CHRONIC STRESS DISORDERS: CORE ELEMENTS AND VARIATIONS

拟议延长本研究的目的是 调查对以下疾病的反应中的一般和特定症状模式 极端应激，并试图描绘出一种应力谱 创伤事件内部和事件之间的反应综合征。不是 将收集新的数据。四个样品，来自三个不同的 灾难性事件(水牛河大坝坍塌和洪水， 比佛利山晚餐俱乐部大火和越南战争) 可用于直接、跨事件的可比数据 比较。三个事件中的866名幸存者 已接受采访并填写了我们的自我报告数据；130 水牛溪的幸存者有14年的随访数据。 我们将调查症状和诊断的模式 描述暴露在极端压力下的个人特征，无论 事件类型、区分事件的模式和模式 与年龄和性别有关。这些模式之间的关系 精神病理学和症状学都与外部 此外，还将研究寿命调整的接地指数。 数据分析将调查哪些症状与 创伤后应激障碍的样本和尝试 将开发自我报告项目的子集，这些项目是 与创伤后应激障碍高度相关。将开发以下配置文件： 临床评定的精神病理学与自述症状 将幸存者描述为一个整体，具体的幸存者 活动、年龄和性别分组(如果有)。此外， 这项研究将调查高度紧张的幸存者 表现出一个明确的综合征，对应于 精神病因学，或者他们是更好地描述 几种不同类型的应激反应综合症或紊乱。 预计所获得的信息将导致 对精神病因学方面的改变的建议是 以经验为基础，并对事件具有一定的概括性。

The purpose of the proposed extension of the present study is to investigate generic and specific symptom patterns in responses to extreme stress, and to attempt to delineate a spectrum of stress response syndromes within and between traumatic events. No new data will be collected. Four samples from three different catastrophic events (the Buffalo Creek dam collapse and flood, the Beverly Hills Supper Club fire, and the Vietnam war) have comparable data that can be used for direct, across event comparisons. Eight hundred six survivors from the three events have been interviewed and have filled our self-report data; 130 of the Buffalo Creek survivors have 14-year followup data. We will investigate patterns of symptoms and diagnoses that characterize individuals exposed to extreme stress regardless of event type, patterns that differentiate events, and patterns related to age and gender. The relationship that these patterns of psychopathology and symptomatology have with externally grounded indices of life adjustment will also be examined. Data analyses will investigate which symptoms are associated with post-traumatic stress disorder across samples and an attempt will be made to develop subsets of self-report items that are highly correlated with PTSD. Profiles will be developed of the clinically rated psychopathology and the self-report symptoms that describe the survivors as a whole, survivors of specific events, and age and gender subgroups, when available. Further, the study will investigate whether highly stressed survivors manifest one clear-cut syndrome that corresponds to the psychiatric nosology, or whether they are better described by several different types of stress response syndromes or disorders. The information that is obtained is expected to lead to recommendations for changes in the psychiatric nosology that are empirically based and have some generalizability across events.