Risk factors for PTSD after Typhoon Morakot among elderly people in Taiwanese aboriginal communities
Risk factors for PTSD after Typhoon Morakot among elderly people in Taiwanese aboriginal communities
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DOI：
10.1017/s1041610211000986
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发表时间：
2011-12-01
影响因子：
7
通讯作者：
Chen, Cheng-Sheng
中科院分区：
文献类型：
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作者：
Chen, Yi-Lung;Lai, Chung-Sheng;Chen, Cheng-Sheng
背景：本研究旨在探讨台湾经历过莫拉克台风的中老年人群中创伤后应激障碍(PTSD)症状的相关危险因素。方法：本研究邀请120名55岁及以上的台湾原住民作为研究对象。采用创伤后应激障碍症状量表(PSS-I)进行评定。结果：29.2%的研究对象在前一个月有明显的创伤后应激障碍症状。女性(OR 3.63，95%CI=1.11~11.88)、搬迁经历(OR 5.64，95%CI=1.60~19.88)、自评健康状况较差(OR 4.24，95%CI=1.53~11.78)与灾后PTSD症状发展显著相关。进一步分析发现，女性(OR4.66，95%CI=1.16~18.80)、搬迁(OR27.91，95%CI=3.74~229.80)、家庭死亡(OR67.62，95%CI=2.85~1063.68)、自评健康状况较差(OR28.69，95%CI=4.52~182.06)是老年创伤后应激障碍的危险因素。创伤后应激障碍症状的危险因素为女性、自我健康状况较差、搬迁、家庭死亡和抑郁。被政府项目重新安置的老年人在经历创伤后更有可能出现创伤后应激障碍症状。灾后安置和重建计划需要更多地关注其对受害者的心理影响。
Background: This study aimed to investigate the risk factors associated with post-traumatic stress disorder (PTSD) symptoms in a mid-and old-age population who experienced Typhoon Morakot in Taiwan.Methods: One hundred and twenty people, who were mostly Taiwanese aboriginal people aged 55 years and above, were invited to participate in this study. PTSD symptoms were assessed using the PTSD Symptom Scale (PSS-I). Information regarding demographic characteristics, relocation, personal injury, family death, property damage, and self-perceived health was collected.Results: 29.2% of study participants presented significant PTSD symptomatology during the previous month. Development of PTSD symptomatology after the disaster was significantly associated with being female (OR 3.63, 95% CI = 1.11-11.88), experiencing relocation (OR 5.64, 95% CI = 1.60-19.88), and having poorer self-perceived health (OR 4.24, 95% CI = 1.53-11.78) after controlling for age, education, personal injury, family death, and property damage. Further, by adding depression into the analysis, we found the risk factors were being female (OR 4.66, 95% CI = 1.16-18.80), experiencing relocation (OR 27.91, 95% CI = 3.74-229.80), family death (OR 67.62, 95% CI = 2.85-1063.68), and poorer self-perceived health (OR 28.69, 95% CI = 4.52-182.06).Conclusion: Nearly 30% of the elderly people studied who experienced Typhoon Morakot developed significant PTSD symptomatology. The risk factors for PTSD symptoms were female gender, poorer self-perceived health, relocation, family death, and depression. The elderly people who were relocated by governmental programs were more likely to develop PTSD symptomatology after experiencing trauma. Resettlement and rehabilitation programs after a disaster need to be more concerned with their psychological effects on victims.