2004-08-012024-05-18https://scholars.lib.ntu.edu.tw/handle/123456789/703310摘要：本子計畫擬承續陳淑惠等(Chen, Hung, Lin, & Tseng, 2000, 2002; 陳淑惠、林耀盛、洪福建、曾旭民，2000)與吳英璋等(吳英璋，2000；吳英璋、陳淑惠、曾旭民，2000)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，第二年至第五年的研究，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，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<br> Abstract: The proposed 5-year research aims to investigate the development of post-921 Earthquake psychopathology among survivors at risk as well as the implementation of prevention/intervention programs and their effects. It is assumed that, along with the time flow post the devastating 921 Earthquake, the adjustment patterns of those who are at higher risk for posttraumatic stress disorder and/or posttraumatic illnesses may fluctuate as well. Extant literature suggests that early interventions may prevent the victims from developing more severe problems. Moreover, better and more thorough assessment may lead to more specific intervention programs for survivors at risk. Thus, it is of great importance to explore the prevalence rate of PTSD & PTI, and its related factors such as adjustment patterns and problem characteristics, and psycho-etiological factors. In order to better our understanding of post-disaster psychopathology and extend the scope of intervening approaches for the high-risk, a five-year research project will be designed. In the first year, it is proposed to study on the survivors at risk with respect to the baseline of their symptom manifestations, interpersonal adjustment, and psychological functioning. About four hundred adult subjects will be recruited, based on their score pattern of previous studies (i.e., Chen, Hung, Lin, & Tseng, 2000, 2002; Chen, Lin, Hung, & Tseng, 2000; Wu et al., 2000b) and special referral from local mental health professionals. In the consecutive 4 years, a follow-up assessment will be proposed, in that further exploration of risk factors as well as intervention program and its effects will be examined. It is hoped that a more specific prevention/intervention programs to reduce the risk for PTSD & PTI and improve life quality for adult survivors at risk will be generated based on the present five-year prospective study. Moreover, psychometrically sounded tools for research and clinical use in trauma psychology will be examined and suggested. As the fourth-year research, the proposed study, based on findings from previous studies, aims to explore traumatic memory and its potential association with PTSD and trauma-related emotions. Meanwhile, it is planned to reassess psychiatric symptoms, subjective physical and psychological health status, quality of life, and changes of interpersonal relationships. The proposed study will recruit those who continue from previous year as candidates for follow-up, including adult residents living in Pu-Li Town and suburban prefabricated houses (N=191). In-depth interview, psychological assessment, and related scales will be administered at individual base. Specific individual and/or group interventions will then be designed in order to reduce the risk for PTSD and related problems.創傷記憶PTSD追蹤研究介入方案九二一地震traumatic memoryPTSDlongitudinal follow-up studypost-921 earthquake interventionTaiwan 921 Earthquake