Family context of mental health risk in Tsunami affected mothers: findings from a pilot study in Sri Lanka.

Family context of mental health risk in Tsunami affected mothers: findings from a pilot study in Sri Lanka.
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海啸影响母亲心理健康风险的家庭背景:斯里兰卡一项试点研究的结果。

DOI:
10.1016/j.socscimed.2007.11.012
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发表时间:
2008
影响因子:
5.4
通讯作者:
K. Wickrama
K. Wickrama
中科院分区:
医学2区
文献类型:
--
作者:
K. Wickrama;K. Wickrama

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本研究使用居住在斯里兰卡南部两个村庄的325个受海啸影响的家庭的调查数据,调查了海啸暴露对母亲创伤后应激障碍和抑郁症状的直接和间接影响。研究结果普遍支持假设的模型,即生活和财产的破坏导致了母亲的创伤后应激障碍和抑郁症状。暴露在海啸中的有害影响还通过产生更近的次生海啸风险,如海啸后的家庭问题来发挥作用。此外,宗教参与、家庭主义、孩子的数量、完整的家庭地位和社区支持减少了母亲的抑郁症状。最后,完整的家庭地位和高度的宗教参与度缓和了海啸暴露对母亲创伤后应激障碍症状的有害影响。这些发现可以直接有助于改善正在进行的恢复和重建计划,并有助于为受海啸和其他自然灾害影响的家庭制定未来计划。
This study investigated direct and indirect influences of Tsunami exposure on mothers' PTSD and depressive symptoms using survey data from 325 Tsunami-affected families living in two villages in southern Sri Lanka. Findings generally support the hypothesized model in that life and property destruction contributed to the PTSD and depressive symptoms of mothers. Detrimental influences of Tsunami exposure also operated through the generation of more proximal secondary Tsunami risks such as post-Tsunami family problems. In addition, religious participation, familism, number of children, intact family status, and community support reduced mothers' depressive symptoms. Finally, intact family status and high religious participation moderated the detrimental influence of Tsunami exposure on mothers' PTSD symptoms. These findings can contribute directly to improving ongoing recovery and reconstruction programs and help to formulate future programs for families affected by the Tsunami and other natural disasters.
DOI: 10.1001/archpsyc.1995.03950240066012
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