When the earth stops shaking: Earthquake sequelae among children diagnosed for pre-earthquake psychopathology
When the earth stops shaking: Earthquake sequelae among children diagnosed for pre-earthquake psychopathology
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DOI：
10.1097/00004583-199908000-00018
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发表时间：
1999-08-01
影响因子：
13.3
通讯作者：
Franklin, B
中科院分区：
文献类型：
--
作者：
Asarnow, J;Glynn, S;Franklin, B
目的：研究北岭地震(EQ)后创伤后应激反应和负性后遗症的风险和保护过程。方法：对66名儿童进行电话访谈，评估创伤后应激障碍(PTSD)、抑郁、一般焦虑和社会损害的症状，这些儿童参与了一项儿童期抑郁症的家庭遗传学研究。结果：情商1年后PTSD症状的显著预测因素包括感受到的压力和与情商相关的资源损失，情商是一种情商前焦虑症。更频繁地使用认知和回避应对策略。创伤后应激障碍症状与并发的一般焦虑症状、抑郁症状和与朋友的社会适应问题的发生率高相关。兄弟姐妹得分之间的唯一显著相关性是兄弟姐妹客观暴露报告的衡量标准。结论：先前存在的焦虑症是灾后创伤后应激障碍反应的危险因素。灾后服务需要照顾这些青少年以及经历高度主观压力、资源损失和/或高度暴露的青少年的需要。家庭中的儿童在灾后反应方面表现出很大的差异，这突出表明需要注意儿童的个体特征和共同的环境属性。
Objective: To examine risk and protective processes for posttraumatic stress reactions and negative sequelae following the Northridge earthquake (EQ) among youths diagnosed for pre-EQ psychopathology. Method: Symptoms of posttraumatic stress disorder (PTSD), depression, general anxiety, and social impairment were evaluated using telephone interviews among 66 children participating in a family-genetic study of childhood-onset depression at the time of the EQ. Results: Significant predictors of PTSD symptoms 1 year after the EQ included perceived stress and resource loss associated with the EQ, a pre-EQ anxiety disorder. and more frequent use of cognitive and avoidance coping strategies. PTSD symptoms were associated with high rates of concurrent general anxiety symptoms, depressive symptoms, and social adjustment problems with friends. The only significant correlation between sibling scores was on measures of sibling reports of objective exposure. Conclusions: Preexisting anxiety disorders represent a risk factor for postdisaster PTSD reactions. Postdisaster services need to attend to the needs of these youths as well as those of youths experiencing high levels of subjective stress, resource loss, and/or high exposure. That children within families show significant variation in postdisaster reactions underscores the need for attention to individual child characteristics and unshared environmental attributes.