Traumatic experiences and mental health consequences among child survivors of the 2008 Sichuan earthquake: a community-based follow-up study.

Traumatic experiences and mental health consequences among child survivors of the 2008 Sichuan earthquake: a community-based follow-up study.
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2008 年四川地震儿童幸存者的创伤经历和心理健康后果:一项基于社区的跟踪研究

DOI:
10.1186/1471-2458-13-104
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发表时间:
2013-02-05
期刊:
影响因子:
4.5
通讯作者:
Tian W
Tian W
中科院分区:
医学2区
文献类型:
--
作者:
Jia Z;Shi L;Duan G;Liu W;Pan X;Chen Y;Tian W

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研究背景本研究旨在探讨2008年四川地震后幸存儿童青少年心理健康纵向发展与创伤经历的关系。这些孩子接受了采访,在地震后的第15个月的创伤后应激障碍(PTSD)和抑郁症的标准化工具,并在36 month.ResultsFrom初始到后续的评估,有没有显着的变化,在PTSD和抑郁症的分数。此外,症状的总体患病率没有显著变化:PTSD从12.4%到10.7%,抑郁从13.9%到13.5%,两者的共同出现从4.2%到4.7%。该研究还表明,地震可能有一个延迟的影响,儿童和青少年的心理社会功能谁没有直接受到灾难.ConclusionsFor儿童和青少年的幸存者的地震,创伤后应激障碍和抑郁症的症状似乎持续随着时间的推移。儿童减少使用心理健康服务的发现引起了人们对如何满足这些儿童未满足的心理需求的极大关注。应向那些具有持续发展症状风险的儿童分配更多的心理健康干预措施。
BackgroundThe study was implemented to examine the relationship between traumatic experiences and longitudinal development of mental health for children and adolescents who survived the 2008 Sichuan earthquake.MethodsUsing the method of multistage systematic sampling, 596 children aged between 8 and 16 years were randomly selected from severely affected areas of the earthquake. These children were interviewed with standardized instruments of posttraumatic stress disorder (PTSD) and depression at the 15th month after the earthquake, and re-interviewed at the 36th month.ResultsFrom the initial to the follow-up assessments, there were no significant changes in both PTSD and depression scores. In addition, no significant change was found on the overall prevalence rates of the symptoms: from 12.4% to 10.7% for PTSD, from 13.9% to 13.5% for depression, and from 4.2% to 4.7% for their co-occurrence. The study also indicated that the earthquake might have a delayed impact on the psychosocial functioning of children and adolescents who were not directly affected by the disaster.ConclusionsFor child and adolescent survivors of the earthquake, symptoms of PTSD and depression seemed to persist over time. The finding that children reduced their use of mental health services raised great concerns over how to fulfill the unmet psychological needs of these children. More mental health interventions should be allocated to children who had elevated risk for developing persistent course of the symptoms.
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发表时间: 2004-04-01
影响因子: 6.7
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影响因子: 2.7
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