Post- and peritraumatic stress in disaster survivors: an explorative study about the influence of individual and event characteristics across different types of disasters.

Post- and peritraumatic stress in disaster survivors: an explorative study about the influence of individual and event characteristics across different types of disasters.
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DOI:
10.3402/ejpt.v3i0.7382
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发表时间:
2012
影响因子:
5
通讯作者:
Schmidt S
Schmidt S
中科院分区:
医学2区
文献类型:
--
作者:
Grimm A;Hulse L;Preiss M;Schmidt S

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对灾后创伤后调整的现有研究的审查表明,幸存者的创伤后应激水平可能会更好地了解通过调查的影响,人们的想法和感受,在事件发生期间以及之后的事件经历的特点。比较不同类型灾难中幸存者在创伤后和创伤前后的情绪和认知反应。此外,调查个体和事件特征。在欧洲的一项多中心研究中,对102名不同灾害(恐怖袭击、洪水、火灾和建筑物倒塌)的幸存者进行了采访,了解他们在事件中的反应。采用事件影响量表(IES-R)评估幸存者的创伤后应激水平。创伤前后的情绪压力和风险认知进行了回顾性评估。分析了个体特征(如社会人口学数据)和事件特征(如时间和暴露因素)对创伤后和创伤周围结局的影响。报告的创伤后和创伤周围结果的水平在灾害类型之间存在显著差异。灾害类型是所有三个结果变量的重要预测因子,但性别、教育程度、事件发生后的时间、受伤和死亡等因素仅对某些结果具有重要意义。研究结果支持这一假设,即有不同的感知创伤后和围创伤的情绪和认知反应后,经历不同类型的灾难。然而,应当指出,这些调查结果不仅可以用灾害本身的类型来解释,还可以用个人和事件的特点来解释。由于本研究采用探索性方法,因此进一步讨论了研究路径,以更好地了解变量之间的关系。
Examination of existing research on posttraumatic adjustment after disasters suggests that survivors’ posttraumatic stress levels might be better understood by investigating the influence of the characteristics of the event experienced on how people thought and felt, during the event as well as afterwards. To compare survivors’ perceived post- and peritraumatic emotional and cognitive reactions across different types of disasters. Additionally, to investigate individual and event characteristics. In a European multi-centre study, 102 survivors of different disasters terror attack, flood, fire and collapse of a building were interviewed about their responses during the event. Survivors’ perceived posttraumatic stress levels were assessed with the Impact of Event Scale-Revised (IES-R). Peritraumatic emotional stress and risk perception were rated retrospectively. Influences of individual characteristics, such as socio-demographic data, and event characteristics, such as time and exposure factors, on post- and peritraumatic outcomes were analyzed. Levels of reported post- and peritraumatic outcomes differed significantly between types of disasters. Type of disaster was a significant predictor of all three outcome variables but the factors gender, education, time since event, injuries and fatalities were only significant for certain outcomes. Results support the hypothesis that there are differences in perceived post- and peritraumatic emotional and cognitive reactions after experiencing different types of disasters. However, it should be noted that these findings were not only explained by the type of disaster itself but also by individual and event characteristics. As the study followed an explorative approach, further research paths are discussed to better understand the relationships between variables.
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