Major depressive disorder following terrorist attacks: a systematic review of prevalence, course and correlates.
Major depressive disorder following terrorist attacks: a systematic review of prevalence, course and correlates.
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DOI：
10.1186/1471-244x-11-96
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发表时间：
2011-06-01
期刊：
影响因子：
4.4
通讯作者：
Galea S
中科院分区：
文献类型：
--
作者：
Salguero JM;Fernández-Berrocal P;Iruarrizaga I;Cano-Vindel A;Galea S
恐怖袭击是创伤性事件，可能导致受影响者出现各种心理障碍。本综述旨在系统评估恐怖袭击后重性抑郁障碍（MDD）的现有证据。进行了系统性综述。研究包括评估人为、故意、恐怖袭击对直接受害者和/或普通人群的影响，并根据诊断标准评估MDD。共确定了567份报告，其中11份符合审查条件：6份涉及直接受害者，4份涉及一般人群，1份涉及受害者和一般人群。回顾的文献表明，在恐怖袭击后的头几个月，MDD的风险在直接受害者中为20%至30%，在一般人群中为4%至10%。在恐怖袭击后倾向于增加MDD风险的特征是女性，在袭击前或袭击后经历了更多的压力情况，袭击期间的创伤周围反应，心理社会资源的损失和低社会支持。由于缺乏纵向研究，恐怖袭击后MDD的过程不太清楚。在这一领域的文献中的方法的局限性被认为是和潜在的重要领域，为未来的研究，如评估的过程中的MDD，MDD的相关性或MDD和其他心理健康问题之间的共病的研究进行了讨论。
Terrorist attacks are traumatic events that may result in a wide range of psychological disorders for people exposed. This review aimed to systematically assess the current evidence on major depressive disorder (MDD) after terrorist attacks. A systematic review was performed. Studies included assessed the impact of human-made, intentional, terrorist attacks in direct victims and/or persons in general population and evaluated MDD based on diagnostic criteria. A total of 567 reports were identified, 11 of which were eligible for this review: 6 carried out with direct victims, 4 with persons in general population, and 1 with victims and general population. The reviewed literature suggests that the risk of MDD ranges between 20 and 30% in direct victims and between 4 and 10% in the general population in the first few months after terrorist attacks. Characteristics that tend to increase risk of MDD after a terrorist attack are female gender, having experienced more stressful situations before or after the attack, peritraumatic reactions during the attack, loss of psychosocial resources, and low social support. The course of MDD after terrorist attacks is less clear due to the scarcity of longitudinal studies. Methodological limitations in the literature of this field are considered and potentially important areas for future research such as the assessment of the course of MDD, the study of correlates of MDD or the comorbidity between MDD and other mental health problems are discussed.