Trauma and Psychosocial Aftermath among High- and Low-Exposure Adults Three Months Post the 921 Chi-Chi Earthquake in Taiwan_

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題名：	Trauma and Psychosocial Aftermath among High- and Low-Exposure Adults Three Months Post the 921 Chi-Chi Earthquake in Taiwan
書刊名：	中華心理學刊
作者：	陳淑惠／洪福建／林耀盛／曾旭民
作者(外文)：	Chen, Sue-huei／Hung, Fu-chien／Lin, Yaw-sheng／Tseng, Hsu-min
出版日期：	2002
卷期：	44:2
頁次：	頁167-188
主題關鍵詞：	災難當下的身心反應；創傷後心理症狀；創傷暴露；災後社會心理變動；九二一集集大地震；Peritraumatic psychological responses；Posttraumatic psychological responses；Earthquake exposure；Psychosocial aftermath；The 921 Chi-Chi earthquake
原始連結：	連回原系統網址
相關次數：	被引用次數:期刊(2) 博士論文(0) 專書(1) 專書論文(0) 排除自我引用:2 共同引用:0 點閱:36

本研究的目的旨在瞭解九二一地震三個月，受災輕重程度不同的地區之成人在地震發生當下的身心反應、創傷後心理症狀、與短期內受創者之身心健立、人際關係、以及人生觀的改變狀態。本研究選取居住在臺中縣及南投縣兩區的197名高受災區成人與臺北郊區的117名低受災區成年居民受試，以地震損傷問卷、災難當下的身心反應量表、PTSD症狀指標量表、與震災後社會心理變動問卷為工具。研究結果顯示:(1)高受災區成人不僅在地震發生當下出現較多的身心反應，同時在震災三個月後也呈現出較多的創傷後心理症狀;(2)高受災區成人雖也呈現與心理病理有關之負面反應現象，但朝向正面的人際網絡與積極人生觀之轉變的人數比例也不容輕忽。最後，本研究指出創傷後心理復健計畫宜以揭顯創傷經驗的正向性與適應性之轉化過程為依歸。

以文找文

This study evaluated the peri- and post-traumatic psychological responses as well as changes of physical and psychological health, outlook on life, and interpersonal relationships three months after the devastating 921 Chi-Chi Earthquake among two groups of middle-aged adults in Taiwan. One hundred and ninety-seven adults from high-impact areas, Taichung and Nantou Cpunties, and 117 adults form Taipei, a low-impact area, were evaluated. Self-report measures included demographic and earthquake exposure information, the Pertraumatic Psychological Reaction Index (PPRI), the Posttraumatic Stress Reaction Index (PTSRI), and the Psychosocial Change Questionnaire (PCQ). The results indicated that:1) high-exposure adults manifested significantly more immediate and persistent posttraumatic psychological responses, and endorsed more negative reports concerning physical/psychological health and intimate/general interpersonal relationships; and 2) while previous trauma studies often reported more negative and pathology-toned behavioral manifestations, this study found both positive and after the disaster. Regarding outlooks on life, there were relatively equal proportions of high-exposure adults becoming more optimistic, staying unchanged, and becoming more pessimistic. Similar trisection patterns were noted in their interpersonal relationships, i.e., getting closer, staying unchanged, and getting more distant/detached. This study demonstrates the utility of the instruments in evaluating individuals affected by natural disasters and feasibility of developing psychometrically sound measures for future study on traumatic responses and treatment. The results also suggest the importance of implementing post-disaster psychosocial rehabilitation programs aimed at transformation of traumatic experiences into a more adaptive direction.

以文找文

期刊論文
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6.	陳淑惠、林耀盛、洪福建、曾旭民(20000600)。九二一震災受創者社會心理反應之分析--兼論「變」與「不變」間的心理社會文化意涵。社會文化學報，10，35-60。延伸查詢
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會議論文
1.	曾旭民、林耀盛、洪福建、陳淑惠(2000)。差異的聲音：試析九二一震災不同性別與受創者災難反應與調適歷程。Taipei。399-423。延伸查詢

圖書
1.	Miller, L. M.(1998)。Shocks to the system: Psychotherapy of traumatic disability syndromes。New York, NY：W. W. Norton and Company。
2.	Monahon, C.(1993)。Children and trauma: A guide for parents and professionals。San Francisco, CA：Jossey-bass。
3.	American Psychiatric Association(1994)。Diagnostic and Statistical Manual of Mental Disorder: DSM-IV。Washington, D.C.：American Psychiatric Association。
4.	O'Brien, L. S.(1998)。Introduction and Historical Perspective。Traumatic Events and Mental Health。Cambridge。
5.	Gusman, F. D.、Stewart, J.、Young, B. H.、Riney, S. J.、Abueg, F. R.、Blake, D. D.(1997)。A multicultural developmental approach for treating trauma。Ethnocultural aspects of posttraumatic stress disorder: Issues, researches, and clinical applications。Washington, DC。
6.	Maecker, A.、Solomon, Z.、Schutzwohl, M.(1999)。Development-related trauma studies。Post-traumatic stress disorder: A lifespan developmental perspective。Seattle, WA。
7.	March, J. S.(1993)。What constitutes a stressor. The 'criterion A' issue。Posttraumatic Stress Disorder, DSM-IV and Beyond。Washington, DC。
8.	Weathers, F. W.、Litz, B. T.、Keane, T. M.(1995)。Military trauma。Traumatic stress: From theory to practice。New York, NY。
9.	World Health Organization(1992)。Mental and behavioral disorders - Clinical descriptions and diagnostic guidelines。International classification of diseases。Geneva, Switzerland。

圖書論文
1.	Yang, K. S.(1995)。Chinese social orientation: An integrative analysis。Chinese societies and mental health。Hong Kong：New York：Oxford University Press。

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