W J Dai1, L Chen2, H Z Tan1, Z W Lai1, S M Hu1, Y Li1, A Z Liu1. 1. School of Public Health, Central-south University, Changsha 410008, China. 2. Emergency Management, Zhuhai Center for Disease Control and Prevention, Zhuhai 519000, China; School of Public Health, Central-south University, Changsha 410008, China.
Abstract
OBJECTIVE: To explore the long-term prognosis and influence of social support and coping style of patients with post-traumatic stress disorder (PTSD) after suffering from floods. METHODS: Patients suffered PTSD due to Dongting lake flood in 1998 were selected through cluster random sampling. PTSD scale civilian version (PCL-C) was used to examine and diagnose the participants in this study. PTSD was then evaluated by the social support rating scale (SSRS) and the simple coping style questionnaire (SCSQ). RESULTS: Among all the 120 subjects, 14(11.67%) of them were diagnosed as having PTSD. Compared with the rehabilitation group, scores on subjective support, objective support, total social support and positive coping, total of coping style from the non-rehabilitation group all appeared significant low (P<0.05). Data from the multivariate logistic regression showed that social support (OR=0.281, 95% CI: 0.117-0.678) and coping style (OR= 0.293, 95% CI: 0.128-0.672) were protective factors of the chronic PTSD after the floods while disaster experience (OR=1.626, 95%CI: 1.118-2.365) appeared as a risk factor. CONCLUSION: Chronic PTSD developed after the floods called for attention. Better social support, positive coping style could significantly improve the long-term prognosis of patients with PTSD after the floods.
OBJECTIVE: To explore the long-term prognosis and influence of social support and coping style of patients with post-traumatic stress disorder (PTSD) after suffering from floods. METHODS:Patients suffered PTSD due to Dongting lake flood in 1998 were selected through cluster random sampling. PTSD scale civilian version (PCL-C) was used to examine and diagnose the participants in this study. PTSD was then evaluated by the social support rating scale (SSRS) and the simple coping style questionnaire (SCSQ). RESULTS: Among all the 120 subjects, 14(11.67%) of them were diagnosed as having PTSD. Compared with the rehabilitation group, scores on subjective support, objective support, total social support and positive coping, total of coping style from the non-rehabilitation group all appeared significant low (P<0.05). Data from the multivariate logistic regression showed that social support (OR=0.281, 95% CI: 0.117-0.678) and coping style (OR= 0.293, 95% CI: 0.128-0.672) were protective factors of the chronic PTSD after the floods while disaster experience (OR=1.626, 95%CI: 1.118-2.365) appeared as a risk factor. CONCLUSION: Chronic PTSD developed after the floods called for attention. Better social support, positive coping style could significantly improve the long-term prognosis of patients with PTSD after the floods.