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卡特里娜飓风后母亲创伤后应激障碍症状轨迹:对母亲症状轨迹对受灾青少年幸福感影响的初步研究。

Maternal posttraumatic stress disorder symptom trajectories following Hurricane Katrina: An initial examination of the impact of maternal trajectories on the well-being of disaster-exposed youth.

作者信息

Self-Brown Shannon, Lai Betty S, Harbin Shannon, Kelley Mary Lou

机构信息

School of Public Health, Georgia State University, P.O. Box 3995, Atlanta, GA, 30302, United States of America,

出版信息

Int J Public Health. 2014 Dec;59(6):957-65. doi: 10.1007/s00038-014-0596-0. Epub 2014 Sep 26.

Abstract

OBJECTIVES

This study examined trajectories of posttraumatic stress disorder symptoms in impoverished mothers impacted by Hurricane Katrina, as well as how predictive the maternal trajectories were for youth posttraumatic stress symptoms 2 years post-Katrina.

METHODS

360 mother participants displaced by Hurricane Katrina completed self-report measures across four time points related to Hurricane exposure, trauma history, and posttraumatic stress symptoms. Additionally, the youth offspring completed a self-report measure of posttraumatic stress symptoms.

RESULTS

Latent Class Growth Analysis demonstrated three primary trajectories emerged among females impacted by Katrina, namely, (1) chronic (4 %), (2) recovering (30 %), and (3) resilient (66 %), respectively. These trajectories were significantly impacted by prior trauma history, but not hurricane exposure. Additionally, data indicated that children whose parents fell into the chronic PTS trajectory also reported high levels of PTS symptoms.

CONCLUSIONS

This study identified three main trajectories typical of female PTS symptoms following disaster and was the first known study to document associations between PTS outcomes among adults and their offspring impacted by a large natural disaster. Future research is warranted and should explore additional risk and protective factors that impact both the parental and child outcomes.

摘要

目的

本研究调查了受卡特里娜飓风影响的贫困母亲创伤后应激障碍症状的轨迹,以及母亲的轨迹对卡特里娜飓风过后两年青少年创伤后应激症状的预测作用。

方法

360名因卡特里娜飓风而流离失所的母亲参与者在与飓风暴露、创伤史和创伤后应激症状相关的四个时间点完成了自我报告测量。此外,青少年后代完成了创伤后应激症状的自我报告测量。

结果

潜在类别增长分析表明,受卡特里娜飓风影响的女性中出现了三种主要轨迹,即(1)慢性型(4%)、(2)恢复型(30%)和(3)适应型(66%)。这些轨迹受到先前创伤史的显著影响,但不受飓风暴露的影响。此外,数据表明,父母属于慢性创伤后应激轨迹的儿童也报告了高水平的创伤后应激症状。

结论

本研究确定了灾难后女性创伤后应激症状的三种主要轨迹,并且是首个记录受重大自然灾害影响的成年人及其后代创伤后应激结果之间关联的已知研究。有必要进行未来研究,应探索影响父母和儿童结果的其他风险和保护因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6585/4245384/20d3351bf7fe/nihms631341f1.jpg

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