Psychological and behavioural reactions to the bombings in London on 7 July 2005: cross sectional survey of a representative sample of Londoners.

Psychological and behavioural reactions to the bombings in London on 7 July 2005: cross sectional survey of a representative sample of Londoners.
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DOI:
10.1136/bmj.38583.728484.3a
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发表时间:
2005-09-17
影响因子:
--
通讯作者:
Wessely, S
Wessely, S
中科院分区:
医学1区
文献类型:
--
作者:
Rubin, GJ;Brewin, CR;Wessely, S

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目的评估7月7日伦敦爆炸事件对伦敦人群压力水平和出行意向的影响。设计采用随机数字拨号的横断面电话调查方法,联系具有代表性的成年人。受访者被要求参加一次访谈,询问目前的压力水平和旅行意向。访谈在7月18日至20日之间进行。参与者1010名参与者(占我们联系的合格人群的10%)完成了采访。主要结果衡量主要结果是存在巨大的压力,通过使用与2001年9月1日在美国民众中用于评估情绪影响的工具相同的工具来衡量,以及一旦交通网络恢复正常,打算减少乘坐地铁、火车和公交车或进入伦敦市中心的意愿。结果31%的伦敦人报告了巨大的压力,32%的人表示打算减少旅行。其中,难以通过手机联系朋友或家人(赔率1.7,95%可信区间1.1至2.7),认为自己可能受伤或死亡(3.8,2.4至6.2),以及穆斯林(4.0,2.5至6.6)与较大的压力有关,而白人(0.3,0.2至0.4)和有过恐怖主义经历(0.6,0.5至0.9)与减少压力有关。只有12人(1%)认为他们需要专业协助来处理他们对袭击事件的情绪反应。结论虽然与袭击事件密切相关的人的心理需求需要进一步评估,但我们没有发现普遍希望得到专业咨询的证据。袭击事件在非白人和穆斯林伦敦人中造成了不成比例的高度痛苦。
Objectives To assess the impact of the bombings in London on 7 July on stress levels and travel intentions in London's population.Design A cross sectional telephone survey using random digit dialling was conducted to contact a representative sample of adults. Respondents were asked to participate in an interview enquiring about current levels of stress and travel intentions.Setting Inter views took place between 18 and 20 July.Participants 1010 participants (10% of the eligible people we contacted) completed the interviews.Main outcome measures Main outcomes were presence of substantial stress, measured by using an identical tool to that used to assess the emotional impact of I I September 2001 in the US population, and intention to travel less on tubes, trains, and buses, or into central London, once the transport network had returned to normal.Results 31% of Londoners reported substantial stress and 32% reported an intention to travel less. Among other things, having difficulty contacting friends or family by mobile phone (odds ratio 1.7,95% confidence interval 1.1 to 2.7), having thought you could have been injured or killed (3.8, 2.4 to 6.2), and being Muslim (4.0, 2.5 to 6.6) were associated with a greater presence of substantial stress, whereas being white (0.3,0.2 to 0.4) and having previous experience of terrorism (0.6, 0.5 to 0.9) were associated with reduced stress. Only 12 participants (1%) felt that they needed professional help to deal with their emotional response to the attacks.Conclusions Although the psychological needs of those intimately caught up in the attacks will require further assessment, we found no evidence of a widespread desire for professional counselling. The attacks have inflicted disproportionately high levels of distress among non-white and Muslim Londoners.