THE EFFECTS OF A NATURAL DISASTER ON CHILD-BEHAVIOR - EVIDENCE FOR POSTTRAUMATIC STRESS
THE EFFECTS OF A NATURAL DISASTER ON CHILD-BEHAVIOR - EVIDENCE FOR POSTTRAUMATIC STRESS
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DOI：
10.2105/ajph.83.11.1549
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发表时间：
1993-11-01
影响因子：
12.7
通讯作者：
STEIN, ZA
中科院分区：
文献类型：
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作者：
DURKIN, MS;KHAN, N;STEIN, ZA
目标。一项对孟加拉国洪灾前后儿童进行的前瞻性研究被用来检验应激事件在儿童行为障碍的发展中起因果作用的假设。灾难发生前六个月，在对2至9岁儿童的残疾进行流行病学研究期间，对选定的行为问题进行了结构化测量。灾难发生5个月后，对162名幸存儿童的代表性样本进行了重新评估。在洪水前和洪水后的评估中，攻击性行为的患病率从零增加到近10%，在洪水前有膀胱控制的134名儿童中，有45名(34%)出现了遗尿。这些结果有助于确定什么可以被认为是儿童创伤后痛苦的症状；它们还有助于提供越来越多的证据，表明需要制定和评估旨在改善儿童暴露在极端和创伤情况下的行为和心理后果的干预措施。
Objectives. A prospective study of children examined both before and after a flood disaster in Bangladesh is used to test the hypothesis that stressful events play a causal role in the development of behavioral disorders in children.Methods. Six months before the disaster, structured measures of selected behavioral problems were made during an epidemiological study of disability among 2- to 9-year-old children. Five months after the disaster, a representative sample of 162 surviving children was reevaluated.Results. Between the pre- and postflood assessments, the prevalence of aggressive behavior increased from zero to nearly 10%, and 45 of the 134 children who had bladder control before the flood (34%) developed enuresis.Conclusions. These results help define what may be considered symptoms of posttraumatic distress in childhood; they also contribute to mounting evidence of the need to develop and evaluate interventions aimed at ameliorating the behavioral and psychological consequences of children's exposure to extreme and traumatic situations.