Prevalence and predictors of postdisaster major depression: Convergence of evidence from 11 disaster studies using consistent methods.
Prevalence and predictors of postdisaster major depression: Convergence of evidence from 11 disaster studies using consistent methods.
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DOI：
10.1016/j.jpsychires.2017.12.013
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发表时间：
2018-07
影响因子：
4.8
通讯作者：
Chen AF
中科院分区：
文献类型：
--
作者：
North CS;Baron D;Chen AF
这项研究的目的是在不同灾难幸存者的两个独立数据集中检验灾后严重抑郁的预测因素。使用一致的研究方法，在两个灾难数据库中检查了灾后抑郁症，允许将数据库组合成一个组合数据集，包括代表所有主要灾难类型的11个灾难的1181名幸存者，并使用来自两个数据库的结构化诊断访谈进行全面的诊断评估。第一个数据库包括10起灾难中直接暴露的808名幸存者。第二名包括2001年9月11日纽约世贸中心遇袭事件的373名幸存者，他们是从8个受灾难影响的组织的员工中招募的。这一丰富的数据集允许在数据库之间和不同灾难的幸存者之间比较灾后严重抑郁症的预测因素。应用于这两个数据库的相同模型发现，灾后严重抑郁与先前存在的严重抑郁、通过家人/朋友间接暴露于灾难创伤中以及与灾难相关的创伤后应激障碍独立相关。在两个数据库中仅限于直接暴露的灾难的最终模型中，除了在两个单独的数据库中预测灾后严重抑郁的3个变量外，灾后严重抑郁与恐怖主义独立相关。在这项研究中，在不同类型的灾难和人群中，从一个模型到下一个模型的重复发现表明，这三个变量可能会为估计灾后严重抑郁症的可能性提供一个强有力的工具。
The objective of this study was to examine predictors of postdisaster major depression in two separate datasets of survivors of various disasters. Postdisaster major depression was examined in two disaster databases using consistent research methodology, permitting combination of databases into a combined dataset including 1,181 survivors of 11 disasters representing all major disaster typologies with full diagnostic assessment using structured diagnostic interviews from two databases. The first database includes 808 directly-exposed survivors of 10 disasters. The second includes 373 survivors of the September 11, 2001 attacks on New York City’s World Trade Center, recruited from employees of eight organizations affected by the disaster. This rich dataset permitted comparison of predictors of postdisaster major depression between databases and across survivors of different disasters. Identical models applied to both databases found postdisaster major depression to be independently associated with pre-existing major depression, indirect exposure to disaster trauma through family/friends, and disaster-related PTSD. In a final model limited to directly-exposed disaster across both databases, postdisaster major depression was independently associated with terrorism in addition to the 3 variables that predicted postdisaster major depression in the two separate databases. Replication of findings from one model to the next across different types of disasters and populations in this study suggests that these three variables could potentially provide a powerful tool for estimating likelihood of postdisaster major depression.
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影响因子：
7.3
作者：
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通讯作者：
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影响因子：
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