https://scholars.lib.ntu.edu.tw/handle/123456789/41098
標題: | 災後心理反應歷程與心理處置歷程之長期追蹤研究─子計畫:九二一震災後高危險個案心理反應長期追蹤研究:創傷記憶之探討(I) | 作者: | 陳淑惠 | 關鍵字: | PTSD;traumatic memory;psychosocial adjustment;Taiwan 1999 Chi-Chi earthquake;adult survivors;longitudinal study;創傷後壓力症狀;創傷記憶;社會人際適應;台灣九二一地震;長程追蹤研究 | 公開日期: | 2005 | 出版社: | 臺北市:國立臺灣大學心理學系暨研究所 | 摘要: | This study aims to report the changes of PTSD symptoms and psychosocial adjustment in adult survivors along the five -year follow-up since the Taiwan 1999 Chi-Chi Earthquake. A sample of 105 adult survivors from a highly impacted town near the epicenter, Pu-Li, participated the individual interview and assessment once in a year from the first to the fifth anniversary after the earthquake. The Posttraumatic Stress Reaction Index (PTRSI) was used to assess posttraumatic symptoms. The Psychosocial Change Questionnaire (PCQ) was used for assessing the change pattern in interpersonal, health, and socio-economic domains of life. Moreover, specifically at the present year, the Impact of Events Scale-Chinese Version (IES-C) was used to assess intrusive and avoidance symptom. The 10-item Index of Specific and Overgeneral Memory (ISOM), designed by the authors and composed of four categories, i.e., events, time, place, and person, was used to assess vergenerality of autobiographical memory. Participants were asked to write down their memory about the Chi-Chi earthquake occurred in September 21, 1999. Trained raters then used the ISOM to encode the vergenerality tendency of autobiographical memory. Preliminary analyses showed that prevalence of PTSD symptoms gradually declines along with the posttraumatic process in the first three years, but slightly arises in the recent years. Moreover, it was found that tendency of overgeneral memory correlates inversely with intrusion, but the association no longer exists after controlling for depression. Differently and more specifically, overgeneral memory of event, rather than other categories, correlates inversely with intrusion and such an association still exists after controlling for depression. This study demonstrates the importance of process approach with periodic assessment to investigate individuals and communities affected by natural disasters. Given the variations of different aspects of posttraumatic psycho- social adjustment following a collective disaster experience, the results also suggest an imperative for the government and mental health professionals to implement psychosocial rehabilitation programs better fit for the themes at various post-disaster stages. Finally, limitations of the present study and suggestio ns for future research will be discussed accordingly. 本子計畫承續陳淑惠等(Chen et al.,2000a & 2000b)與吳英璋等(2000b)的研究,進一步地瞭解高危險群個案在震災後各階段的生活與心理面向之動態,以及影響其適應的可能因素。是故,本子計畫的研究目的,旨在瞭解九二一震災後重建區高危險群個案在震災後一年至五年內的長程適應發展特性與可能的疾病傾向,並藉歷程取向(process approach)的研究設計,更有系統性的觀察受災者長期的身心健康與社會人際關係之變化、以擴展災難與創傷的心理病理成因之瞭解角度,並針對不同的受災型態與災後復健階段探索可能的矯治方針與其療效。第一年度將以高危險群個案的各項心理指標的基礎線之確立為主,第二年至第五年的研究,主要的研究任務是針對重建區居民之心理健康與適應做追蹤探討,並以防治並重(intervention & prevention)為研究目標。此外,根據五年的追蹤研究結果,亦可檢驗本子計畫自行發展的本土研究工具以及沿用國內外學者所發展之診斷、評量工具,以建立較為客觀的防災心理研究工具之資料檔與高危險群個案的資料庫。本子計畫第五年度繼續針對前一年的受試者進行訪談、心理症狀量表等之評量,以瞭解其身心健康與社會人際關係之改變方向。本報告綜合本年度以及前四年度資料,比較了成年倖存者在心理症狀、社會人際關係、與社會經濟生活人際健康上的變動趨勢,以及對地震經驗的創傷記憶的特性。研究結果期能作為後續探討與災後心理復健介入方案之設計的基礎,以及建構災後社區心理復健計畫之參考。 |
URI: | http://ntur.lib.ntu.edu.tw/bitstream/246246/9753/1/932625Z002037.pdf | 其他識別: | 932625Z002037 | Rights: | 國立臺灣大學心理學系暨研究所 |
顯示於: | 心理學系 |
檔案 | 描述 | 大小 | 格式 | |
---|---|---|---|---|
932625Z002037.pdf | 111.46 kB | Adobe PDF | 檢視/開啟 |
在 IR 系統中的文件,除了特別指名其著作權條款之外,均受到著作權保護,並且保留所有的權利。