PTSD IN HEAD START CHILDREN AFTER HURRICANE ANDREW

描述（改编自申请人的摘要）：1992年8月23日， 飓风安德鲁袭击了南佛罗里达。 在财产损失方面， 这场风暴是最严重的自然灾害， 美国历史上最伟大的一次 数万人 暴露在风暴的创伤中，无家可归， 功能实用程序。 此外，与后果有关的次级压力 在漫长的时间里，为成千上万的家庭带来了巨大的挑战， 长期恢复期。 研究表明，儿童可能会表现出明显的心理 各种创伤后的问题，但相对较少的对照研究 已经与适当的对照组进行了研究， 有效措施。 学前教育研究尤其如此 重大自然灾害后的少数群体儿童：所知甚少 关于他们的创伤后应激障碍（PTSD）和因素的比率 影响其发展和进程。 本研究的具体目的是：1）确定率和 学前启蒙儿童及其母亲的创伤后应激障碍课程 谁暴露在飓风安德鲁，和2）确定因素 在风暴过后的12个月里影响了儿童的创伤后应激障碍， 包括性别、行为和情感功能、父母和 家庭功能和种族/文化因素。 受试者为250名学龄前儿童及其母亲（一半 是西班牙裔，一半是非洲裔美国人）， 县头启动计划;他们将从两个地点在招募 受灾地区和一个未受影响的网站，他们将进行研究 两次（飓风后6个月和12个月）。 的方法 包括：对母亲进行标准化的结构化访谈， 人口变量、飓风风险和儿童功能; 儿童创伤后应激障碍的录像临床访谈和评级;母亲 以及教师使用标准化量表对儿童行为的评级;以及 由母亲完成的关于她们自己的感受的问卷， 抑郁、PTSD症状、乐观和对家庭的看法 运作。

DESCRIPTION (Adapted from Applicant's Abstract): On August 23, l992, Hurricane Andrew struck South Florida. In terms of property damage and displaced persons, this storm was the most significant natural disaster in the history of the United States. Tens of thousands of people were exposed to the trauma of the storm and were left homeless and without functioning utilities. Furthermore, the secondary stress associated with the aftermath has created significant challenges for thousands of families during a long- term recovery period. Studies indicate that children may display significant psychological problems following various trauma, but relatively few controlled studies have been conducted with appropriate control groups and reliable and valid measures. This is especially the case for studies of pre-school age minority children following major natural disasters: Little is known about their rate of post- traumatic stress disorder (PTSD) and factors affecting its development and course. The Specific Aims of this research are: 1) to determine the rate and course of PTSD among pre-school Head Start children and their mothers who were exposed to Hurricane Andrew, and 2) to identify factors affecting children's PTSD over the 12-month period following the storm, including gender, behavioral and emotional functioning, parental and family functioning, and ethnic/cultural factors. The subjects will be 250 pre-school age children and their mothers (half are Hispanic and half are African-American) who are enrolled in the Date County Head Start Program; they will be recruited from two sites in the devastated area and from one unaffected site, and they will be studied on two occasions (6 and 12 months post-hurricane). The methodology includes: standardized structured interviews of the mothers concerning demographic variables, hurricane exposure, and child functioning; videotaped clinical interviews and ratings of PTSD in children; maternal and teacher ratings of child behavior using standardized scales; and questionnaires completed by mothers about their own feelings of depression, PTSD symptoms, optimism, and perceptions about family functioning.