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首页> 外文期刊>The Australian and New Zealand journal of psychiatry >Direct and indirect psychological impacts of shark-bite events
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Direct and indirect psychological impacts of shark-bite events

机译:鲨鱼咬事事件的直接和间接心理影响

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Objective: Shark bites are rare, with intense media exposure. There are no known studies of the psychological impacts of this specific type of traumatic event. This is the first study that describes those directly and indirectly affected, and evaluates the prevalence of post-traumatic stress disorder (PTSD) and related risk factors. Methods: In total, 124 members of an Australian shark-bite peer-support group were invited to complete an online survey assessing demographic, event, media and psychological factors. Response rate was 48% (n = 60, 63% male, 44 +/- 14 years). Retrospective and current measures of PTSD (PTSD Checklist for DSM-5 [PCL-5]) and suicidality (Suicidal Ideation Attributes Scale [SIDAS-5]) were used. Results: Post-event PTSD was prevalent in this sample (n = 16/59, 27.1%, 95% confidence interval [CI] = [15.4, 38.8]), but less so currently (n = 2/55, 3.6%, 95% CI = [0.0, 8.7]). In addition, nine (n = 9/59, 15.3%, 95% CI = [5.8, 24.7]) had subthreshold, but highly symptomatic, syndromes post event. There was no association of PTSD with direct/indirect bite involvement, gender, or prior trauma. Two respondents were at risk of suicidal behaviour. PTSD was commonly reported by those without a partner (odds ratio [OR] = 5.91, 95% CI = [1.52, 22.99], p = 0.01) or with two friends or fewer to rely on (OR = 5.83, 95% CI = [1.62, 21.01], p = 0.01). PTSD was more likely in those with a negative media experience (n = 34/52, 65.4%, OR = 11.90, 95% CI = [1.42, 100.04], p = 0.02) and 61.5% (n = 32/52) of respondents reported media coverage lasting months or years. In multivariate modelling, negative media impact, relationship status and friendships were independently associated with PTSD and explained much of the variance in PTSD (F-4,F-41 = 10.94, p 0.0001, r(2) = 0.52). Conclusion: Nearly one-third of members of an Australian shark-bite peer-support group report post-event PTSD, and one-quarter of these were not present at the time of the event. Findings support interventions targeting negative media impact, similar to media reporting guidelines for suicide, and enhancing social support.
机译:目的:鲨鱼咬伤很少,具有激烈的媒体曝光。没有已知的这种特定类型创伤事件的心理影响的研究。这是第一项研究,描述了直接和间接受影响的研究,并评估创伤后应激障碍(PTSD)和相关危险因素的患病率。方法:邀请124名澳大利亚鲨鱼咬合同行支持小组成员填写在线调查评估人口,事件,媒体和心理因素。响应率为48%(n = 60,63%,男性,44 +/- 14岁)。使用PTSD的回顾性和当前测量(DSM-5 [PCL-5]的第四次核对清单)和自由性(自杀式识别属性尺度缩放[SIDAS-5])。结果:在该样品中,事后PTSD普遍存在(n = 16/59,27.1%,95%置信区间[CI] = [15.4,38.8]),但目前较少(n = 2/55,3.6%, 95%CI = [0.0,8.7])。此外,九次(n = 9/59,15.3%,95%CI = [5.8,24.7])具有亚阈值,但具有高度症状,综合征的事件。 PTSD与直接/间接咬合参与,性别或先前创伤没有关联。两个受访者面临自杀行为的风险。没有合作伙伴的人报告的第四杆(差价率[或] = 5.91,95%Ci = [1.52,22.99],P = 0.01)或两个朋友或更少依赖于(或= 5.83,95%CI = [1.62,21.01],p = 0.01)。 PTSD在具有负介质体验的那些中更有可能(n = 34/52,65.4%,或= 11.90,95%Ci = [1.42,100.04],p = 0.02)和61.5%(n = 32/52)的那些受访者报告媒体覆盖持续数月或数年。在多变量建模中,负介质影响,关系状态和友谊与PTSD独立相关,并解释了PTSD(F-4,F-41 = 10.94,P <0.0001,R(2)= 0.52的大部分方差。结论:澳大利亚Shark-Bite Peer-Support Group举报的近三分之一的成员举行的活动后应激障碍,其中四分之一在活动时不存在。调查结果支持针对负媒体影响的支持干预,类似于自杀的媒体报告指南,并加强社会支持。

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