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卡特里娜飓风后儿童的创伤后应激、焦虑和抑郁症状:一项潜在剖面分析

Posttraumatic Stress, Anxiety, and Depression Symptoms Among Children After Hurricane Katrina: A Latent Profile Analysis.

作者信息

Lai Betty S, Kelley Mary Lou, Harrison Katherine M, Thompson Julia E, Self-Brown Shannon

机构信息

School of Public Health, Georgia State University, Atlanta, GA 30302.

Department of Psychology, Louisiana State University, Baton Rouge, LA.

出版信息

J Child Fam Stud. 2015 May 1;24(5):1262-1270. doi: 10.1007/s10826-014-9934-3.

Abstract

This study utilized Latent Profile Analysis to identify typologies of distress (i.e., patterns of posttraumatic stress, anxiety, and depression symptoms) among children exposed to Hurricane Katrina. Outcomes and risk factors for these pattern groups were examined. Participants were children ( 353; ages 8-15 years) affected by Hurricane Katrina. Children were assessed at 3 - 7 months (Time 1) and 14 - 17 months (Time 2) post-Katrina. Results identified three pattern groups (No Disturbance, PTS Only, and Mixed Internalizing) at Time 1. Children in the No Disturbance group reported the lowest levels of internal distress, while the Mixed Internalizing group reported the highest levels of internal distress at Time 2. The Mixed Internalizing and the PTS Only groups reported greater school problems than the No Disturbance group at Time 2. Perceived life threat and community violence exposure were risk factors associated with higher likelihood of falling in the PTS Only and Mixed Internalizing groups, compared to the No Disturbance group. Immediate loss and disruption was also a risk factor associated with a higher likelihood of falling in the PTS Only group, compared to the No Disturbance group. Finally, social support from parents or a classmate/friend was a significant protective factor associated with a lower likelihood of falling into a symptomatic pattern group.

摘要

本研究采用潜在剖面分析来识别卡特里娜飓风受灾儿童的心理困扰类型(即创伤后应激、焦虑和抑郁症状模式)。对这些模式组的结果和风险因素进行了检验。参与者为受卡特里娜飓风影响的儿童(353名;年龄8 - 15岁)。在卡特里娜飓风过后3 - 7个月(时间1)和14 - 17个月(时间2)对儿童进行评估。结果在时间1时确定了三个模式组(无困扰组、仅创伤后应激组和内化症状混合组)。无困扰组的儿童报告的内心困扰水平最低,而内化症状混合组在时间2时报告的内心困扰水平最高。在时间2时,内化症状混合组和仅创伤后应激组报告的学校问题比无困扰组更多。与无困扰组相比,感知到的生命威胁和社区暴力暴露是与更有可能归入仅创伤后应激组和内化症状混合组相关的风险因素。与无困扰组相比,直接的损失和生活混乱也是与更有可能归入仅创伤后应激组相关的风险因素。最后,来自父母或同学/朋友的社会支持是一个显著的保护因素,与归入有症状模式组的可能性较低相关。

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