Mental health and quality of life survey among child survivors of the 2008 Sichuan earthquake
Mental health and quality of life survey among child survivors of the 2008 Sichuan earthquake
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DOI：
10.1007/s11136-010-9703-8
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发表时间：
2010-11-01
影响因子：
3.5
通讯作者：
Ding, Hansheng
中科院分区：
文献类型：
--
作者：
Jia, Zhaobao;Tian, Wenhua;Ding, Hansheng
描述大地震后幸存儿童的心理健康和生活质量。采用多阶段系统抽样设计，对地震重灾区596名年龄在8 - 16岁的儿童进行了人口调查。地震后15个月，8 ~ 16岁的幸存儿童创伤后应激障碍（PTSD）和抑郁症的点患病率分别为12.4%和13.9%。健康相关生活质量（HRQoL）与创伤后应激障碍和抑郁症呈显著负相关。失去家庭成员的儿童最有可能发展为PTSD （OR = 6.6; P < 0.001）和抑郁症（OR = 4.1; P < 0.001）。报告未使用心理健康服务的儿童患PTSD的可能性是未使用心理健康服务儿童的四倍（P = 0.002）。超过五分之一的儿童幸存者被确定患有创伤后应激障碍或抑郁症；这些儿童的HRQoL受到严重损害。利用心理健康服务可以显著降低出现PTSD症状的风险。
To characterize child survivors' mental health and quality of life after a massive earthquake.A population-based survey of 596 children aged between 8 and 16 years was conducted in the severely affected areas of the earthquake, using a multi-stage systematic sampling design.The point prevalence rates of posttraumatic stress disorder (PTSD) and depression among the child survivors aged between 8 and 16 years 15 months after the earthquake were 12.4 and 13.9%, respectively. Health-related quality of life (HRQoL) was found to be strongly and negatively associated with PTSD and depression. Children who had lost family members were most likely to develop PTSD (OR = 6.6; P < 0.001) as well as depression (OR = 4.1; P < 0.001). Children who reported no utilization of mental health services were four times more likely to suffer from PTSD than those who did not (P = 0.002).More than one in five child survivors were identified as having PTSD or depression; HRQoL of these identified children were deeply compromised. Utilization of mental health services may significantly reduce the risk of developing PTSD symptoms.