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)
Date Issued
2005
Date
2005
Author(s)
DOI
932625Z002037
Abstract
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.
Subjects
PTSD
traumatic memory
psychosocial adjustment
Taiwan 1999 Chi-Chi earthquake
adult survivors
longitudinal study
Publisher
臺北市：國立臺灣大學心理學系暨研究所
Type
report
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