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題名:集集大地震受災國中學生及家長壓力反應和求助行為之探討
書刊名:臺灣精神醫學
作者:林本堂呂明憲陳展航
作者(外文):Lin, Pen-tangLu, Ming-hsienChan, Chin-hong
出版日期:2003
卷期:17:4
頁次:頁263-268
主題關鍵詞:地震創傷後壓力症候群EarthquakePosttraumatic stress disorderPTSD
原始連結:連回原系統網址new window
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  • 被引用次數被引用次數:期刊(0) 博士論文(0) 專書(0) 專書論文(0)
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  • 點閱點閱:17
     目的:本研究欲了解九二一震災後,學生和家長震災狀況、災後壓力反應、求助管道和求助意願,並比較其相關性。 方法:九二一震災發生後半年,採用自填問卷方式,透過六所國中收集某災區學生2294人和家長1096人為研究對象。 結果:1071位(46.7%) 學生和695位(63.4%) 家長,覺得地震極端可怕。創傷後壓力症候群(posttraumatic stress disorder) 高危險群學生有65位(2.8%) 和家長37位(3.4%)。求助管道以收驚為最多,學生有442 位(19.3%) 和家長203位(18.5%)。願意接受心理輔導諮商,學生有379位(16.5%) 和家長84位(7.7%)。 結論:地震初期民俗療法收驚和一般義工幫助比專業精神科醫師及輔導人員更容易取得災民信任。震災受損狀況和災後壓力反應並無明顯相關,災後壓力反應和求助意願有明顯相關。
     Objectives: This study investigated traumatic severity, posttraumatic response, channels of being helped, the will to be helped and the correlations among these variables in both students and parents after the Chi-Chi earthquake. Methods: Six months after the earthquake, open questionnaires were distributed through 6 local schools to 2294 students and 1096 parents in the affected area. Results: Among the subjects, 1071 students (46.7%) and 695 parents (63.4 %) felt that the earthquake continued to be a source of great stress. There were 65 students (2.8%) and 37 parents (3.4%) who were found to be at high-risk of posttraumatic stress disorder. Most of them, 442 students (19.3%) and 203 parents (18.5%), had attempted the folk therapy of "startle curing". The will to try counseling was found in 379 students (16.5%) and 84 parents (7.7%). Conclusions: Assistance provided by both folk healers and voluntary workers appeared to be more reliable and effective at reducing psychological trauma than help from psychiatrists and therapists at the beginning of the post-earthquake period. Traumatic severity and posttraumatic stress response were not significantly correlated, while posttraumatic stress response was significantly correalated with the will to be helped.
期刊論文
1.Chen, C. C.、Yeh, T. L.、Yang, Y. K.(2001)。Psychiatric morbidity and post-traumatic symptoms among survivors in the early stage following the 1999 earthquake in Taiwan。Psychiatry Research,105(1/2),13-22。  new window
2.Hsu, C. C.、Chong, M. Y.、Yang, P.、Yen, C. F.(2002)。Posttraumatic Stress Disorder Among Adolescent Earthquake Victims in Taiwan。Journal of American Academy of Child and Adolescent Psychiatry,41(7),875-881。  new window
3.Carr, V. J.、Lewin, T. J.、Webster, R. A.(1995)。Psychosocial sequelae of the 1989 Newcastle earthquake: I. Community disaster experiences and psychological morbidity 6 months post-disaster。Psychological Medicine,25(3),539-555。  new window
4.Keene, E. P.(1998)。Phenomenological Study of the North Dakota Flood Experience and Its Impact on Survivors' Health。International Journal of Trauma Nursing,4(3),79-84。  new window
5.Carrlier, I. V.、Lamberts, R. D.、Van Uchelen, A. J.、Gersons, B. P.(1998)。Clinical Utility of Brief Diagnostic Test for Posttraumatic Stress Disorder。Psychosomatic Medicine,60(1),42-47。  new window
6.Karanci, A. N.、Rustemli, A.(1995)。Psychological Consequences of the 1992 Erzincan (Turkey) Earthquake。Disaster,19(1),8-18。  new window
7.Lonigan, C. I.、Shannon, M. P.、Taylor, C. M.、Finch, Ir. A. J.、Sallee, F. R.(1994)。Children Exposed to Disaster: II. Risk Factors for the Development of Post-traumatic Symptomatology。Journal of the American Academy of Child & Adolescent Psychiatry,33(1),94-105。  new window
8.Lima, B. R.、Chavez, H.、Samaniego, N.、Pai, S.(1992)。Psychiatric Disorders among Emotionally Distressed Disaster Victims Attending Primary Mental Health Clinics in Ecuador。Bulletin of the Pan American Health Organization,26(1),60-66。  new window
9.McMillen, J. C.、North, C. S.、Smith, E. M.(2000)。What Parts of PTSD Are Normal: Intrusion, Avoidance, or Arousal? Data from the Northridge, California, Earthquake。Journal of Traumatic Stress,13(1),57-75。  new window
10.Mellman, T. A.、David, D.、Kulick-Bell, R.、Hebding, J.、Nolan, B.(1995)。Sleep Disturbance and Its Relationship to Psychiatric Morbidity after Hurricane Andrew。The American Journal of Psychiatry,152,1659-1663。  new window
11.Saylor, C. F.、Swenson, C. C.、Powell, P.(1992)。Hurricane Hugo Blows Down the Broccoli: Preschoolers' Post-disaster Play and Adjustment。Child Psychiatry & Human Development,22(3),139-149。  new window
12.Shioyama, A.、Uemoto, M.、Shin-fuku, N.、Ide, H.、Seki, W.、Mori, S.、Inoue, S.、Natsuno, R.、Asakawa, K.、Osabe, H.(2000)。The Mental Health of School Children after the Great Hanshin-Awaji Earthquake: II. Longitudinal Analysis。Seishin Shinkeigaku Zasshi,102(5),481-497。  new window
13.Hyodo, K.、Morino, R.(1999)。A Study of Mental and Physical Reactions after the Hanshin-Awaji Earthquake: Mental and Physical Conditions of Female Undergraduate Students Immediately after, 2 Months after, and 9 Months after the Earthquake。Shinrigaku Kenkyu,70(2),104-111。  new window
14.Solomon, S. D.、Canino, G. J.(1990)。Appropriateness of DSM-III-R Criteria for Posttraumatic Stress Disorder。Comprehensive Psychiatry,31(3),227-237。  new window
15.Madakasira, S.、O'Brien, K. F.(1987)。Acute Posttraumatic Stress Disorder in Victims of Natural Disaster。The Journal of Nervous and Mental Disease,175(5),286-290。  new window
16.Pynoos, R. S.、Goenjian, A. K.、Steinberg, A. M.(1998)。A Public Mental Health Approach to the Postdisaster Treatment of Children and Adolescents。Child and Adolescent Psychiatric Clinics of North America,7(1),195-210。  new window
17.Bland, S. H.、O'Leary, E. S.、Farinaro, E.、Jossa, F.、Trevisan, M.(1996)。Long-term Psychological Effects of Natural Disasters。Psychosomatic Medicine,58(40,18-24。  new window
圖書
1.Kaplan, H. I.、Sakock, B. J.(1998)。Posttraumatic Stress Disorder and Acute Stress Disorder。Synopsis of Psychiatry。Baltimore, MD。  new window
 
 
 
 
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