[地震或火灾幸存者的创伤后应激障碍症状及其预测因素]

Sinem Cankardas, Z. Sofuoğlu
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引用次数: 5

摘要

目的探讨地震和火灾幸存者创伤后应激障碍与应急管理知识、压力源控制感、威胁感知和躯体症状之间的关系。方法数据来源于2009年伊兹密尔省消防局数据库,包括经历过家庭火灾的人(n=92)。来自2005年Seferihisar地震后申请健康集团目录的人(n=38)和2010年经历公共建筑火灾的第三级医院的工作人员(n=34)。采用事件影响量表(IES-R)测定被试的创伤应激水平;行为、安全和文化-幸存者问卷(BeSeCu- S)用于获取创伤性事件前后因素的信息。结果与火灾幸存者相比,地震幸存者在事件中的威胁感知水平较高,控制感知水平较低,性别、威胁感知、事件中经历的躯体症状和对事件的控制感知对创伤后应激障碍有预测作用。结论以控制为中心的治疗方法可以有效地治疗地震和火灾经历者。据观察,向公众通报紧急情况管理,可以增强事件发生时个人的控制感,从而保护心理健康。另一方面,创伤后应激障碍与先前的紧急情况知识之间的正相关表明,在火灾和地震演习中响起的警报和练习错误可能会使人们受到创伤。在地震、火灾及其演练过程中,个体的信息加工、躯体症状和情绪过程之间的关系有待进一步研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Post-Traumatic Stress Disorder Symptoms and Their Predictors in Earthquake or Fire Survivors].
OBJECTIVE In this study, we aimed to investigate the relationship between post-traumatic stress disorder and previous knowledge of emergency management, sense of control over the stressor, perceived threat, and somatic symptoms in earthquake and fire survivors.. METHOD The data were obtained from the 2009-database of the Izmir Province Fire Department to include the people who had experienced domestic fire (n=92), from the people who had applied to the Health Group Directory after the 2005 earthquake in Seferihisar (n=38) and from the staff of a third step hospital who experienced a fire in public building in 2010 (n=34). The Impact of Events Scale-revised version (IES-R) was used to determine the traumatic stress levels of the participants; and the Behavior, Security, and Culture - Survivor (BeSeCu- S) questionnaire was used to acquire information on factors before and after the traumatic events. RESULTS Compared to the fire survivors, the earthquake survivors perceived higher levels of threat and lower levels of control during the event gender, perceived threat, somatic symptoms experienced during the event and perceived control over the event were found to predict the post-traumatic stress disorder. CONCLUSION Results of the research suggested that control-focused treatment METHODS could be effective in treatment of people who had experienced earthquake and fire. It is observed that informing the public about emergency management would be protective for mental health by increasing the sense of control of the individuals at the time of the incident. On the other hand, the positive relationship between PTSD and previous knowledge on emergency suggests that the ringing alarms and practice errors during the fire and earthquake drills could traumatize people. Future research is recommended on the relationship between information processing, somatic symptoms and emotional processes in individuals during earthquake, fire and their drills.
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