Posttraumatic Stress Disorder in Parents and Youth After Health-Related Disasters

Posttraumatic Stress Disorder in Parents and Youth After Health-Related Disasters
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DOI:
10.1017/dmp.2013.22
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发表时间:
2013-02-01
影响因子:
2.7
通讯作者:
Silman, Miriam
Silman, Miriam
中科院分区:
医学4区
文献类型:
--
作者:
Sprang, Ginny;Silman, Miriam

文献摘要

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目的:本研究调查了儿童及其父母对大流行性灾难的社会心理反应,特别是测量具有不同疾病控制经历的儿童和父母的创伤性应激反应。方法:采用调查、焦点小组和访谈的混合方法,收集了 398 名父母的数据。成年受访者完成了加州大学洛杉矶分校创伤后应激障碍反应指数 (PTSD-RI) 家长版和 PTSD 检查表平民版 (PCL-C)。结果:检疫和隔离等疾病遏制措施可能会给很大一部分儿童和家长带来创伤。根据父母的报告,30% 的被隔离或隔离儿童符合 PTSD 标准,25% 的被隔离或隔离父母(根据自我报告)符合 PTSD 标准。结论:这些发现表明,大流行性灾难和随后的疾病控制反应可能会造成家庭和儿童遭受创伤的情况。由于大流行性灾难具有独特性,并且不包括长期支持和恢复的聚集场所,因此需要具体的应对策略来确保儿童和家庭的行为健康需求。流行病规划必须满足这些需求和疾病控制措施。
Objectives: This study investigated the psychosocial responses of children and their parents to pandemic disasters, specifically measuring traumatic stress responses in children and parents with varying disease-containment experiences.Methods: A mixed-method approach using survey, focus groups, and interviews produced data from 398 parents. Adult respondents completed the University of California at Los Angeles Posttraumatic Stress Disorder Reaction Index (PTSD-RI) Parent Version and the PTSD Check List Civilian Version (PCL-C).Results: Disease-containment measures such as quarantine and isolation can be traumatizing to a significant portion of children and parents. Criteria for PTSD was met in 30% of isolated or quarantined children based on parental reports, and 25% of quarantined or isolated parents (based on self-reports).Conclusions: These findings indicate that pandemic disasters and subsequent disease-containment responses may create a condition that families and children find traumatic. Because pandemic disasters are unique and do not include congregate sites for prolonged support and recovery, they require specific response strategies to ensure the behavioral health needs of children and families. Pandemic planning must address these needs and disease-containment measures.