Serious emotional disturbance among youths exposed to Hurricane Katrina 2 years postdisaster.
Serious emotional disturbance among youths exposed to Hurricane Katrina 2 years postdisaster.
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DOI：
10.1097/chi.0b013e3181b76697
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发表时间：
2009-11
影响因子：
13.3
通讯作者：
Kessler RC
中科院分区：
文献类型：
--
作者：
Mclaughlin KA;Fairbank JA;Gruber MJ;Jones RT;Lakoma MD;Pfefferbaum B;Sampson NA;Kessler RC
评估卡特里娜飓风后18-27个月儿童和青少年严重情绪障碍（SED）的患病率，以及与飓风相关压力源、社会人口统计学和家庭因素的关系。对受卡特里娜飓风影响地区的飓风前居民进行了一次电话调查。受访者提供了最多两个4-17岁子女（n=797）的信息。调查评估了飓风相关的压力源和被调查者的精神病理史，使用优势与困难问卷（SDQ）对被调查者的孩子进行了12个月的SED筛查，并确定儿童的情绪和行为问题是否归因于卡特里娜飓风。据估计，SED的患病率为14.9%，其中9.3%的青少年直接与卡特里娜飓风有关。压力暴露与SED密切相关，20.3%的高压力暴露青年患有飓风可归因于SED。在飓风前的新奥尔良居民中，亲人的死亡与SED的关联最强，而在其余的样本中，暴露于身体逆境的关联最强。在有压力暴露的儿童中，父母精神病理和贫困与SED有关。在卡特里娜飓风过后的18-27个月，受飓风影响的青少年中，SED的患病率仍然很高，这表明飓风影响地区对心理健康治疗资源的需求很大。暴露于飓风相关压力源、有精神病理家族史、家庭收入较低的青少年患长期精神障碍的风险最大。
To estimate the prevalence of serious emotional disturbance (SED) among children and adolescents exposed to Hurricane Katrina along with the associations of SED with hurricane-related stressors, socio-demographics, and family factors 18–27 months following the hurricane. A probability sample of pre-hurricane residents of areas affected by Hurricane Katrina was administered a telephone survey. Respondents provided information on up to two of their children (n=797) aged 4–17. The survey assessed hurricane-related stressors and lifetime history of psychopathology in respondents, screened for 12-month SED in respondents’ children using the Strengths and Difficulties Questionnaire (SDQ), and determined whether children’s emotional and behavioral problems were attributable to Hurricane Katrina. The estimated prevalence of SED was 14.9%, and 9.3% of youth were estimated to have SED that is directly attributable to Hurricane Katrina. Stress exposure was associated strongly with SED, and 20.3% of youth with high stress exposure had hurricane-attributable SED. Death of a loved one had the strongest association with SED among pre-hurricane residents of New Orleans, whereas exposure to physical adversity had the strongest association in the remainder of the sample. Among children with stress exposure, parental psychopathology and poverty were associated with SED. The prevalence of SED among youth exposed to Hurricane Katrina remains high 18–27 months after the storm, suggesting a substantial need for mental health treatment resources in the hurricane-affected areas. Youth who were exposed to hurricane-related stressors, have a family history of psychopathology, and have lower family incomes are at greatest risk for long-term psychiatric impairment.