Posttraumatic stress disorder and its risk factors among adolescent survivors three years after an 8.0 magnitude earthquake in China.
Posttraumatic stress disorder and its risk factors among adolescent survivors three years after an 8.0 magnitude earthquake in China.
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DOI：
10.1186/1471-2458-14-1073
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发表时间：
2014-10-15
影响因子：
4.5
通讯作者：
Jiang X
中科院分区：
文献类型：
--
作者：
Tian Y;Wong TK;Li J;Jiang X
地震后，儿童和青少年可能会出现严重和长期的精神后果，包括发展为创伤后应激障碍(PTSD)。虽然近年来研究人员对创伤后应激障碍的研究很多，但由于样本量有限，在一场巨大的自然灾害后，其患病率和危险因素仍不清楚。本研究旨在探讨汶川地震三年后青少年幸存者中创伤后应激障碍(PTSD)的患病率，描述PTSD症状，并找出PTSD的危险因素。本研究以地震灾区三所中学的4604名青少年为研究对象。工具包括人口统计学问卷、关于地震暴露的问卷、社会支持评定量表(SSA)、创伤后应激障碍检查表-平民版(PCL-C)和结构化DSM-IV障碍临床访谈(SCID)。创伤后应激障碍的患病率为5.7%(频率：N = 261)，最常见的症状是提醒时的苦恼(64.5%)、注意力集中(59.1%)、易受惊吓(58.6%)。房屋财产损失、受伤、家人死亡、亲人目击死亡是创伤后应激障碍的积极危险因素，体育锻炼和社会支持是创伤后应激障碍的消极危险因素。需要专业和有效的干预措施来减少汶川地震后青少年创伤后应激障碍的发展，特别是那些在地震中失去房屋或财产和失去家人、亲眼目睹死亡和缺乏社会支持的青少年。此外，受伤青少年和缺乏体育锻炼的青少年也需要干预，因为风险很高。
Serious and long-lasting psychiatric consequences can be found in children and adolescents following earthquake, including the development of posttraumatic stress disorder (PTSD). Although researchers have been focused on PTSD recently, its prevalence and risk factors after a huge natural disaster are still unclear because of limited sample size. The purpose of this study is to explore the prevalence of posttraumatic stress disorder (PTSD) in adolescent survivors three years after the Wenchuan earthquake, describe PTSD symptoms, and to find out risk factors of PTSD. A total of 4,604 adolescents from three middle schools which located in earthquake-stricken areas were recruited in this study. Instruments included the demographic questionnaire, questionnaire about earthquake exposure, the Social Support Appraisal Scale (SSA), the Posttraumatic stress disorder Checklist-Civilian Version (PCL-C), and the structured clinical interview for DSM-IV Disorders (SCID). The prevalence rate of PTSD was 5.7% (frequency: n = 261), and the most commonly occurring symptoms of PTSD were distress at reminders (64.5%), difficulty concentration (59.1%), and being easily startled (58.6%). Loss of houses and property, being injured, deaths of family members, and witness of death are positive risk factors of PTSD, and physical exercise and social support are negative risk factors of PTSD. Professional and effective interventions are needed to reduce the development of PTSD among adolescents after the Wenchuan earthquake, especially for these who lost their houses or property and lost their family members, witnessed death, and lacked of social support in the earthquake. Moreover, injured adolescents and adolescents who lacked of physical exercise also need intervention due to high risk.
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影响因子：
4.2
作者：
Zhang, Weiqing;Jiang, Xiaolian;Wu, Dongmei
通讯作者：
Wu, Dongmei
影响因子：
4.4
作者：
Cerda, M.;Bordelois, P. M.;Galea, S.;Norris, F.;Tracy, M.;Koenen, K. C.
通讯作者：
Koenen, K. C.
影响因子：
3.3
作者：
Galea, Sandro;Tracy, Melissa;Coffey, Scott F.
通讯作者：
Coffey, Scott F.
影响因子：
5.2
作者：
Kun, P.;Chen, X.;Yao, L.
通讯作者：
Yao, L.
影响因子：
1.9
作者：
Salcioglu, E;Basoglu, M;Livanou, M
通讯作者：
Livanou, M