Children's predisaster functioning as a predictor of posttraumatic stress following Hurricane Andrew
Children's predisaster functioning as a predictor of posttraumatic stress following Hurricane Andrew
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DOI：
10.1037//0022-006x.66.6.883
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发表时间：
1998-12-01
影响因子：
5.9
通讯作者：
Wasserstein, SB
中科院分区：
文献类型：
--
作者：
La Greca, AM;Silverman, WK;Wasserstein, SB
本研究探讨了（a）儿童的灾前行为和学业功能作为安德鲁飓风后创伤后应激（PTS）的预测指标，（B）暴露于灾难中的儿童是否会表现出先前功能的恶化。15个月前，灾难发生后，92名四年级至六年级学生提供了焦虑的自我报告;同龄人和老师对行为问题（焦虑、注意力不集中和行为）和学习技能进行了评分。灾后3个月重复采取措施;儿童还报告了PTS症状和飓风相关经历（即，曝光）。灾后7个月再次评估PTS症状。在灾后3个月，儿童暴露于灾难，以及灾前的焦虑，注意力不集中和学术技能的评级，预测PTS症状。到7个月时，只有暴露、非裔美国人种族和灾前焦虑能预测PTS。先前的焦虑水平也因暴露在灾难中而恶化。这一发现对识别和治疗灾难性灾难后有应激反应风险的儿童具有启示意义。
This study examined (a) children's predisaster behavioral and academic functioning as a predictor of posttraumatic stress (PTS) following Hurricane Andrew and (b) whether children who were exposed to the disaster would display a worsening of prior functioning. Fifteen months before the; disaster, 92 4th through 6th graders provided self-reports of anxiety; peers and teachers rated behavior problems (anxiety, inattention, and conduct) and academic skills. Measures were repeated 3 months postdisaster; children also reported PTS symptoms and hurricane-related experiences (i.e., exposure). PTS symptoms were again assessed 7 months postdisaster. At 3 months postdisaster, children's exposure to the disaster, as well as predisaster ratings of anxiety, inattention, and academic skills, predicted PTS symptoms. By 7 months, only exposure, African American ethnicity, and predisaster anxiety predicted PTS. Prior anxiety levels also worsened as a result of exposure to the disaster. The-findings have implications for identifying and treating children at risk for stress reactions following a catastrophic disaster.