Psychological sequelae resulting from the 2004 Florida hurricanes: implications for postdisaster intervention.

Psychological sequelae resulting from the 2004 Florida hurricanes: implications for postdisaster intervention.
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DOI:
10.2105/ajph.2006.087007
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发表时间:
2007-04-01
影响因子:
12.7
通讯作者:
Kilpatrick, Dean G
Kilpatrick, Dean G
中科院分区:
医学2区
文献类型:
--
作者:
Acierno, Ron;Ruggiero, Kenneth J;Kilpatrick, Dean G

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警告:有关飓风等灾害对心理健康影响的数据有限。我们试图确定2004年佛罗里达飓风后6至9个月创伤后应激障碍(PTSD)、广泛性焦虑症和重度抑郁发作的患病率和主要危险因素。方法:采用随机数字拨号法招募了1452名受飓风影响的成年人的代表性人群样本。创伤后应激障碍的患病率为3.6%,广泛性焦虑障碍为5.5%,重度抑郁发作为6.1%。不同疾病的风险因素有所不同,除了以前暴露于创伤性事件,这增加了所有负面outcome.CONCLUSIONS风险:风暴暴露变量和位移主要与创伤后应激障碍。值得注意的是,飓风前6个月的高社会支持保护了所有类型的障碍。
OBJECTIVES: Data are limited regarding mental health effects of disasters such as hurricanes. We sought to determine the prevalence of and major risk factors associated with posttraumatic stress disorder (PTSD), generalized anxiety disorder, and major depressive episode 6 to 9 months after the 2004 Florida hurricanes.METHODS: Random-digit dialing was used to recruit a representative population sample of 1452 hurricane-affected adults.RESULTS: Posthurricane prevalence for PTSD was 3.6%, for generalized anxiety disorder was 5.5%, and for major depressive episode was 6.1%. Risk factors varied somewhat across disorders, with the exception of previous exposure to traumatic events, which increased risk of all negative outcomes.CONCLUSIONS: Storm exposure variables and displacement were associated primarily with PTSD. Notably, high social support in the 6 months preceding the hurricanes protected against all types of disorders.