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首页> 外文期刊>The British journal of psychiatry : >Risk factors for psychological and physical health problems after a man-made disaster
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Risk factors for psychological and physical health problems after a man-made disaster

机译：人为灾难后心理和身体健康问题的风险因素

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Background There are few prospective studies on risk factors for health problems after disasters in which actual pre-disaster health data are available. Aims To examine whether survivors' personal characteristics, and pre-disaster psychological problems, and disaster-related variables, are related to their post-disaster health. Method Two studies were combined: a longitudinal survey using the electronic medical records of survivors' general practitioners (GPs), from 1 year before to 1 year after the disaster, and a survey in which questionnaires were filled in by survivors, 3 weeks and18 months after the disaster. Data from both surveys and the electronic medical records were available for 994 survivors. Results After adjustment for demographic and disaster-related variables, pre-existing psychological problems were significantly associated with post-disaster self-reported health problems and post-disaster problems presented presentedtothe to the GP. This association was found for both psychological and physical post-disaster problems. Conclusions In trying to prevent long-term health consequences after disaster, early attention to survivors with pre-existing psychological problems, and to those survivors who are forced to relocate or are exposed to many stressors during the disaster, appears appropriate.
机译：背景很少有关于灾难后健康问题风险因素的前瞻性研究，而这些灾害因素中没有实际的灾前健康数据。目的检查幸存者的个人特征，灾前心理问题以及与灾害相关的变量是否与灾后健康有关。方法两项研究相结合：从幸存者的全科医生（GPs）的电子病历进行的纵向调查，从灾难发生前的第一年到灾后的第一年，以及在调查中填写幸存者的问卷，分别为3周和18个月灾难之后。来自调查和电子病历的数据均可用于994名幸存者。结果在调整了人口和与灾难相关的变量之后，先前存在的心理问题与灾后自我报告的健康问题和向GP呈现的灾后问题显着相关。人们发现这种关联是因为灾后心理和生理问题。结论为了尽力预防灾难后的长期健康后果，应适当注意早期存在心理问题的幸存者，以及在灾难期间被迫搬迁或暴露于许多压力源的幸存者。

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