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6 I 1995 PTSD Posttraumatic Stress Disorder 2002 3 JSTSS II ABCC Atomic Bomb Casualty Commission RERF

1 1949 50 2 3 3 3 2 1 1951 ; 1958 7.3 1961 30 3 Encephalose Somatose 1961 ; 1963 132 28

1996 a 1959 CMI 100 CMI 19711976 40 1987 37 DSM III 40 DSM III PTSD PTSD 1959 1971 1976 1990 1996GHQ WHO CIDI 19961998

1996 b GHQ 50 2 50 1952 1 3 km 54 1 2 3 4 6 1956 90 Lifton, RJ 1967

Lifton III 1 5 1 5 1996 1996 19972 3 1 V 1998 a ; 1998 b 2 3 5 4 4 5 1 1999 ; 2000 ; 2001 5 4 3 1 5 1 5

Table 1 SD 1 1 274 350 624 5 1 108 187 295 20.2 20.1 20.1 1.21 0.84 0.99 4 6 5 74 183 257 19.4 19.7 19.6 1.18 3.42 2.96 5 5 6 45 83 128 19.2 19.5 19.4 1.09 1.29 1.22 6 9 7 66 160 226 20.4 19.6 19.8 2.59 1.25 1.78 Raphael, B 1986 64 UPI University Personality Inventory 2 K Table 1 1

2 A 5 Fig. 1 2 1 F 4, 152032.64F 1, 152022.64 1 F 4, 15203.64 Bonferroni Table 2 1, 6 Fig. 1 6 1 Bonferroni 1 2, 7 2 5, 6 1 Fig. 1 5 2 Fig. 1

Table 2 SS df MS F 1 2 5 6 7 18.38 1156.46 918.34 509.43 1572.26 1 1 1 1 1 18.38 1156.46 918.34 509.43 1572.26 0.124 7.80 6.20 3.44 10.61 11544.96 10393.05 4 4 2886.24 2598.26 19.48 17.54 225122.37 1520 148.11 :p.05 : p.01 6 9 7 1 2 2 5, 6, 7 1 5 7 5 Fig. 1 2 7 6 B 2 64 2 Table 3 1 1

2 1 Table 3 1 2 5 6 7 44.3 33.6 68.0 63.6 20.9 7.1 70.8 48.6 60.5 19.1 37.4 35.7 28.7 33.9 44.3 27.8 36.5 51.2 44.0 35.7 8.3 27.4 29.8 64.3 66.7 66.7 42.9 41.7 51.7 44.8 41.4 48.3 20.7 20.7 75.9 34.5 62.1 17.7 33.2 24.5 55.5 48.8 11.3 13.2 61.2 36.1 53.4 10.0 21.1 23.3 14.4 22.2 31.1 13.9 23.3 38.2 27.7 15.6 2.3 12.7 17.9 49.7 53.2 51.4 29.5 28.9 29.3 23.2 19.2 27.3 7.1 7.1 53.5 10.1 37.4 6.7 :p.05 : p.01

5 6 1, 2 7 1 C 64 2 Table 4 1 6 1 2 2 5 6 3 7

Table 4 1 2 5 6 7 31.8 34.5 71.7 27.7 64.1 58.4 18.8 44.6 42.1 17.7 50.0 34.6 25.4 60.8 36.2 61.2 53.7 52.2 34.3 7.5 53.7 25.4 91.0 19.4 23.9 20.9 80.6 43.3 71.6 76.1 76.1 49.3 52.8 38.9 22.2 25.0 31.7 29.3 17.1 43.9 19.5 46.3 61.0 68.3 34.1 65.9 22.0 63.4 24.4 27.1 81.3 16.8 55.0 41.6 9.9 35.5 52.7 11.1 58.0 21.8 15.8 48.5 22.4 46.8 38.4 26.3 17.9 1.6 33.2 14.7 77.9 5.8 7.4 6.3 67.9 29.5 54.2 60.0 56.8 28.4 31.5 66.3 5.4 4.3 16.2 14.6 5.9 24.9 8.1 28.1 43.2 50.3 16.2 45.9 10.3 43.8 :p.05 : p.01

D 5 4 6 1 6 6 9 7 7 1 1 7 1 7 5 7 PTSD Green, BL, 1994 a Kroenke, K & Spitzer, R, 19981, 6 6 4.2 1 23.9 23.7 Goenjian, AK 1994 ; 2000 ; Wong, X 2000 1, 2 4 6 5

1991 2000 ; 2001 6 9 7 7 1991 5 4 IV Green 1994 b 2 Port, CL 2001 1980 6 9 1976 29, 204 209

Goenjian, AK, Najarian, LM et al 1994 Posttraumatic stress disorder in elderly and younger adults after the 1988 earthquake in Armenia. Am J Psychiatry, 151, 895 901 Goenjian, AK, Steinberg, AM et al 2000 Prospective study of posttraumatic stress, anxiety, and depressive reactions after earthquake and political violence. Am J Psychiatry, 157, 911 916 Green, BL 1994a Psychosocial research in traumatic stress : an update. J Trauma Stress, 7, 341 362 Green, BL, Grace, MC et al 1994b Children of disaster in the second decade : a 17-year follow-up of Buffalo Creek survivors. J Am Acad Child Adolesc Psychiatry, 33, 71 79 1998 51, 302 304 1971 24, 1098 1101 1956 9, 95 100 1961 36, 706 716 1963 pp. 388 400 Kroenke, K, Spitzer, RL 1998 Gender differences in the reporting of physical and somatoform symptoms. Psychosom Med, 60, 150 155 1952 I 22, 103 110 Lifton, RJ 1967 Death in Life : Survivors of Hiroshima. Random House, New York 1996 1996 49, 404 406 1959 12, 882 892 1991 14, 254 261 1961 36, 717 722 1997

23, 73 84 1998 a 24, 89 108 1998 b PTSD 48 386 101 1999 25, 29 39 2000 CAMPUS HEALTH, 37 1383 387 2001 5 4 43 608 1987 37 40 29, 725 733 1949 1, 50 52 1996 a pp. 1 13 1996b General Health Questionnaire GHQ 30 49, 289 293 Port, CL, Engdahl, B et al 2001 A longitudinal and retrospective study of PTSD among older prisoners of war. Am J Psychiatry, 158, 1474 1479 Raphael, B 1986 When Disaster Strikes : How Individuals and Communities Cope with Catastrophe. Basic Books, New York 1996 49, 400 403 1996 pp. 823 838 1951 5 53, 299 1958 33, 637 639 Wong, X, Gao, L et al 2000 Longitudinal study of earthquake-related PTSD in a randomly selected community sample in north China. Am J Psychiatry, 157, 1260 1266