Social support buffers the effects of terrorism on adolescent depression: Findings from Sderot, Israel

Social support buffers the effects of terrorism on adolescent depression: Findings from Sderot, Israel
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DOI:
10.1097/chi.0b013e31817eed08
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发表时间:
2008-09-01
影响因子:
13.3
通讯作者:
Shahar, Golan
Shahar, Golan
中科院分区:
医学1区
文献类型:
--
作者:
Henrich, Christopher C.;Shahar, Golan

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目标:这项针对 29 名经历卡萨姆火箭恐怖袭击的以色列中学生的前瞻性研究探讨了较高水平的基线社会支持是否可以保护青少年免受火箭袭击带来的不利心理影响。方法:在 2007 年 5 月至 9 月军事升级前后的两个时间点(相隔 5 个月)对参与者进行评估,并使用流行病学研究中心儿童抑郁量表测量这两个时间点的青少年自我报告抑郁情况。来自家人、朋友和学校的社会支持在时间 1 通过简短形式的感知社会支持量表进行测量。青少年还报告说他们在这两个时间点都遭受过火箭袭击。结果:社会支持与火箭袭击之间存在显着的相互作用,可以预测随着时间的推移会出现抑郁症。正如假设的那样,社会支持的基线水平可以缓冲火箭袭击对抑郁症增加的影响。相反,对于没有遭受火箭袭击的青少年来说,社会支持与抑郁症的增加有关。结论:研究结果强调了社区心理健康工作的潜在重要性,以支持学校、家庭和同龄群体作为创伤应激时期的保护资源。
Objective: This prospective study of 29 Israeli middle school students experiencing terror attacks by Qassam rockets addressed whether higher levels of baseline social support protected adolescents from adverse psychological effects of exposure to rocket attacks. Method: Participants were assessed at two time points 5 months apart, before and after a period of military escalation from May to September 2007, Adolescent self-reported depression was measured at both time points, using the Center for Epidemiological Studies-Child Depression Scale. Social support from family, friends, and school was measured at time 1, via a short form of the Perceived Social Support Scale. Adolescents also reported their exposure to rocket attacks at both time points. Results: There was a significant interaction between social support and exposure to rocket attacks predicting depression over time. As hypothesized, baseline levels of social support buffered against the effect of exposure to rocket attacks on increased depression. Conversely, social support was associated with increased depression for adolescents who were not exposed to rocket attacks. Conclusions: Findings highlight the potential importance of community mental health efforts to bolster schools, families, and peer groups as protective resources in times of traumatic stress.