大地震倖存者罹患精神疾病接受居家治療的預後與生活品質之追蹤

Quality of Life and Severity of Psychiatric Symptoms in Survivors of a Major Earthquake

林昌億(Chang-Yi Lin) ； 黃敏偉(Min-Wei Huang) ； 煌智(Frank Huang-Chin Chou) ； 歐陽文貞(Wei-Chen Ou-Yang) ； 蔡東杰(Tung-Chieh Tsai) ； 陳明招(Ming-Chou Chen)

《Mid-Taiwan Journal of Medicine》 9卷s_1期 (2004/10) Pp. 9-15

https://doi.org/10.6558/MTJM.2004.9(s_1).2

摘要

Objectives. The purpose of this study was to evaluate the quality of life and severity of
psychiatric symptoms in post-earthquake survivors receiving home therapy.
methods. In this cross sectional study, we evalvated 84 patients who had psychiatric
illnesses during an original assessment shortly after an earthquake by the Mini
International Neuropsychological Interview (MINI). Trained assistants evaluated
survivors in the 4th and 21st month after the earthquake by the Disaster-related
Psychological Screening Test (DRPST) and the 36-item Short Form (SF-36). We
interviewed a total of 60 patients (19 men, 41 women; age range 61.0±13.8 years). The
results were analyzed by Windows SPSS 10.0 software.
Results. Symptoms such as major depressive episodes and posttraumatic stress disorder
at the initial post-earthquake evaluation improved in a significant number (31.7%) of
survivors. The overall DRPST scores decreased after home therapy. Quality of life
improved significantly according to the subscale scores of the SF-36, especially for “role
limitation due to physical problems” and “role limitation due to mental problems”.
Many survivors recovered completely.
Conclusions. Mental disorders and quality of life in post-earthquake survivors improved
during long term follow-up.

關鍵字

災難相關心理篩檢量表 ； 36-簡易生活品質調查表 ； 迷你國際神經精神科會談 ； 創傷後壓力症候群

並列摘要

Objectives. The purpose of this study was to evaluate the quality of life and severity of
psychiatric symptoms in post-earthquake survivors receiving home therapy.
methods. In this cross sectional study, we evalvated 84 patients who had psychiatric
illnesses during an original assessment shortly after an earthquake by the Mini
International Neuropsychological Interview (MINI). Trained assistants evaluated
survivors in the 4th and 21st month after the earthquake by the Disaster-related
Psychological Screening Test (DRPST) and the 36-item Short Form (SF-36). We
interviewed a total of 60 patients (19 men, 41 women; age range 61.0±13.8 years). The
results were analyzed by Windows SPSS 10.0 software.
Results. Symptoms such as major depressive episodes and posttraumatic stress disorder
at the initial post-earthquake evaluation improved in a significant number (31.7%) of
survivors. The overall DRPST scores decreased after home therapy. Quality of life
improved significantly according to the subscale scores of the SF-36, especially for “role
limitation due to physical problems” and “role limitation due to mental problems”.
Many survivors recovered completely.
Conclusions. Mental disorders and quality of life in post-earthquake survivors improved
during long term follow-up.

並列關鍵字

DRPST ； MINI ； PTSD ； SF-36