九二一地震創傷後壓力症候群之發生率與危險因子

Translated title of the contribution: Incidence and Risk Factors for Post-Traumatic Stress Disorder After Chi-Chi Earthquake in Taiwan.

Wai Mau Choi, Mau-Roung Lin, Cheuk-Sing Choy, Yih-Shyan Chen, Li-Hua Lu, Kuo Song Chang, Wen-Ta Chiu

Research output: Contribution to journalArticle

Abstract

On September 21, 1999, the Chi-Chi area of Nau-tou County, central Taiwan was severely damaged by a major earthquake, which measured 7.3 on the Richter scale.This rare disaster produced a catastrophic effect, and survivors who were exposed
to this disaster were associated with increased psychological distress, such as post-traumatic stress disorder (PTSD). This study attempted to investigate the prevalence of PTSD immediately after 3 months and 2 years after the earthquake;we also analyzed the symptomatology of PTSD and its relationship with age, gender, loss of job or home, and injury or death of relatives. In total, 339 victims were interviewed with a questionnaire translated from the Diagnostic and Statistical Manual of Mental Disorders, 4th edition (DSM-IV). Seventy-four victims (22.29%) met the criteria of PTSD, among whom 35 were male and 39 were female. PTSD was correlated with injury, destruction of one's house and the use of hypnotics. Those who were injuried and taking hypnotics were more predisposed to experiencing PTSD. Two years after the earthquake, 19 victims (5.72%) met the criteria of chronic PTSD, including 9 males and 10 females. Chronic PTSD was correlated with age, destruction of one's house and use of hypnotics. Those who depended on hypnotics were more predisposed to experiencing chronic PTSD. If symptoms of re-experience, avoidance and/or hyperarousal persist, emergency or primary care physicians must transfer the victim to a psychiatrist for further evaluation and treatment in order to prevent patients from progressing into a chronic state.
Original languageTraditional Chinese
Pages (from-to)47-58
JournalJournal of Emergency and Critical Care Medicine
Publication statusPublished - 2004

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