Prevalence, risk factors and aging vulnerability for psychopathology following a natural disaster in a developing country
Prevalence, risk factors and aging vulnerability for psychopathology following a natural disaster in a developing country
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DOI：
10.1002/gps.1369
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发表时间：
2005-09-01
影响因子：
4
通讯作者：
Tamashiro, R
中科院分区：
文献类型：
--
作者：
Kohn, R;Levav, I;Tamashiro, R
目的探讨洪都拉斯老年人对自然灾害的心理病理反应及其相应的危险因素，以及与其他成年人相比的脆弱性。研究对象和样本选取了800名年龄在15岁及以上的男女受访者，其中103人年龄在60岁及以上，他们来自特古西加尔巴的高、中、低居住状况地区，这些地区遭受了飓风米奇的或高或低的破坏性影响。研究仪器CIDI用于诊断PTSD，事件影响量表用于衡量创伤后反应的严重程度。使用筛查工具检查抑郁症和酒精滥用。SRQ既被用作情绪困扰的测量，也被用来筛选可能的精神障碍。结果老年人PTSD、抑郁症和srq患病率分别为13.6%、18.8%和21.4%。他们的反应频率与年轻人没有差别。在老年人中，除酒精滥用外，飓风前的心理问题和暴露强度与所有测量结果的风险增加有关。结论没有证据表明老年人的易感性与年轻人有差异。在老年人中，年龄增长不是一个因素。版权所有(c) 2005 John Wiley & Sons, Ltd。
Objectives This study explored the psychopathological reactions to a natural disaster and their respective risk factors among the elderly in Honduras and their vulnerability as compared to other adults.Study subjects and sample Eight hundred respondents of both genders aged 15 years and above, of which 103 were 60 and over, were selected from high, middle and low residential status areas in Tegucigalpa that had suffered high and low exposure to the devastating effects of Hurricane Mitch.Research instruments CIDI was used to diagnose PTSD and the Impact of Events Scale was administered as a measure of severity of post-traumatic reaction. Depression and alcohol misuse were examined using screening instruments. The SRQ was used as both a measure of emotional distress and dichotomized to screen for probable psychiatric disorder.Results PTSD, depression and SRQ-case were found, respectively in 13.6%, 18.8%, and 21.4% of the elderly. Their reactions did not differ in frequency than of those of younger adults. Among the elderly, pre-hurricane psychological problems and the intensity of exposure were associated with increased risk for all outcomes measured except for alcohol misuse.Conclusion No evidence was found for a differential vulnerability on the part of the elderly as compared with younger adults. Among the elderly increasing age was not a factor. Copyright (c) 2005 John Wiley & Sons, Ltd.