范雪崩幸存者中创伤后应激障碍的发生率及相关因素:6 个月跟踪研究。

Faruk Kurhan, Gülsüm Zuhal Kamiş, Dilem Dinç, İshak Tekin, Mesut Işik, Cafer Alhan, Anıl Cemre Ökmen
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摘要

目的我们的目的是评估创伤后应激障碍(PTSD)的发生频率,确定风险因素,并监测凡城雪崩灾难幸存者在 6 个月后症状的变化情况:方法:分别在雪崩灾害发生 2 个月和 6 个月后,对在凡城连续两次雪崩灾害中获救的 35 人进行了面对面访谈。对个案的社会人口学和临床数据进行了评估。创伤后应激障碍症状量表-自我报告版(PSS-SR)和临床访谈被用于创伤后应激障碍的诊断。创伤程度采用事件影响量表(IES)进行评估:所有参与者均为前往雪崩现场执行救援任务的救援人员。其中,16 人是来自当地社区的志愿者,19 人是专业救援人员。早期评估的创伤后应激障碍发生率为 71.4%,长期评估的发生率为 57.1%。在雪崩中停留时间超过 30 分钟、没有灾难接触史和属于志愿者群体都会增加创伤后应激障碍的发病风险:结论:雪崩导致创伤后应激障碍的风险很高。结论:雪崩导致创伤后应激障碍的风险很高,因此应教育干预灾难的人员,让他们做好预防灾难带来的负面心理后果的准备。创伤的严重程度与创伤后应激障碍之间的关系在我们的研究中得到了验证。
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Frequency of Post Traumatic Stress Disorder and Associated Factors Among Survivors of Van Avalanche: 6-Month Follow-up Study.

Objective: We aimed to evaluate the frequency of Post Traumatic Stress Disorder (PTSD), to determine the risk factors, and to monitor the change of symptoms after 6 months among individuals who survived the avalanche disaster in Van.

Method: Face-to-face interviews were conducted with 35 people who were rescued from two consecutive avalanche disasters in Van 2 months and 6 months after the avalanche disaster. The socio-demographic and clinical data of the cases were evaluated. The Post Traumatic Stress Disorder Symptom Scale-Self Report version (PSS-SR) and clinical interviews were used for PTSD diagnosis. The level of trauma was assessed by using the Impact of Event Scale (IES).

Results: All participants were rescuers who went to the avalanche site for rescue mission. Of the cases, 16 were volunteers from the local community and 19 were professional rescuers. The frequency of PTSD was 71.4% in the early assessment, and 57.1% in the long term. Staying in avalanche for more than 30 minutes, the absence of a history of disaster exposure and being in the group of volunteers were found to increase the risk for PTSD development.

Conclusion: There is a high risk of developing PTSD as a result of an avalanche. People who will intervene with the disasters should be educated and prepared in terms of preventing negative psychological consequences of the disaster. The relationship between the severity of trauma and PTSD was replicated in our study.

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