災後心理反應歷程與心理處置歷程之長期追蹤研究─子計畫二：九二一震災後高危險個案心理反應長期追蹤研究(1/5)

This study aims to investigate trauma exposure, resource loss, and impacts on quality of life (QOC) and PTSD symptoms of middle-aged adults living near the epicenter two years post the Taiwan 921 Earthquake. Two hundred and sixty nine adults from the 3 most severely damaged county were evaluated by semi- structured interview with self-report measures including the Posttraumatic Stress Reaction Index, WHOQOL-BREF (Taiwan version), Earthquake Exposure Index, and information about changes of financial condition and demographic background. Results of preliminary analyses indicate that: 1) more than half of the adult survivors reported adverse change of physical / psychological health and outlook of life; 2) concerning interpersonal relationships, about 8-19% reported adverse changes but the other 13-21% got improved; 3) some factors of trauma exposure such as copse-witness and past trauma experience yield different effects on various PTSD symptoms and various aspects of QOL. Results will be discussed in terms of the interplay of resource loss, resource gain, and PTSD symptoms along a successful posttraumatic recovery process.