakistan and completed self-report questionnaires measuring PTSD and depressive symptoms, positive and negative affect, and four psychosocial variables (purpose in life, positive and negative religious coping, and social support).Results: Sixty five percent of participants met criteria for probable PTSD. Purpose in life was associated with lower symptom levels and higher positive emotions. A form of negative religious coping (feeling punished by God for one's sins or lack of spirituality) was associated with higher symptom levels and negative emotions. Higher perceived social support was associated with higher positive emotions. Other significant relationships were also identified.Limitations: Limitations include the recruitment of a sample of convenience, a modest sample size, and the cross-sectional nature of the study.Conclusions: Findings suggest that some psychosocial factors may be protective across cultures, and that the use of negative religious coping is associated with poorer mental health outcomes in earthquake survivors. This study can inform preventive and treatment interventions for earthquake survivors in Pakistan and other less industrialized countries as they develop mental health care services. (C) 2013 Elsevier B.V. All rights reserved.