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來源資料
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題 名 | 大地震罹難者家屬之急性精神疾病=Acute Psychiatric Disorders in the Bereaved Survivors of a Disastrous Earthquake |
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作 者 | 湯華盛; 郭千哲; 陳俊澤; 蔡長哲; 林世光; 簡志龍; 陳喬琪; 胡維恆; | 書刊名 | 臺灣精神醫學 |
卷 期 | 14:3 2000.09[民89.09] |
頁 次 | 頁58-67 |
分類號 | 415.996 |
關鍵詞 | 創傷後壓力疾患; 急性精神疾病; 自填式問卷; 篩檢工具; Post-traumatic stress disorder; Acute psychiatric disorders; Self-administered questionnaire; Screening instrument; |
語 文 | 中文(Chinese) |
中文摘要 | 目的:探討大地震後罹難者家屬的急性精神疾病,並檢測創傷後壓力疾患(以下 簡稱PTSD)篩檢工具PTSS-10的效度。方法:本研究在靠近921地震震央的國姓鄉,以80戶罹 難者直系親屬為目標族群進行研究。使用PTSS-10自填量表進行評估,且由受過訓練的精神 科醫師使用標準診斷工具MINI,以半結構式會談作精神疾病診斷。結果:共有34位男性,20 位女性完成評估,反應率為62.5%(50/80戶),訪視日距離地震發生為42.9±11.7日,且一 等親佔88.9%。PTSS-10的最佳切換點為4/5,敏感度為75.0%,特異度為67.6%。精神疾病盛 行率依序為創傷後壓力疾患(29.6%)、重鬱症(16.7%)、適應性疾患(14.8%)、酒精使 用疾患(7.4%)等,女性罹患精神疾病的比率明顯高於男性。具PTSD者,有不少具有愧咎( 44%)及憂鬱(100%)等症狀。有半數災民接受過民俗治療,但也有10%曾因身體問題向醫療 院所求診。結論:本研究顯示地震後罹難者家屬有高比例的精神疾病罹病率,這群高危險群 宜有適當的精神醫療介入,使之儘早恢復健康。 |
英文摘要 | Objective: This study investigated acute psychiatic disorders manifested in survivors who had lost relatives as a result of a severe earthquake, and validated a screening instrument (PTSS-10) for post-traumatic stress disorder (PTSD). Methods: Eighty lineal families from Guo-Xing township, near the epicenter of the earthquake that struck Taiwan on September 21, 1999, that had lost family members were included in this study. The PTSS-10 was used for PTSD screening, and trained psychiatrists made the assessment with the aid of a semi-structured intreview using the MINI as the standardized diagnostic tool. Results: The interview was completed by 34 males and 20 females, with an acceptable response rate of 62.5% and average elapsed time (SD) from the earthquake of 42.9 (11.7) days. Most of the subjects had lost first-order family members (88.8%). The optimal cutoff point for PTSS-10 was 4/5 with satifactory performance (sensitivity=75.0%, specificity=67.6%). In descending order, the prevalence for psychiatric disorders was PTSD (29.6%), the major depression (16.7%), adjustment disorder (14.8%) and alcohol use disorder (7.4%). Females revealed higher morbidity rates than males. Depression was determined for all of the subjects diagnosed with PTSD (100%) and many had guilt feelings (44%). The majority of victims had only ever taken folk medicine, with only 10% calling at the primary care facility. Conclusion: The results of this study revealed that bereaved survivors of a major natural disaster presented with higher psychiatric morbidity, and this high-risk subpopulation required more intervention to prevent excerbation and persistence of psychic dysfunction. (Full Text in Chiness) |
本系統中英文摘要資訊取自各篇刊載內容。