Blanc Judite, Bui Eric, Mouchenik Yoram, Derivois Daniel, Birmes Philippe
Laboratoire UTRPP Université Paris, 13 Nord 99 Avenue Jean-Baptiste Clément, 93430 Villetaneuse, France; Laboratoire du Stress Traumatique/Universite de Toulouse, France; Universite d׳Etat D׳Haiti/FASCH, Haiti.
Center for Anxiety and Traumatic Stress Disorders, Massachusetts General Hospital, Harvard Medical School, RSF - MGH Home Base Program, One Bowdoin Square, 6th Floor Boston, MA 02114, USA.
J Affect Disord. 2015 Feb 1;172:121-6. doi: 10.1016/j.jad.2014.09.055. Epub 2014 Oct 13.
More than 500 studies were conducted in Haiti following the January 12 of 2010 earthquake, yet few of them assessed mental health of the population. To our knowledge, none targeted the effectiveness of various methods used to treat survivors, whether adults or children
Our study aimed to assess one year after the disaster, the effect of a specific psycho-social support offered to relocated children in Port-au-Prince compared with a control group.
The two groups were homogeneous in the intensity of the peritraumatic distress they experienced. We were unable to show a significant difference between both in the average scores for PTSD, nor for depression, nor in three out of the four sub-scales of the Child Behavior Check-List. In case children, 68% and 40.9%, respectively, and 50% and 20.5% of the control group, reported severe levels of the symptoms of PTSD and depression. These surprising results can be explained by the absence of equivalence in the two groups from a socio-demographic point of view and because subjects were not randomly selected in the recruitment process.
This study has not made it possible to indicate the effectiveness of a specific psycho-social support offered to children in the aftermath of the disaster. On the other hand, the sample illustrates the high prevalence (more than 50% for PTSD) of severe post-traumatic stress in this group of school-age children, one year after the earthquake. These results indicate that serious attention should be paid to the mental health aspects in reconstruction program for the country.
2010年1月12日海地地震后开展了500多项研究,但其中很少有评估民众心理健康状况的。据我们所知,没有一项研究针对用于治疗成年或儿童幸存者的各种方法的有效性。
我们的研究旨在评估灾难发生一年后,与对照组相比,向太子港重新安置的儿童提供的特定心理社会支持的效果。
两组在经历的创伤周围痛苦强度方面具有同质性。我们未能显示两组在创伤后应激障碍(PTSD)平均得分、抑郁症平均得分或儿童行为检查表四个子量表中的三个方面存在显著差异。在病例组儿童中,分别有68%和40.9%,对照组中有50%和20.5%报告有严重程度的PTSD和抑郁症症状。这些令人惊讶的结果可以从社会人口统计学角度解释为两组缺乏对等性,以及在招募过程中受试者并非随机选择。
本研究未能表明灾难后向儿童提供的特定心理社会支持的有效性。另一方面,该样本表明,地震一年后,这组学龄儿童中严重创伤后应激障碍的患病率很高(PTSD超过50%)。这些结果表明,该国的重建计划应高度重视心理健康方面。