Predictors of posttraumatic outcomes following the 1999 Taiwan earthquake

被引:56
作者
Chang, CM
Connor, KM
Lai, TJ
Lee, LC
Davidson, JRT
机构
[1] Chung Shan Med Univ, Dept Psychiat, Taichung 402, Taiwan
[2] Chung Shan Med Univ, Inst Med, Taichung 402, Taiwan
[3] Duke Univ, Dept Psychiat & Behav Sci, Durham, NC USA
[4] Johns Hopkins Univ, Dept Epidemiol, Bloomberg Sch Publ Hlth, Baltimore, MD USA
关键词
PTSD; partial PTSD; depression; earthquake; predictor;
D O I
10.1097/01.nmd.0000149217.67211.ab
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
This cross-sectional study examined 10-month outcomes in survivors after the 1999 earthquake in Taiwan. Two hundred fifty-two randomly selected subjects were interviewed to assess the following: categorical assignment to full or partial posttraumatic stress disorder (PTSD/PTSS), symptoms of PTSD, and general psychiatric morbidity. Using regression models, the following potential independent predictor variables were evaluated: age, gender, earthquake exposure, previous trauma, current depression, and general well-being. Variables predictive of PTSD/PTSS included female gender and current depression. Current depression and impaired well-being were predicted by greater PTSD severity. Greater psychiatric morbidity was predicted by female gender, current depression, number of traumatic experiences, and impaired well-being. These variables, particularly female gender, current depression, and impaired well-being, should be considered in assessing earthquake survivors who are at increased risk for developing posttraumatic sequelae.
引用
收藏
页码:40 / 46
页数:7
相关论文
共 42 条
[1]   Loss as a determinant of PTSD in a cohort of adult survivors of the 1988 earthquake in Armenia: implications for policy [J].
Armenian, HK ;
Morikawa, M ;
Melkonian, AK ;
Hovanesian, AP ;
Haroutunian, N ;
Saigh, PA ;
Akiskal, K ;
Akiskal, HS .
ACTA PSYCHIATRICA SCANDINAVICA, 2000, 102 (01) :58-64
[2]   Social network disturbances and psychological distress following earthquake evacuation [J].
Bland, SH ;
OLeary, ES ;
Farinaro, E ;
Jossa, F ;
Krogh, V ;
Violanti, JM ;
Trevisan, M .
JOURNAL OF NERVOUS AND MENTAL DISEASE, 1997, 185 (03) :188-194
[3]   Previous exposure to trauma and PTSD effects of subsequent trauma: Results from the Detroit area survey of trauma [J].
Breslau, N ;
Chilcoat, HD ;
Kessler, RC ;
Davis, GC .
AMERICAN JOURNAL OF PSYCHIATRY, 1999, 156 (06) :902-907
[4]  
Breslau N, 1997, ARCH GEN PSYCHIAT, V54, P81
[5]  
Breslau N, 1997, ARCH GEN PSYCHIAT, V54, P1044
[6]   Predictors of post-traumatic stress disorder following burns injury [J].
Bryant, RA .
BURNS, 1996, 22 (02) :89-92
[7]   PARTIAL POSTTRAUMATIC-STRESS-DISORDER (PTSD) - THE ISSUE OF PSYCHOLOGICAL SCARS AND THE OCCURRENCE OF PTSD SYMPTOMS [J].
CARLIER, IVE ;
GERSONS, BPR .
JOURNAL OF NERVOUS AND MENTAL DISEASE, 1995, 183 (02) :107-109
[8]   Psychosocial sequelae of the 1989 Newcastle earthquake .2. Exposure and morbidity profiles during the first 2 years post-disaster [J].
Carr, VJ ;
Lewin, TJ ;
Webster, RA ;
Kenardy, JA ;
Hazell, PL ;
Carter, GL .
PSYCHOLOGICAL MEDICINE, 1997, 27 (01) :167-178
[9]   PSYCHOSOCIAL SEQUELAE OF THE 1989 NEWCASTLE EARTHQUAKE .1. COMMUNITY DISASTER EXPERIENCES AND PSYCHOLOGICAL MORBIDITY 6 MONTHS POSTDISASTER [J].
CARR, VJ ;
LEWIN, TJ ;
WEBSTER, RA ;
HAZELL, PL ;
KENARDY, JA ;
CARTER, GL .
PSYCHOLOGICAL MEDICINE, 1995, 25 (03) :539-555
[10]  
Chen CH, 2000, TAIWANESE J PSYCHIAT, V14, P271