Symptoms of posttraumatic stress disorder and depression among bereaved and non-bereaved survivors following the 2008 Sichuan earthquake

Symptoms of posttraumatic stress disorder and depression among bereaved and non-bereaved survivors following the 2008 Sichuan earthquake
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DOI:
10.1016/j.janxdis.2012.05.002
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发表时间:
2012-08-01
影响因子:
10.3
通讯作者:
Zhang, Xiu-Lan
Zhang, Xiu-Lan
中科院分区:
医学2区
文献类型:
--
作者:
Chan, Cecilia L. W.;Wang, Chong-Wen;Zhang, Xiu-Lan

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许多研究表明,亲人意外死亡是灾难幸存者患创伤后应激障碍(PTSD)和抑郁症的重要风险因素,但很少有人研究失去亲人的幸存者精神疾病的严重程度。这项研究调查了2008年四川地震后中国成年幸存者中具有临床意义的创伤后应激障碍和抑郁症状的患病率及其相关的危险因素。251名失去亲人的成年人与1,474名未失去亲人的成年幸存者进行了比较。失去一级亲属的患者创伤后应激障碍和抑郁症状发生率分别为65.6%和64.8%,失去二级亲属的患者分别为34.1%和45.5%,未丧亲的患者分别为27.1%和37.5%。失去一个孩子是精神病理症状的重要预测因素。结果表明,需要有效和可持续的心理健康服务,特别是对于失去亲人的独生子女父母。(C)2012爱思唯尔有限公司。保留所有权利。
Many studies have suggested that unexpected death of a loved one is an important risk factor of post-traumatic stress disorder (PTSD) and depression among disaster survivors, but few have examined the magnitude of psychiatric morbidities among bereaved survivors. This study examined the prevalence rates of clinically significant PTSD and depressive symptoms and their associated risk factors among Chinese adult survivors following the 2008 Sichuan earthquake. Two hundred and fifty-one bereaved adults were compared with 1474 non-bereaved adult survivors. The estimated rates of PTSD and depressive symptoms were 65.6% and 64.8% for those who lost first-degree family members, 34.1% and 45.5% for those who lost second-degree relatives, and 27.1% and 37.5% for non-bereaved survivors respectively. Loss of a child was a significant predictor of psychopathological symptoms. The results suggested that effective and sustainable mental health services were required, especially for bereaved single-child parents. (C) 2012 Elsevier Ltd. All rights reserved.