Adjustment Among Area Youth After the Boston Marathon Bombing and Subsequent Manhunt
Adjustment Among Area Youth After the Boston Marathon Bombing and Subsequent Manhunt
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DOI：
10.1542/peds.2013-4115
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发表时间：
2014-07-01
期刊：
影响因子：
8
通讯作者：
Green, Jennifer Greif
中科院分区：
文献类型：
--
作者：
Comer, Jonathan S.;Dantowitz, Annie;Green, Jennifer Greif
背景：大多数关于暴露于恐怖主义的青年的研究都研究了造成大规模伤亡的大规模恐怖主义。有限的研究调查了儿童对波士顿马拉松爆炸案范围内的恐怖主义的反应。此外，袭击后非同寻常的跨部门搜捕和就地避难警告为家庭带来了真正前所未有的经历。了解波士顿地区青年的心理调整后，这些事件是至关重要的通知clinical efforts.METHODS：波士顿地区的父母/照顾者（N = 460）的调查报告，他们的孩子的经验，在攻击周，以及在前6攻击months.RESULTS：有异质性在青年的攻击和追捕相关的经验和临床结局。参加波士顿马拉松的年轻人中，可能与袭击/追捕有关的创伤后应激障碍（PTSD）的比例大约是未参加马拉松的年轻人的6倍。攻击和搜捕经历各自独特地预测了9%的PTSD症状方差，搜捕暴露比攻击相关暴露与一系列心理社会后果（包括情绪症状、行为问题、多动/注意力不集中和同伴问题）更强有力地相关。五分之一的年轻人在看。袭击当天3小时的电视报道，这与创伤后应激障碍症状，行为问题和总的困难有关。亲社会行为和积极的同伴功能缓冲的影响exposure.CONCLUSIONS：临床工作必须保持一个扩大的重点不仅仅是青年目前在爆炸，还必须包括青年高度暴露于激烈的机构间的追求和追捕。需要继续进行研究，以了解青年在居民社区遭受大规模创伤和大规模搜捕后的适应情况。
BACKGROUND: The majority of research on terrorism-exposed youth has examined large-scale terrorism with mass casualties. Limited research has examined children's reactions to terrorism of the scope of the Boston Marathon bombing. Furthermore, the extraordinary postattack interagency manhunt and shelter-in-place warning made for a truly unprecedented experience in its own right for families. Understanding the psychological adjustment of Boston-area youth in the aftermath of these events is critical for informing clinical efforts.METHODS: Survey of Boston-area parents/caretakers (N = 460) reporting on their child's experiences during the attack week, as well as psychosocial functioning in the first 6 attack months.RESULTS: There was heterogeneity across youth in attack-and manhunt-related experiences and clinical outcomes. The proportion of youth with likely attack/manhunt-related posttraumatic stress disorder (PTSD) was roughly 6 times higher among Boston Marathon-attending youth than nonattending youth. Attack and manhunt experiences each uniquely predicted 9% of PTSD symptom variance, with manhunt exposures more robustly associated than attack-related exposures with a range of psychosocial outcomes, including emotional symptoms, conduct problems, hyperactivity/inattention, and peer problems. One-fifth of youth watched. 3 hours of televised coverage on the attack day, which was linked to PTSD symptoms, conduct problems, and total difficulties. Prosocial behavior and positive peer functioning buffered the impact of exposure.CONCLUSIONS: Clinical efforts must maintain a broadened focus beyond simply youth present at the blasts and must also include youth highly exposed to the intense interagency pursuit and manhunt. Continued research is needed to understand the adjustment of youth after mass traumas and large-scale manhunts in residential communities.