Posttraumatic Stress Disorder and General Psychopathology in Children and Adolescents Following a Wildfire Disaster
Posttraumatic Stress Disorder and General Psychopathology in Children and Adolescents Following a Wildfire Disaster
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DOI：
10.1177/070674370505000302
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发表时间：
2005-03-01
影响因子：
4
通讯作者：
Gibbon, Peter
中科院分区：
文献类型：
--
作者：
McDermott, Brett M.;Lee, Erica M.;Gibbon, Peter
目标：报告创伤后应激障碍反应指数（PTSD-RI）和优势和困难问卷（SDQ）在识别暴露于野火灾难后可能需要心理干预的儿童和青少年中的使用。方法：在野火灾难发生六个月后，我们进行了一项以学校为基础的计划，以筛选与野火有关的事件，例如暴露于威胁和对威胁的感知，结果：筛选电池完成了222名儿童（平均年龄12.5岁，SD 2.48;范围8至18岁）。9.0%的学生报告了严重或非常严重的PTSD，而22.6%的学生在SDQ的情绪症状子量表上得分在异常范围内。年龄较小的儿童和个人有更大的暴露和感知的威胁经历了更高水平的创伤后应激障碍和一般精神病理学。女学生报告说，一个更大的感知威胁，但没有报告更高水平的PTSD或其他symptoms.Conclusions：筛选是深受学生，家长和工作人员，并证明在灾后环境中是可行的。PTSD-RI和SDQ表现出不同的个体风险相关性，并在筛选组合中作为补充措施。查明最有可能患精神健康疾病的儿童，使服务提供者能够有选择地将有限的精神健康资源作为目标。
Objective: To report on the use of the Post Traumatic Stress Disorder Reaction Index (PTSD-RI) and the Strengths and Difficulties Questionnaire (SDQ) in identifying children and adolescents who may require psychological interventions following exposure to a wildfire disaster.Method: Six months after a wildfire disaster, we conducted a school-based program to screen for wildfire-related events, such as exposure to and perception of threat, posttraumatic stress disorder (PTSD), and general psychopathology.Results: The screening battery was completed by 222 children (mean age 12.5 years, SD 2.48; range 8 to 18 years). Severe or very severe PTSD was reported by 9.0% of students, while 22.6% scored in the abnormal range on the Emotional Symptoms subscale of the SDQ. Younger children and individuals with greater exposure to and perception of threat experienced higher levels of PTSD and general psychopathology. Female students reported a greater perception of threat but did not report higher levels of PTSD or other symptoms.Conclusions: Screening was well received by students, parents, and staff and proved feasible in the postdisaster environment. The PTSD-RI and SDQ demonstrated different individual risk associations and functioned as complementary measures within the screening battery. The identification of children at greatest risk of mental health morbidity enabled service providers to selectively target limited mental health resources.