Differences in the determinants of posttraumatic stress disorder and depression after a mass traumatic event.
Differences in the determinants of posttraumatic stress disorder and depression after a mass traumatic event.
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DOI：
10.1002/da.20838
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发表时间：
2011-08
影响因子：
7.4
通讯作者：
Galea, Sandro
中科院分区：
文献类型：
--
作者：
Tracy, Melissa;Norris, Fran H.;Galea, Sandro
飓风艾克于2008年9月13日袭击了德克萨斯州的加尔维斯顿海湾地区，造成大量破坏和死亡。我们评估了创伤后应激障碍（PTSD）和抑郁症的决定因素在这一事件后的差异，包括特定的飓风经历，包括事件后的非创伤性压力源，与这些病理学相关。658名在飓风艾克前一个月一直居住在德克萨斯州加尔维斯顿和钱伯斯县的成年人在飓风过后2-5个月接受了采访。我们收集了有关飓风艾克期间和之后的经历，采访前一个月的PTSD和抑郁症状以及社会人口特征的信息。过去一个月与飓风有关的PTSD和抑郁的患病率分别为6.1%和4.9%。飓风的经历，而不是社会人口特征，与艾克相关的创伤后应激障碍。相比之下，较低的教育和家庭收入，以及更多的终身压力与抑郁症有关，飓风风险和飓风相关的压力也是如此。当研究与飓风有关的具体压力源时，情感财产的损失或损坏与创伤后应激障碍和抑郁症都有关;然而，与艾克有关的健康问题只与创伤后应激障碍有关，而飓风造成的经济损失只与抑郁症有关。创伤后应激障碍确实是一种事件暴露障碍，而抑郁症的风险更明显地是由个人脆弱性和暴露于压力源驱动的。非创伤性压力源在形成这两种病理风险中的作用表明，减轻灾害后的压力源有明显的潜力，以减轻这些事件的心理后遗症。
Hurricane Ike struck the Galveston Bay area of Texas on September 13, 2008, leaving substantial destruction and a number of deaths in its wake. We assessed differences in the determinants of posttraumatic stress disorder (PTSD) and depression after this event, including the particular hurricane experiences, including post-event non-traumatic stressors, that were associated with these pathologies. 658 adults who had been living in Galveston and Chambers counties, Texas in the month before Hurricane Ike were interviewed 2-5 months after the hurricane. We collected information on experiences during and after Hurricane Ike, PTSD and depressive symptoms in the month prior to the interview, and socio-demographic characteristics. The prevalence of past month hurricane-related PTSD and depression was 6.1% and 4.9%, respectively. Hurricane experiences, but not socio-demographic characteristics, were associated with Ike-related PTSD. By contrast, lower education and household income, and more lifetime stressors were associated with depression, as were hurricane exposures and hurricane-related stressors. When looking at specific hurricane-related stressors, loss or damage of sentimental possessions was associated with both PTSD and depression; however, health problems related to Ike were associated only with PTSD, whereas financial loss as a result of the hurricane was associated only with depression. PTSD is indeed a disorder of event exposure, whereas risk of depression is more clearly driven by personal vulnerability and exposure to stressors. The role of non-traumatic stressors in shaping risk of both pathologies suggests that alleviating stressors after disasters has clear potential to mitigate the psychological sequelae of these events.
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影响因子：
7.8
作者：
Gabriel, Rafael;Ferrando, Laura;Galea, Sandro
通讯作者：
Galea, Sandro
影响因子：
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Prescott, CA
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作者：
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通讯作者：
Pynoos, RS
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作者：
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通讯作者：
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