Exposure to the tsunami disaster, PTSD symptoms and increased substance use - an Internet based survey of male and female residents of Switzerland
Exposure to the tsunami disaster, PTSD symptoms and increased substance use - an Internet based survey of male and female residents of Switzerland
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DOI：
10.1186/1471-2458-8-92
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发表时间：
2008-03-19
影响因子：
4.5
通讯作者：
Endrass, Jerome
中科院分区：
文献类型：
--
作者：
Vetter, Stefan;Rossegger, Astrid;Endrass, Jerome
背景资料：在印度洋盆地发生海啸灾害之后，提供了一种基于互联网的自我筛查测试，以便利与心理健康服务机构的联系。虽然主要是为幸存的瑞士游客以及受害者的亲属和熟人设计的，但筛查工具对任何受到这场灾难心理影响的人开放。本研究的目的是评估海啸灾难后，创伤暴露和目前的PTSD symptoms.Methods：一节的筛选覆盖成瘾相关的行为之间的影响，自称增加物质的使用。我们分析了增加物质使用，创伤后应激障碍症状和创伤暴露水平之间的关系，使用物质使用作为因变量的多变量logistic回归。包括在这项研究中，只有受试者谁报告说是瑞士的居民和分析按性别分层，以控制可能的社会文化或性别差异中使用的精神药物。结果：在妇女的创伤后应激障碍症状和程度的曝光扩大的几率增加酒精，药物和大麻的使用显着。在男性中，这种关系更为具体：PTSD症状和暴露程度只会显着增加药物消耗的几率。增加酒精，大麻和烟草的使用只显着与PTSD symptoms.Conclusion的程度：海啸与物质使用的增加。这项研究不仅重复了早期的发现，而且还表明了创伤后物质使用增加的性别特异性。
Background: After the tsunami disaster in the Indian Ocean basin an Internet based self-screening test was made available in order to facilitate contact with mental health services. Although primarily designed for surviving Swiss tourists as well as relatives and acquaintances of the victims, the screening instrument was open to anyone who felt psychologically affected by this disaster. The aim of this study was to evaluate the influences between self-declared increased substance use in the aftermath of the tsunami disaster, trauma exposure and current PTSD symptoms.Methods: One section of the screening covered addiction related behavior. We analyzed the relationship between increased substance use, the level of PTSD symptoms and trauma exposure using multivariable logistic regression with substance use as the dependent variable. Included in the study were only subjects who reported being residents of Switzerland and the analyses were stratified by gender in order to control for possible socio-cultural or gender differences in the use of psychotropic substances.Results: In women PTSD symptoms and degree of exposure enlarged the odds of increased alcohol, pharmaceuticals and cannabis use significantly. In men the relationship was more specific: PTSD symptoms and degree of exposure only enlarged the odds of increased pharmaceutical consumption significantly. Increases in alcohol, cannabis and tobacco use were only significantly associated with the degree of PTSD symptoms.Conclusion: The tsunami was associated with increased substance use. This study not only replicates earlier findings but also suggests for a gender specificity of post-traumatic substance use increase.