Mental health in Sumatra after the tsunami
Mental health in Sumatra after the tsunami
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DOI：
10.2105/ajph.2007.120915
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发表时间：
2008-09-01
影响因子：
12.7
通讯作者：
Thomas, Duncan
中科院分区：
文献类型：
--
作者：
Frankenberg, Elizabeth;Friedman, Jed;Thomas, Duncan
目的。我们通过分析印度尼西亚亚齐沿海和北苏门答腊的调查数据，评估了20000多名成年海啸幸存者的创伤后应激反应（PTSR）水平及其相关因素。
方法。在2005年至2006年追踪了海啸前接受访谈的具有人口代表性的个体样本。我们使用《创伤后应激障碍（PTSD）清单 - 平民版》中的7个症状项目构建了2个测量PTSR的量表。一个量表测量访谈时的PTSR，另一个量表测量自灾难以来反应最强烈时的PTSR。
结果。来自受灾严重地区的受访者PTSR得分最高。在所有地区，得分随时间下降。性别和年龄是PTSR的重要预测因素；海啸前的社会经济地位指标则不是。遭受创伤性事件、亲属丧生和财产损失与较高的PTSR得分显著相关。
结论。海啸在亚齐和北苏门答腊的广大地区引发了创伤后应激反应。提供咨询服务不仅面向直接受海啸影响的人群，还包括生活在直接受灾区域之外的人群，这将有助于改善公共卫生状况。
Objectives. We assessed the levels and correlates of posttraumatic stress reactivity (PTSR) of more than 20000 adult tsunami survivors by analyzing survey data from coastal Aceh and North Sumatra, Indonesia.Methods. A population-representative sample of individuals interviewed before the tsunami was traced in 2005 to 2006. We constructed 2 scales measuring PTSR by using 7 symptom items from the Post Traumatic Stress Disorder (PTSD) Checklist-Civilian Version. One scale measured PTSR at the time of interview, and the other measured PTSR at the point of maximum intensity since the disaster.Results. PTSR scores were highest for respondents from heavily damaged areas. In all areas, scores declined over time. Gender and age were significant predictors of PTSR; markers of socioeconomic status before the tsunami were not. Exposure to traumatic events, loss of kin, and property damage were significantly associated with higher PTSR scores.Conclusions. The tsunami produced post traumnatic stress reactions across a wide region of Aceh and North Sumatra. Public health will be enhanced by the provision of counseling services that reach not only people directly affected by the tsunami but also those living beyond the area of immediate impact.