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Post- and peritraumatic stress in disaster survivors: an explorative study about the influence of individual and event characteristics across different types of disasters

机译:灾难幸存者的创伤后和创伤后压力:关于不同类型灾难的个人和事件特征影响的探索性研究

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Background : Examination of existing research on posttraumatic adjustment after disasters suggests that survivors’ posttraumatic stress levels might be better understood by investigating the influence of the characteristics of the event experienced on how people thought and felt, during the event as well as afterwards. Objective : To compare survivors’ perceived post- and peritraumatic emotional and cognitive reactions across different types of disasters. Additionally, to investigate individual and event characteristics. Design : In a European multi-centre study, 102 survivors of different disasters terror attack, flood, fire and collapse of a building were interviewed about their responses during the event. Survivors’ perceived posttraumatic stress levels were assessed with the Impact of Event Scale-Revised (IES-R). Peritraumatic emotional stress and risk perception were rated retrospectively. Influences of individual characteristics, such as socio-demographic data, and event characteristics, such as time and exposure factors, on post- and peritraumatic outcomes were analyzed. Results : Levels of reported post- and peritraumatic outcomes differed significantly between types of disasters. Type of disaster was a significant predictor of all three outcome variables but the factors gender, education, time since event, injuries and fatalities were only significant for certain outcomes. Conclusion : Results support the hypothesis that there are differences in perceived post- and peritraumatic emotional and cognitive reactions after experiencing different types of disasters. However, it should be noted that these findings were not only explained by the type of disaster itself but also by individual and event characteristics. As the study followed an explorative approach, further research paths are discussed to better understand the relationships between variables. For the in other languages, please see Supplementary files under Reading Tools online.
机译:背景:对灾难后创伤后调整的现有研究的研究表明,通过调查事件特征对人们在事件发生期间及之后的想法和感受的影响,可以更好地理解幸存者的创伤后压力水平。 。 目的:比较不同类型灾难中幸存者在创伤后和创伤后的情绪和认知反应。此外,调查个人和事件的特征。 设计:在一项欧洲多中心研究中,采访了102名不同灾难的幸存者,恐怖袭击,洪水,火灾和建筑物倒塌,在活动期间进行了回应。通过事件量表修订(IES-R)的影响评估幸存者的创伤后压力水平。回顾性评估了创伤前后的情绪压力和风险感知。分析了个体特征(如社会人口统计学数据)以及事件特征(如时间和暴露因素)对创伤后和创伤后结局的影响。结果:报告的创伤后和创伤后结果的水平在不同类型的灾难之间存在显着差异。灾难类型是所有三个结果变量的重要预测因子,但性别,教育程度,事件发生后的时间,伤害和死亡人数仅对某些结果具有重要意义。结论:结果支持以下假设:在经历不同类型的灾难后,感知到的创伤后和创伤后的情绪和认知反应存在差异。但是,应该指出的是,这些发现不仅可以由灾难本身的类型来解释,而且可以由个人和事件特征来解释。由于研究遵循探索性方法,因此讨论了进一步的研究途径,以更好地理解变量之间的关系。对于其他语言的,请参见在线阅读工具下的补充文件。

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