Centre for Health Behaviors Research, School of Public Health, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR, China.
J Affect Disord. 2010 Jun;123(1-3):327-31. doi: 10.1016/j.jad.2009.09.019. Epub 2009 Nov 11.
This study investigated posttraumatic growth (PTG) and reduced suicidal ideation among Chinese adolescents at one month after the occurrence of the Sichuan Earthquake.
A cross-sectional survey was administered to 3324 high school students in Chengdu, Sichuan. The revised Posttraumatic Growth Inventory for Children and the Children's Revised Impact of Event Scale assessed PTG and posttraumatic stress disorder (PTSD), respectively.
Multivariate analysis showed that being in junior high grade 2, having probable PTSD, visiting affected areas, possessing a perceived sense of security from teachers, and being exposed to touching news reports and encouraging news reports were associated with probable PTG; the reverse was true for students in senior high grade 1 or senior high grade 2 who had experienced prior adversities. Among the 623 students (19.3% of all students) who had suicidal ideation prior to the earthquake, 57.4% self-reported reduced suicidal ideation when the pre-earthquake and post-earthquake situations were compared. Among these 623 students, the multivariate results showed that being females, perceived sense of security obtained from teachers and exposure to encouraging news reports were factors associated with reduced suicidal ideation; the reverse was true for experience of pre-earthquake corporal punishment and worry about severe earthquakes in the future.
The study population was not directly hit by the earthquake. This study is cross-sectional and no baseline data were collected prior to the occurrence of the earthquake.
The earthquake resulted in PTG and reduced suicidal ideation among adolescents. PTSD was associated with PTG. Special attention should be paid to teachers' support, contents of media reports, and students' experience of prior adversities.
本研究调查了四川地震发生一个月后，创伤后成长（PTG）和自杀意念减少在青少年中的情况。
对四川省成都市的 3324 名高中生进行了横断面调查。修订后的儿童创伤后成长量表和儿童修订后的事件影响量表分别评估了创伤后成长和创伤后应激障碍（PTSD）。
多变量分析表明，初中二年级、可能患有 PTSD、去过受灾地区、从教师那里获得安全感、接触感人的新闻报道和鼓励性的新闻报道与可能的创伤后成长有关；而对于经历过先前逆境的一年级或二年级高中生来说，情况则相反。在地震前有自杀意念的 623 名学生（所有学生的 19.3%）中，57.4%的学生报告说，与地震前相比，自杀意念减少。在这 623 名学生中，多变量结果显示，女性、从教师那里获得的安全感和接触鼓励性新闻报道是与自杀意念减少相关的因素；而经历过地震前的体罚和担心未来发生严重地震则相反。
研究人群没有直接受到地震的影响。本研究是横断面研究，在地震发生前没有收集基线数据。
地震导致青少年创伤后成长和自杀意念减少。PTSD 与创伤后成长有关。应特别关注教师的支持、媒体报道的内容以及学生经历的先前逆境。
