Gevirtz Graduate School of Education, University of California-Santa Barbara, CA 93106-9490, USA.
J Abnorm Child Psychol. 2011 May;39(4):589-600. doi: 10.1007/s10802-010-9483-1.
We examined the persistence of psychiatric disorders at approximately 18 and 30 months after a hurricane among a random sample of the child and adolescent population (4-17 years) of Puerto Rico. Data were obtained from caretaker-child dyads (N = 1,886) through in person interviews with primary caretakers (all children) and youth (11-17 years) using the Diagnostic Interview Schedule for Children IV in Spanish. Logistic regressions, controlling for sociodemographic variables, were used to study the relation between disaster exposure and internalizing, externalizing, or any disorder. Children's disaster-related distress manifested as internalizing disorders, rather than as externalizing disorders at 18 months post-disaster. At 30 months, there was no longer a significant difference in rates of disorder between hurricane-exposed and non-exposed youth. Results were similar across age ranges. Rates of specific internalizing disorders between exposed and unexposed children are provided. Research and clinical implications are discussed.
我们在波多黎各飓风发生后大约 18 个月和 30 个月时，对儿童和青少年人群（4-17 岁）的随机样本进行了精神障碍持续性的研究。通过对主要照顾者（所有儿童）和青少年（11-17 岁）进行面对面访谈，使用西班牙语版的儿童诊断访谈表 IV，从照顾者-儿童二人组中获得数据。使用逻辑回归，控制社会人口统计学变量，研究了灾难暴露与内化、外化或任何障碍之间的关系。儿童与灾难相关的痛苦表现为内化障碍，而不是灾后 18 个月的外化障碍。30 个月时，暴露组和未暴露组青年的障碍发生率不再有显著差异。结果在各年龄段相似。还提供了暴露和未暴露儿童特定内化障碍的发生率。讨论了研究和临床意义。
