Before and after the 1999 Chi-Chi earthquake: Traumatic events and depressive symptoms in an older population
Before and after the 1999 Chi-Chi earthquake: Traumatic events and depressive symptoms in an older population
复制标题
DOI：
10.1016/j.socscimed.2005.11.059
复制
发表时间：
2006-06-01
影响因子：
5.4
通讯作者：
Lin, YH
中科院分区：
文献类型：
--
作者：
Seplaki, CL;Goldman, N;Lin, YH
地震等自然灾害可能对身心健康造成有害后果。在这项研究中，我们调查了1999年台湾大地震后抑郁症状的弹性变化。我们分析了1160老年人的数据，从全国纵向调查与地震前后的采访。这项调查包含了关于身体和认知功能、抑郁症状、社会人口特征以及与地震有关的暴露和经历的广泛信息。我们估计回归模型，以确定与灾难后抑郁症状的存在相关的风险因素，事先控制健康状况和抑郁症状的存在。我们特别关注社会人口因素如何缓和地震的心理影响。结果表明，低社会经济地位（SES）的人，社会孤立的个人，和妇女报告的抑郁症状的水平比他们各自的同行，因为谁经历了破坏他们的家园的人。在54-70岁的人中，伤害的心理影响最大。研究结果表明，在灾难中房屋受损的人有可能出现抑郁症状，老年人比近老年人更有弹性。(c)2005 Elsevier Ltd.保留所有权利。
Natural disasters, such as earthquakes, can have deleterious consequences for physical and psychological health. In this study, we investigate variability in resilience to depressive symptoms in the aftermath of a massive earthquake that struck Taiwan in 1999. We analyze data on 1160 older individuals from a national, longitudinal survey with interviews before and after the earthquake. This survey contains extensive information on physical and cognitive function, depressive symptoms, socio-demographic characteristics and earthquake-related exposure and experiences. We estimate regression models to identify risk factors associated with the presence of depressive symptoms after the disaster, controlling for health status and the presence of depressive symptoms beforehand. We pay special attention to how socio-demographic factors moderate the psychological impact of the earthquake. Results indicate that persons of low socioeconomic status (SES), socially isolated individuals, and women reported higher levels of depressive symptoms than their respective counterparts, as did persons who experienced damage to their homes. The psychological effects of damage were strongest among those aged 54-70. The findings suggest that people who experience damage to their home during a disaster are at risk of experiencing depressive symptoms, with the elderly being more resilient than the near-elderly. (c) 2005 Elsevier Ltd. All rights reserved.