Psychopathology among New York city public school children 6 months after September 11
Psychopathology among New York city public school children 6 months after September 11
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DOI：
10.1001/archpsyc.62.5.545
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发表时间：
2005-05-01
影响因子：
--
通讯作者：
Susser, E
中科院分区：
文献类型：
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作者：
Hoven, CW;Duarte, CS;Susser, E
背景：暴露于创伤性事件的儿童可能有更高的风险患上精神障碍。然而，儿童精神病理学的患病率尚未在暴露于不同程度的集体创伤或一系列disorder.Objective：为了确定2001年9月11日世界贸易中心袭击事件后6个月纽约市公立学校学生中可能的精神障碍的患病率和相关性，设计：调查。纽约市公立学校。参与者：在全市范围内，随机抽取了8236名4至12年级的学生，包括在最接近世贸中心遗址的地方进行的过抽样（归零地）和其他高风险地区。主要成果指标：采用儿童预测量表的诊断性访谈时间表对儿童进行可能的精神障碍筛查。在28.6%的儿童中发现了6种可能的焦虑/抑郁障碍中的一种或多种。最常见的是可能的广场恐怖症（14.8%），可能的分离焦虑（12.3%）和可能的创伤后应激障碍（10.6%）。较高的暴露水平对应于所有可能的焦虑/抑郁症的较高患病率。四年级和五年级的女孩和儿童受影响最大。在逻辑回归分析中，儿童的暴露（调整后的比值比，1.62），儿童的家庭成员的暴露（调整后的比值比，1.80），和儿童的先前创伤（调整后的比值比，2.01）与可能的焦虑/抑郁障碍的可能性增加。结果进行了调整，不同类型的曝光，社会人口特征，儿童心理健康服务use.Conclusions：高比例的纽约市公立学校的儿童有可能的精神障碍6个月后，2001年9月11日。这些数据表明，有一个在社区中的儿童焦虑/抑郁症的可能性之间的关系暴露于创伤的水平。研究结果支持了在任何大规模灾难后应用广域流行病学方法进行心理健康评估的必要性。
Context: Children exposed to a traumatic event may be at higher risk for developing mental disorders. The prevalence of child psychopathology, however, has not been assessed in a population-based sample exposed to different levels of mass trauma or across a range of disorders.Objective: To determine prevalence and correlates of probable mental disorders among New York City, NY, public school students 6 months following the September 11, 2001, World Trade Center attack.Design: Survey.Setting: New York City public schools.Participants: A citywide, random, representative sample of 8236 students in grades 4 through 12, including oversampling in closest proximity to the World Trade Center site (ground zero) and other high-risk areas.Main Outcome Measure: Children were screened for probable mental disorders with the Diagnostic Interview Schedule for Children Predictive Scales.Results: One or more of 6 probable anxiety/depressive disorders were identified in 28.6% of all children. The most prevalent were probable agoraphobia (14.8%), probable separation anxiety (12.3%), and probable posttraumatic stress disorder (10.6%). Higher levels of exposure correspond to higher prevalence for all probable anxiety/depressive disorders. Girls and children in grades 4 and 5 were the most affected. In logistic regression analyses, child's exposure (adjusted odds ratio, 1.62), exposure of a child's family member (adjusted odds ratio, 1.80), and the child's prior trauma (adjusted odds ratio, 2.01) were related to increased likelihood of probable anxiety/depressive disorders. Results were adjusted for different types of exposure, sociodemographic characteristics, and child mental health service use.Conclusions: A high proportion of New York City public school children had a probable mental disorder 6 months after September 11, 2001. The data suggest that there is a relationship between level of exposure to trauma and likelihood of child anxiety/depressive disorders in the community. The results support the need to apply wide-area epidemiological approaches to mental health assessment after any large-scale disaster.