Posttraumatic stress disorder following an air disaster: A prospective study
Posttraumatic stress disorder following an air disaster: A prospective study
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DOI：
10.1176/ajp.155.7.934
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发表时间：
1998-07-01
影响因子：
17.7
通讯作者：
Ursano, RJ
中科院分区：
文献类型：
--
作者：
Epstein, RS;Fullerton, CS;Ursano, RJ
目的：本研究的目的是确定创伤后应激障碍（PTSD）的医护人员暴露于灾难的预测因素，以促进早期病例识别和预防随后的发病率。方法：以下nn空难，355军事医疗保健工作者进行了研究，在所有18个月的随访期。措施包括评估与灾难相关的创伤周围反应，灾难后其他压力事件的频率，援助标准PTSD评定量表在6个月，12个月和18个月。结果如下：对照顾空难受害者的医护人员的数据进行多变量logistic回归分析显示，那些没有完成大学学业的人，那些与烧伤受害者一起工作的人，那些在灾难发生后大约6个月内经历过更多压力生活事件的人，以及那些在灾难发生后立即经历过情感麻木的人更有可能发展PTSD。结论：结果表明，较低的教育水平，暴露于怪诞的短打受伤，暴露后的压力生活事件，以及暴露后的麻木感是PTSD后续发展的有用预测因子。
Objective: The purpose of this study was to determine predictors of posttraumatic stress disorder (PTSD) in health care workers exposed to a disaster, in order to facilitate early case identification and prevention of subsequent morbidity. Method: Following nn air disaster; 355 military medical health care workers were studied over all 18-month follow-up period. Measures included assessment of peritraumatic reactions associated with the disaster, the frequency of other stressful events after the disaster, aid standard PTSD rating scales at 6, 12, and 18 months. Results: Multivariate logistic regression of data on health care workers who cared for victims of the air disaster showed that PTSD tons more likely to develop in those who had not completed college, those who had worked with burn victims, those who had experienced more stressful life events in a period of approximately 6 months following the disaster, and those who experienced emotional numbness immediately after the disaster. Conclusions: Results suggest that lower levels of education, exposure to grotesque bunt injuries, stressful life events following exposure, and feelings of numbness following exposure are useful predictors of subsequent development of PTSD.