Clinically significant behavior problems among young children 2 years after the Great East Japan Earthquake.
Clinically significant behavior problems among young children 2 years after the Great East Japan Earthquake.
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DOI：
10.1371/journal.pone.0109342
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发表时间：
2014
期刊：
影响因子：
3.7
通讯作者：
Great East Japan Earthquake Follow-up for Children Study Team
中科院分区：
文献类型：
--
作者：
Fujiwara T;Yagi J;Homma H;Mashiko H;Nagao K;Okuyama M;Great East Japan Earthquake Follow-up for Children Study Team
2011年3月11日，日本东部发生特大海底地震和海啸。很少有研究调查自然灾害对学龄前儿童的影响。我们调查了东日本大地震期间的创伤经历与地震后两年学龄前儿童临床上显着的行为问题的关联。参与者是2011年遭受灾难的学龄前儿童（受影响地区，n = 178；未受影响地区，n = 82）。数据收集时间为2012年9月至2013年6月（地震后约2年），因此评估时参与者的年龄为5至8岁。通过访谈评估与地震相关的严重创伤暴露（例如失去家人），通过问卷评估与地震相关的物理环境中的创伤事件（例如房屋损坏）以及地震前的其他创伤暴露。护理人员使用儿童行为检查表 (CBCL) 评估行为问题，其中包括内化问题、外化问题和总体问题。超过 CBCL 临床截止值的儿童被定义为存在临床上显着的行为问题。受影响区域的内化率、外化率和总问题率分别为27.7%、21.2%和25.9%。比率表明，失去远亲或朋友的孩子出现内化行为问题的可能性是其他孩子的 2.36 倍（47.6% vs. 20.2%，95% CI：1.10-5.07）。地震前的其他创伤经历也显示出与内化、外化和整体行为问题显着的正相关，而在未受影响的地区没有观察到这一点。即使在东日本大地震两年后，四分之一的儿童仍然存在行为问题。地震前有过其他创伤经历的儿童更有可能出现行为问题。这些数据将有助于制定自然灾害后儿童心理健康的未来干预措施。
On March 11, 2011, a massive undersea earthquake and tsunami struck East Japan. Few studies have investigated the impact of exposure to a natural disaster on preschool children. We investigated the association of trauma experiences during the Great East Japan Earthquake on clinically significant behavior problems among preschool children 2 years after the earthquake. Participants were children who were exposed to the 2011 disaster at preschool age (affected area, n = 178; unaffected area, n = 82). Data were collected from September 2012 to June 2013 (around 2 years after the earthquake), thus participants were aged 5 to 8 years when assessed. Severe trauma exposures related to the earthquake (e.g., loss of family members) were assessed by interview, and trauma events in the physical environment related to the earthquake (e.g. housing damage), and other trauma exposure before the earthquake, were assessed by questionnaire. Behavior problems were assessed by caregivers using the Child Behavior Checklist (CBCL), which encompasses internalizing, externalizing, and total problems. Children who exceeded clinical cut-off of the CBCL were defined as having clinically significant behavior problems. Rates of internalizing, externalizing, and total problems in the affected area were 27.7%, 21.2%, and 25.9%, respectively. The rate ratio suggests that children who lost distant relatives or friends were 2.36 times more likely to have internalizing behavior problems (47.6% vs. 20.2%, 95% CI: 1.10–5.07). Other trauma experiences before the earthquake also showed significant positive association with internalizing, externalizing, and total behavior problems, which were not observed in the unaffected area. One in four children still had behavior problems even 2 years after the Great East Japan Earthquake. Children who had other trauma experiences before the earthquake were more likely to have behavior problems. These data will be useful for developing future interventions in child mental health after a natural disaster.
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DOI：
10.1080/15374410802148178
发表时间：
2008-07
期刊：
Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53
影响因子：
--
作者：
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通讯作者：
Zeanah CH
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影响因子：
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作者：
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影响因子：
3.3
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影响因子：
3.3
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影响因子：
3.3
作者：
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