resilience in the face of disaster prevalence and longitudinal course of mental disorders following hurricane ike弹性面对灾难的患病率和纵向的飓风艾克后精神障碍.pdfVIP

Resilience in the Face of Disaster: Prevalence and Longitudinal Course of Mental Disorders following Hurricane Ike Robert H. Pietrzak1,2,3*, Melissa Tracy3,4, Sandro Galea3,4, Dean G. Kilpatrick3,5,6, Kenneth J. Ruggiero3,5,6, Jessica L. Hamblen3,7, Steven M. Southwick1,2,3, Fran H. Norris3,7,8 1 National Center for Posttraumatic Stress Disorder, Veterans Affairs Connecticut Healthcare System, West Haven, Connecticut, United States of America, 2 Department of Psychiatry, Yale University School of Medicine, New Haven, Connecticut, United States of America, 3 National Center for Disaster Mental Health Research, White River Junction, Vermont, United States of America, 4 Department of Epidemiology, Columbia University School of Public Health, New York, New York, United States of America, 5 Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, South Carolina, United States of America, 6 Ralph H. Johnson Veterans Affairs Medical Center, Charleston, South Carolina, United States of America, 7 National Center for Posttraumatic Stress Disorder, White River Junction Veterans Affairs Medical Center, White River Junction, Vermont, United States of America, 8 Geisel School of Medicine at Dartmouth, Hanover, New Hampshire, United States of America Abstract Objectives: Natural disasters may increase risk for a broad range of psychiatric disorders, both in the short- and in the medium-term. We sought to determine the prevalence and longitudinal course of posttraumatic stress disorder (PTSD), generalized anxiety disorder (GAD), panic disorder (PD), depression, and suicidality in the first 18 months after Hurricane Ike. Methods: Six hundred fifty-eight adults representative of Galveston and Chambers Counties, Texas participated in a random, population-based survey. The initial assessment was condu