{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T12:18:46Z","timestamp":1790857126527,"version":"4.1.0"},"reference-count":49,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2023,10,5]],"date-time":"2023-10-05T00:00:00Z","timestamp":1696464000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["71874115"],"award-info":[{"award-number":["71874115"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Evidence Based Medicine"],"published-print":{"date-parts":[[2023,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Post\u2010traumatic stress disorder (PTSD) is a prevalent condition characterized by prolonged psychological distress following traumatic events encompassing serious health threats, domestic abuse, and natural disasters. The onset and persistence of PTSD can be attributed to advanced age. This study aimed to explore the occurrence and influencing factors of enduring post\u2010traumatic stress disorder (PTSD) in survivors aged 60 years and over in the main area of the 2008 Wenchuan earthquake 10 years after the disaster.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Data were collected using a multistage sampling method from individuals aged 60 years and older living in the main impacted areas of Wenchuan 10 years after the Wenchuan earthquake. The PTSD Checklist\u2010Civilian Version (PCL\u2010C) was used to evaluate PTSD symptoms. We evaluated participants based on their PTSD symptoms: those exhibiting and those without. The latter group was four times the size of the former and was matched based on gender and age (within\u00a0\u00b1\u00a02 years). Conditional logistic regression was used to discern the risk factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Out of the total, 56 participants were recognized as having probable PTSD as per the PCL\u2010C checklist, leading to a rate of 9.4% (56\/588). The univariate conditional logistic regression values showed that playing Mahjong\/poker (odds ratio (OR)\u00a0=\u00a00.394, 95% confidence interval (CI)\u00a0=\u00a00.171\u20130.911) and displacement (OR\u00a0=\u00a00.446, 95% CI\u00a0=\u00a00.220\u20130.907) were protective factors for the long\u2010term mental health of survivors in the hard\u2010hit areas, while the presence of a 2\u2010week illness (OR\u00a0=\u00a03.605, 95% CI\u00a0=\u00a01.751\u20137.424), possessing insurance (OR\u00a0=\u00a00.250, 95% CI\u00a0=\u00a00.072\u20130.864), suffering from a chronic ailment (OR\u00a0=\u00a03.132, 95% CI\u00a0=\u00a01.2\u20138.174), and having an injured family member (OR\u00a0=\u00a02.26, 95% CI = 1.136\u20134.496) emerged as risk factors for PTSD symptoms. Multivariate analysis indicated that the absence of insurance and prevalence of 2\u2010week illness correlated with increased PTSD symptoms.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Ten years after the Wenchuan earthquake, the prevalence of probable PTSD remained significantly high in the elderly population. The major risk factors were the absence of insurance and the occurrence of a 2\u2010week illness. Policymakers should incorporate these findings when devising strategies for aging societies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jebm.12557","type":"journal-article","created":{"date-parts":[[2023,10,5]],"date-time":"2023-10-05T15:47:52Z","timestamp":1696520872000},"page":"455-464","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Assessment of post\u2010traumatic stress disorder (PTSD) in elderly survivors of the Wenchuan earthquake: A cross\u2010sectional study"],"prefix":"10.1111","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0451-7205","authenticated-orcid":false,"given":"Yang","family":"Peng","sequence":"first","affiliation":[{"name":"Office of the President West China Hospital Sichuan University  Chengdu Sichuan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bingqing","family":"Lu","sequence":"additional","affiliation":[{"name":"Hospital of Chengdu University of Traditional Chinese Medicine  Chengdu Sichuan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jin","family":"Wen","sequence":"additional","affiliation":[{"name":"Institute of Hospital Management, West China Hospital Sichuan University  Chengdu Sichuan China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,10,5]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12888-020-2474-z"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2019.11.162"},{"key":"e_1_2_9_4_1","first-page":"1","article-title":"PTSD and suicidal behaviors amongst L'Aquila 2009 earthquake young survivors","volume":"9","author":"Carmassi C","year":"2021","journal-title":"Front Public 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