The course of posttraumatic stress symptoms and functional impairment following a disaster: what is the lasting influence of acute versus ongoing traumatic events and stressors?
The course of posttraumatic stress symptoms and functional impairment following a disaster: what is the lasting influence of acute versus ongoing traumatic events and stressors?
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DOI：
10.1007/s00127-012-0560-3
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发表时间：
2013-03
影响因子：
4.4
通讯作者：
Koenen, K. C.
中科院分区：
文献类型：
--
作者：
Cerda, M.;Bordelois, P. M.;Galea, S.;Norris, F.;Tracy, M.;Koenen, K. C.
持续的创伤事件和压力源，而不是创伤的急性来源，可能会影响灾后长期的心理健康。本研究的目的是比较急性飓风相关暴露和持续飓风后暴露对创伤后应激症状（PTSS）和功能障碍（FI）的短期和长期病程的影响。德克萨斯州加尔维斯顿和钱伯斯县的成年人随机抽样（n=658），在飓风艾克后2-6个月被选中，并在18个月内接受了3次采访。与飓风相关的暴露包括创伤性事件，如飓风造成的家庭成员死亡，以及飓风造成的个人财产损失/损坏等压力源。飓风后的暴露包括创伤性事件，如性侵犯和压力源，如离婚或严重的经济问题。经历急性飓风相关创伤事件或应激源与飓风后初始ptsd相关[RR=1.92（95% CI= 1.13-3.26）和RR=1.62(1.36-1.94)]和FI [RR=1.76；（1.05-2.97）和RR=1.74(1.46-2.08)]，急性飓风相关应激源与FI随时间的较高增长率相关[RR=1.09；(1.01 - -1.19)]。相比之下，持续的飓风后每日压力源在最初的PTSS和FI中没有关联，但在第二次和第三次访谈中与PTSS和FI相关。虽然灾后立即干预可能会影响短期的心理健康，但投资于预防持续的压力源可能有助于管理长期的心理健康状况。
Ongoing traumatic events and stressors, rather than acute sources of trauma, may shape long-term post-disaster mental health. The purpose of this study was to compare the influence of acute hurricane-related exposures and ongoing post-hurricane exposures on the short- and long-term course of posttraumatic stress symptoms (PTSS) and functional impairment (FI). A random sample of adults (n=658) in Galveston and Chambers Counties, Texas, was selected 2–6 months after Hurricane Ike and interviewed 3 times over eighteen months. Hurricane-related exposures included traumatic events such as death of a family member due to the hurricane and stressors such as loss/damage to personal property due to the hurricane. Post-hurricane exposures included traumatic events such as sexual assault and stressors such as divorce or serious financial problems. Experiencing an acute hurricane-related traumatic event or stressor was associated with initial post-hurricane PTSS [RR=1.92(95% CI=1.13–3.26) and RR=1.62(1.36–1.94), respectively] and FI [RR=1.76; (1.05–2.97) and RR=1.74(1.46–2.08)], respectively, and acute hurricane-related stressors were associated with a higher rate of increase in FI over time [RR=1.09; (1.01–1.19)]. In contrast, ongoing post-hurricane daily stressors were not associated within initial PTSS and FI, but were associated with PTSS and FI at the second and third interviews. While immediate postdisaster interventions may influence short-term mental health, investment in the prevention of ongoing stressors may be instrumental to manage long-term mental health status.
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影响因子：
11
作者：
Kessler, R. C.;Galea, S.;Wessely, S.
通讯作者：
Wessely, S.
影响因子：
0.5
作者：
Kroenke, K;Spitzer, RL
通讯作者：
Spitzer, RL
影响因子：
5
作者：
Galea, S;Vlahov, D;Kilpatrick, D
通讯作者：
Kilpatrick, D
影响因子：
3.3
作者：
Galea, Sandro;Tracy, Melissa;Coffey, Scott F.
通讯作者：
Coffey, Scott F.
影响因子：
3.3
作者：
Brewin, Chris R.;Lanius, Ruth A.;Galea, Sandro
通讯作者：
Galea, Sandro