Hoven Christina W, Duarte Cristiane S, Mandell Donald J
Department of Epidemiology, New York State Psychiatric Institute, Mailman School of Public Health, Columbia University, 1051 Riverside Drive, Unit 43, New York, NY 10032, USA.
Curr Psychiatry Rep. 2003 Jun;5(2):101-7. doi: 10.1007/s11920-003-0026-0.
This paper summarizes the results of systematic studies published in peer-reviewed journals from 1999 to 2002 addressing post-traumatic stress reactions in children after mass disasters. Children's post-traumatic reactions are considered in five different contexts--natural disasters, large-scale human-induced accidents, spree shootings, war, and terrorism. Association of these reactions with gender and age, as well as longitudinal course, is addressed. Other post-traumatic reactions in children after a mass disaster, as well as the comorbidity of these with stress reactions, are reported. With this as background, the most relevant epidemiologic investigations conducted after the World Trade Center attacks are then described. It is expected that new knowledge in the area of children's post-traumatic reactions to disasters will result from the research initiatives launched after September 11, 2001.
本文总结了1999年至2002年发表在同行评审期刊上的关于大规模灾难后儿童创伤后应激反应的系统研究结果。儿童的创伤后反应在五种不同情境下进行考量——自然灾害、大规模人为事故、疯狂枪击事件、战争和恐怖主义。探讨了这些反应与性别、年龄的关联以及纵向病程。报告了大规模灾难后儿童的其他创伤后反应，以及这些反应与应激反应的共病情况。以此为背景，接着描述了世贸中心袭击事件后开展的最相关的流行病学调查。预计2001年9月11日之后启动的研究项目将在儿童对灾难的创伤后反应领域产生新知识。
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