Children's symptoms of posttraumatic stress and depression after a natural disaster: comorbidity and risk factors.
Children's symptoms of posttraumatic stress and depression after a natural disaster: comorbidity and risk factors.
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DOI：
10.1016/j.jad.2012.08.041
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发表时间：
2013-03-20
影响因子：
6.6
通讯作者：
Short, Mary B.
中科院分区：
文献类型：
--
作者：
Lai, Betty S.;La Greca, Annette M.;Auslander, Beth A.;Short, Mary B.
目前的研究调查了自然灾害艾克飓风后儿童创伤后应激（PTS）和抑郁症状的共病率。我们还比较了有共病症状的儿童和没有共病症状的儿童，检查恢复情况、症状严重程度和危险因素。在灾后8个月和15个月对277名儿童（n=277, 52%女孩，38%西班牙裔，28%白人，19%黑人，2-4年级）进行评估。儿童在两个时间点完成了PTS和抑郁症状的测量，并在灾后8个月完成了暴露和恢复压力源的测量。灾后8个月，13%的儿童报告单纯PTS升高，11%报告单纯抑郁，10%报告PTS和抑郁共病症状。在灾后15个月，7%的儿童报告单纯PTS升高，11%报告单纯抑郁，7%报告PTS和抑郁共病症状。患有PTS和抑郁症共病症状的儿童恢复较差，症状更严重，并且他们报告了更多的暴露和恢复压力源。我们缺乏关于儿童灾前功能和心理困扰症状诊断访谈的信息。有合并症的儿童需要在灾后早期发现。灾后应监测压力源的水平，因为高度压力的青少年很难恢复，可能需要帮助。干预措施应针对有PTS和抑郁症共病症状的儿童。
The current study examined rates of comorbidity among children’s symptoms of posttraumatic stress (PTS) and depression after a natural disaster, Hurricane Ike. We also compared children with comorbid symptoms to children without comorbid symptoms, examining recovery, severity of symptoms, and risk factors. Children (n=277; 52% girls; 38% Hispanic, 28% White, 19% Black; grades 2–4) were assessed at 8 and 15 months postdisaster. Children completed measures of PTS and depressive symptoms at both time points and measures of exposure and recovery stressors at 8 months postdisaster. At 8 months postdisaster, 13% of children reported elevated PTS-only, 11% depression-only, and 10% comorbid symptoms of PTS and depression. At 15 months postdisaster, 7% of children reported elevated PTS-only, 11% depression-only, and 7% comorbid symptoms of PTS and depression. Children with comorbid symptoms of PTS and depression had poorer recovery, more severe symptoms, and they reported greater exposure and recovery stressors. We lacked information on children’s predisaster functioning and diagnostic interview of psychological distress symptoms. Children with comorbid symptoms need to be identified early postdisaster. Levels of stressors should be monitored postdisaster, as highly stressed youth have difficulties recovering and may need help. Interventions should be tailored for children with comorbid symptoms of PTS and depression.
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DOI：
10.1176/appi.ajp.2009.08081244
发表时间：
2009-07
期刊：
The American journal of psychiatry
影响因子：
--
作者：
Brent D;Melhem N;Donohoe MB;Walker M
通讯作者：
Walker M
影响因子：
17.7
作者：
Goenjian, AK;Molina, L;Pynoos, RS
通讯作者：
Pynoos, RS
影响因子：
4.9
作者：
GREENBERG, MT;SIEGEL, JM;LEITCH, CJ
通讯作者：
LEITCH, CJ
影响因子：
6.3
作者：
Blaze, John T.;Shwalb, David W.
通讯作者：
Shwalb, David W.
影响因子：
6.4
作者：
Eksi, Aysel;Braun, Kathryn L.
通讯作者：
Braun, Kathryn L.