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Longitudinal study of earthquake-related PTSD in a randomly selected community sample in North China
Wang, XD; Gao, L; Shinfuku, N; Zhang, HB; Zhao, CZ; Shen, YC
刊名AMERICAN JOURNAL OF PSYCHIATRY
2000-08-01
157期:8页:1260-1266
收录类别SCI ; SSCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Psychiatry
研究领域[WOS]Psychiatry
关键词[WOS]POSTTRAUMATIC-STRESS-DISORDER ; PSYCHIATRIC-DISORDERS ; NATURAL DISASTER ; SYMPTOMS ; YOUNGER
英文摘要

Objective: This study longitudinally described ra res of posttraumatic stress disorder (PTSD) in two groups with different levels of severity of exposure to an earthquake in North China. The effects of diagnostic criteria on the frequency of detected PTSD were also examined.

Method: Subjects were randomly sampled in two villages at different distances from the earthquake epicenter. A total of 181 and 157 subjects were assessed at 3 months and 9 months after the earthquake, respectively, for PTSD by using both DSM-IV and DSM-III-R criteria. The brief Version of the World Health Organization Quality of Life Assessment and three subscales of the SCL-90-R were also administered at both assessment points.

Results: The village with a higher level of initial exposure to the earthquake and a higher level of postearthquake support had a lower frequency of PTSD than the village with a lower level of initial exposure and less postearthquake support. The rate of onset of DSM-IV PTSD within 9 months for the two villages was 19.8% and 30.3%, respectively. In both villages, the rate of onset of earthquake-related PTSD within 9 months was 24.2% by using DSM-IV criteria and 41.4% by using DSM-III-R criteria. The introduction in DSM-IV of a criterion requiring clinically significant distress or impairment in functioning for a diagnosis of PTSD was a major contributor to the lower rate of DSM-IV PTSD.

Conclusions: PTSD may be as prevalent and persistent in disaster victims in China as in those elsewhere. Prompt and effective postdisaster intervention could mitigate the impact of initial exposure and reduce the probability of PTSD occurrence. Caution should be used in comparing rates of postdisaster PTSD identified by using different diagnostic criteria.

语种英语
WOS记录号WOS:000088520100013
引用统计
被引频次:188[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/54598
专题北京大学精神卫生研究所
作者单位1.Sha Ling Zi Hosp, Zhang Jia Kou, Hebei, Peoples R China
2.Kobe Univ, Sch Med, Int Ctr Med Res, Chuo Ku, Kobe, Hyogo 6500017, Japan
3.Beijing Med Univ, Inst Mental Hlth, Beijing 100083, Peoples R China
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GB/T 7714
Wang, XD,Gao, L,Shinfuku, N,et al. Longitudinal study of earthquake-related PTSD in a randomly selected community sample in North China[J]. AMERICAN JOURNAL OF PSYCHIATRY,2000,157(8):1260-1266.
APA Wang, XD,Gao, L,Shinfuku, N,Zhang, HB,Zhao, CZ,&Shen, YC.(2000).Longitudinal study of earthquake-related PTSD in a randomly selected community sample in North China.AMERICAN JOURNAL OF PSYCHIATRY,157(8),1260-1266.
MLA Wang, XD,et al."Longitudinal study of earthquake-related PTSD in a randomly selected community sample in North China".AMERICAN JOURNAL OF PSYCHIATRY 157.8(2000):1260-1266.
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