2019-01-012024-05-13https://scholars.lib.ntu.edu.tw/handle/123456789/654402摘要：研究目的：本研究擬探討九二一集集大震倖存者在震災二十年後的心理健康與適應狀態。擬探討變項包含創傷後壓力症（posttraumatic stress disorder, PTSD）症狀、憂鬱症狀、創傷後成長、生活品質、其他精神症狀。研究目的為：（一）調查九二一大震倖存者的災後身心反應與創傷後成長（posttraumatic growth, PTG）的長期變動趨勢；（二）調查災難前、災難當下、以及災難後等相關因素，如何影響創傷後身心反應與創傷後成長的變動與維持；（三）調查九二一大震倖存者災後二十年的PTSD、重鬱症、PTG盛行率及生活品質；（四）探討PTSD、憂鬱症狀及PTG三者的時序關聯性。 研究方法：參與者包含兩群樣本，其一為九二一震災初期參與吳英璋與陳淑惠（2001）九二一震災心理適應調查的南投埔里鎮與台中東勢鎮成人倖存者，其二為未參與前述計畫的新邀請九二一震災倖存者，但仍以埔里與東勢地區原有住民為主，估計共完成400位倖存者訪問。預計調查變項包含數項創傷與心理適應指標（PTSD、憂鬱症、PTG、生活品質等）與災難前、災難當時及災難後的促進或保護因子。 預期結果：（一）九二一大震20年後，震災倖存者的PTSD與重鬱症盛行率與一般社區民眾類似；（二）九二一倖存者的PTSD與重鬱症比例及整體症狀較地震初期大幅下降；（三）有高比例的九二一倖存者出現PTG；（四）不同的災難前、災難當時及災難後因子（如災難暴露、災後生活壓力、假定撼動及資源流失）可顯著預測九二一20年的PTSD與重鬱症狀；及（五）正向人格、自我效能、因應、社會支持及認知變項可預測九二一災後20年的PTG。 <br> Abstract: Objectives: This study, with a 20-year follow-up design, aims to explore the mental health and adjustment of the residents impacted by the 921 Chi-Chi Earthquake. The study plans to investigate posttraumatic stress disorder (PTSD) symptoms, depression symptoms, post-traumatic growth (PTG), quality of life, and other psychiatric symptoms as well as the correlates including positive personality, self-efficacy, coping, social support, and so on. Specifically, the study purposes include: 1) to investigate the long-term trends of post-disaster physical and psychological responses and PTG on the impacted adults of the 921 earthquake; 2) to explore potential pre-, peri-, and post-disaster factors accounting for changes and maintenance of post-traumatic physical and psychological responses and PTG; 3) to investigate the prevalence of PTSD, depression, PTG, and quality of life 20 years after the disaster; and 4) to explore the temporal associations of the presentation of PTS symptoms, depression, and PTG. Methods: The study plans to recruit 400 participants from two samples, i.e., firstly and the priority, the adult survivors of Puli Township in Nantou and Dong-Shi Township of Taichung who have participated in the earlier studies concerning the psychological consequences of the 921 Chi-Chi earthquake conducted by Professors Eng-Chang Wu and Sue-Huei Chen in 2001-2015, and secondly, the adults who has resided in aforementioned two townships and impacted by the earthquake, but have not participated in the earlier studies. The survey will include measures of trauma experiences (i.e., pre- & peri-disaster conditions), psychological responses (i.e., PTSD, depression, PTG, quality of life, etc.), and pre- and post-disaster risk and protective factors. The survey is planned to be conducted at an individual base and during the spring and summer of 2019, the period before the 20th anniversary of the Chi-Chi Earthquake. Expected Results: 1) the prevalence of PTSD and depression resulted from the 1999 Chi-Chi earthquake in the impacted residents 20 years later will be similar to that of the general community; 2) the prevalence of PTS symptoms and disorder as well as depression in earthquake-impacted adults will be reduced 20 years later; 3) a substantial proportion of the survivors will develop PTG; 4) pre- and post-disaster factors (such as disaster exposure, post-disaster life stress, core assumption, and resource loss) will predict later PTSD and depression symptoms in earthquake-impacted adults; and (5) positive personality, self-efficacy, coping, social support, and some cognitive appraisals will predict PTG of earthquake-impacted adults 20 years after the earthquake.九二一集集大地震追蹤研究創傷後壓力疾患憂鬱創傷後成長921 Chi-Chi Earthquakefollow-up studyposttraumatic stress symptomsdepressionposttraumatic growth