Pretyphoon panic attack history moderates the relationship between degree of typhoon exposure and posttyphoon PTSD and depression in a Vietnamese sample.
Pretyphoon panic attack history moderates the relationship between degree of typhoon exposure and posttyphoon PTSD and depression in a Vietnamese sample.
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DOI：
10.1002/da.22096
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发表时间：
2013-05
影响因子：
7.4
通讯作者：
Amstadter, Ananda B.
中科院分区：
文献类型：
--
作者：
Berenz, Erin C.;Trapp, Stephen K.;Acierno, Ron;Richardson, Lisa;Kilpatrick, Dean G.;Trinh Luong Tran;Lam Tu Trung;Nguyen Thanh Tam;Tran Tuan;La Thi Buoi;Tran Thu Ha;Tran Duc Thach;Gaboury, Mario;Amstadter, Ananda B.
关键词：
灾前风险因素与灾后心理病理学相关，即使在相对较低的灾害暴露水平下。惊恐发作（PA）史可能会带来灾后精神病理学的风险，并且与西方和非西方样本中的多种精神疾病有关。本研究探讨台风前PA和台风暴露水平的台风后创伤后应激障碍（PTSD），重性抑郁症（MDD），广泛性焦虑症（GAD）在台风幸存者的越南样本的发病的主要和相互作用的影响。台风“象神”中断了越南流行病学精神卫生需求评估，为台风前后评估提供了难得的机会。分层逻辑回归分析评估台风暴露的严重程度和PA历史的主要和交互作用是否显着相关的台风后诊断，以上和超越年龄，健康状况，台风前精神病筛查结果，和潜在的创伤性事件的历史。PA历史调节台风暴露的严重程度与台风后PTSD和MDD之间的关系，但不GAD。具体而言，更大程度的暴露于台风显着相关的灾后PTSD和MDD的可能性增加的个人没有PA的历史，以上的方差占台风前的精神筛查结果。无论台风暴露的严重程度如何，有PA病史的人患灾后PTSD和MDD的风险都更大。预先存在的PA可能会影响越南样本中灾害特征与灾后PTSD和MDD患病率之间关系的性质。
Predisaster risk factors are related to postdisaster psychopathology even at relatively low levels of disaster exposure. A history of panic attacks (PA) may convey risk for postdisaster psychopathology and has been linked to a wide range of psychiatric disorders in Western and non-Western samples. The present study examined the main and interactive effects of pretyphoon PA and level of typhoon exposure in the onset of posttyphoon posttraumatic stress disorder (PTSD), major depression (MDD), and generalized anxiety disorder (GAD) in a Vietnamese sample of typhoon survivors. Typhoon Xangsane interrupted a Vietnamese epidemiological mental health needs assessment, providing a rare opportunity for preand posttyphoon assessments. Hierarchical logistic regression analyses evaluated whether the main and interactive effects of typhoon exposure severity and PA history were significantly related to posttyphoon diagnoses, above and beyond age, health status, pretyphoon psychiatric screening results, and history of potentially traumatic events. PA history moderated the relationship between severity of typhoon exposure and posttyphoon PTSD and MDD, but not GAD. Specifically, greater degree of exposure to the typhoon was significantly related to increased likelihood of postdisaster PTSD and MDD among individuals without a history of PA, above and beyond variance accounted for by pretyphoon psychiatric screening results. Individuals with a history of PA evidenced greater risk for postdisaster PTSD and MDD regardless of severity of typhoon exposure. Preexisting PA may affect the nature of the relationship between disaster characteristics and prevalence of postdisaster PTSD and MDD within Vietnamese samples.
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影响因子：
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作者：
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