陳淑惠2006-07-252018-06-282006-07-252018-06-282002http://ntur.lib.ntu.edu.tw/bitstream/246246/9705/1/902625Z002034.pdfThis 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.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。第一年度以高危險群個案的各項心理指標的基礎線之確立為主，主要的研究任務是針對重建區的高危險群居民之心理健康與適應做追蹤探討。 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。本子計畫以九二一震災後埔里（南投縣）的成年高危險群為主要研究對象(N=259)，進行長期追蹤訪談與評估，以瞭解其身心健康與社會人際關係之改變方向，以及災後的生活品質與PTSD 症狀，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。application/pdf43528 bytesapplication/pdfzh-TW國立臺灣大學心理學系暨研究所posttraumatic psycho logical responsesquality of life921 Chi-Chi Earthquakeadult survivorPTSD 症狀生活品質九二一地震成年倖存者追蹤研究reporthttp://ntur.lib.ntu.edu.tw/bitstream/246246/9705/1/902625Z002034.pdf