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Health-related quality of life and post-traumatic stress disorder in inpatients injured in the Ludian earthquake: a longitudinal study.

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机构: [1]The Mental Health Center, Yunnan University, Kunming 650091, People’sRepublic of China [2]School of Public Administration, Sichuan University,Chengdu 610065, People’s Republic of China [3]Department of Applied SocialSciences, The Hong Kong Polytechnic University, Hung Hom, Hong Kong [4]The Mental Health Center, West China Hospital of Sichuan University,Chengdu 610041, People’s Republic of China [5]Psychiatric Laboratory andMental Health Center, West China Hospital of Sichuan University, Chengdu610041, People’s Republic of China [6]West China Brain Research Center, WestChina Hospital of Sichuan University, Chengdu 610041, People’s Republic ofChina
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关键词: Injured inpatients Posttraumatic stress disorder Health-related quality of life Disasters

摘要:
The aim of this longitudinal study was to identify risk factors for posttraumatic stress disorder (PTSD) in inpatients injured in the Ludian earthquake and examine the relationship between PTSD symptoms and health-related quality of life (HRQoL) following the earthquake. Three assessments were performed during an 18-month follow-up period. In total, one-hundred forty-seven inpatients of one-hundred seventy-four inpatients (85% of the initial sample) underwent all the assessments. Injured inpatients admitted to the No. 1 People's Hospital of Zhaotong City after a severe earthquake (6.5 on the Richter scale) were enrolled in the study and assessed using the Posttraumatic Stress Disorder Checklist-Civilian Version, Clinician-Administered Posttraumatic Stress Disorder Scale, and Medical Outcomes Study Short Form-36 Scale. At the first, third and eighteenth months after the earthquake, the prevalence rates for PTSD were 23, 14, and 7%, respectively. In a regression model, bereavement, history of major diseases, and severe injury in the earthquake were associated with severe PTSD symptoms. HRQoL was negatively correlated with PTSD symptoms. Compared to that of Chinese norms, participants' HRQoL was significantly lower in all eight HRQoL domains of the Medical Outcomes Study Short Form-36 Scale. The findings suggest that a substantial proportion of inpatients injured in the earthquake experienced severe PTSD symptoms and poor HRQoL. Therefore, early preventive programs and interventions should be implemented following disasters, to reduce PTSD and improve HRQoL in injured individuals.

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出版当年[2020]版:
大类 | 4 区 医学
小类 | 3 区 卫生保健与服务
最新[2023]版:
大类 | 2 区 医学
小类 | 2 区 卫生保健与服务 2 区 卫生政策与服务
第一作者:
第一作者机构: [1]The Mental Health Center, Yunnan University, Kunming 650091, People’sRepublic of China
通讯作者:
通讯机构: [4]The Mental Health Center, West China Hospital of Sichuan University,Chengdu 610041, People’s Republic of China [5]Psychiatric Laboratory andMental Health Center, West China Hospital of Sichuan University, Chengdu610041, People’s Republic of China [6]West China Brain Research Center, WestChina Hospital of Sichuan University, Chengdu 610041, People’s Republic ofChina
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