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与健康相关的灾难后父母和青少年的创伤后应激障碍

Posttraumatic stress disorder in parents and youth after health-related disasters.

作者信息

Sprang Ginny, Silman Miriam

出版信息

Disaster Med Public Health Prep. 2013 Feb;7(1):105-10. doi: 10.1017/dmp.2013.22.

Abstract

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.

摘要

目的

本研究调查了儿童及其父母对大流行灾难的心理社会反应,特别测量了经历不同疾病防控措施的儿童和父母的创伤应激反应。

方法

采用混合方法,通过调查、焦点小组和访谈收集了398名父母的数据。成年受访者完成了加利福尼亚大学洛杉矶分校创伤后应激障碍反应指数(PTSD-RI)家长版和创伤后应激障碍检查表平民版(PCL-C)。

结果

隔离和检疫等疾病防控措施可能会给相当一部分儿童和父母造成创伤。根据父母报告,30%被隔离或检疫的儿童符合创伤后应激障碍的标准,25%被隔离或检疫的父母(根据自我报告)符合该标准。

结论

这些发现表明,大流行灾难及随后的疾病防控反应可能会给家庭和儿童造成创伤。由于大流行灾难具有独特性,且没有长期支持和恢复的聚集场所,因此需要特定的应对策略来确保儿童和家庭的行为健康需求。大流行规划必须解决这些需求和疾病防控措施。

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