RESUMO
BACKGROUND AND AIM: To document long-term prevalence trends and changes in post-traumatic stress disorder (PTSD), current major depression (MD), agoraphobia, generalized anxiety disorder (GAD), and panic disorder, in two groups of people with different levels of exposure to a massive terrorist attack. METHODS: Cohort study. Two random samples of people exposed to a terrorist attack, the injured (n=127) and community residents (n=485) were followed and assessed, 2 and 18 months after the event. RESULTS: Among the injured, 2 and 18 months after the attack, the prevalences were respectively, PTSD: 44.1% and 34%, MD: 31.5% and 23.7%, agoraphobia: 23.8% and 20.7%, GAD: 13.4% and 12.4% and panic disorder: 9.4% and 11.3%. The corresponding figures among residents were PTSD: 12.3% and 3.5%, MD: 8.5% and 5.4%, agoraphobia: 10.5% and 8.7%, GAD: 8.6%, and 8.2% and panic disorder 2.1% and 2.7%. CONCLUSIONS: Two months after the event, the prevalence of mental disorders among both injured and residents was higher than expected levels at baseline conditions. Eighteen months after the event, psychopathological conditions did not change significantly among the injured but returned to the expected baseline rates among community residents.
Assuntos
Transtornos de Ansiedade , Transtorno Depressivo Maior , Psicopatologia/estatística & dados numéricos , Sobreviventes , Terrorismo/psicologia , Transtornos de Ansiedade/epidemiologia , Transtornos de Ansiedade/etiologia , Transtornos de Ansiedade/reabilitação , Estudos de Coortes , Transtorno Depressivo Maior/epidemiologia , Transtorno Depressivo Maior/etiologia , Transtorno Depressivo Maior/reabilitação , Humanos , Prevalência , Psicopatologia/métodos , Características de Residência/estatística & dados numéricos , Espanha/epidemiologia , Análise de Sobrevida , Sobreviventes/psicologia , Sobreviventes/estatística & dados numéricosRESUMO
The Spanish Research Network in Liaison Psychiatry and Psychosomatics (REPEP) comprises 11 centers (nodes), and was one of the successful applicants in a very competitive call for a networking program for the National Institute of Health "Carlos III" project. This article describes its general objectives and strategic plans. Both qualitative and quantitative results support our statement that this "perspective" should help to enlarge what is presently a small specialty. Synergies in the network have been potentiated; an ambitious national study on depressive comorbidity in complex medical patients has been executed; and new research and training programs have been initiated.