Department of Disaster Psychiatry, International Research Institute of Disaster Science, Tohoku University, Sendai, Japan.
Miyagi Prefecture Comprehensive Children's Center, Natori, Japan.
Psychiatry Clin Neurosci. 2016 May;70(5):193-201. doi: 10.1111/pcn.12379. Epub 2016 Apr 5.
Post-traumatic growth (PTG) refers to positive changes that result from coping with a major life crisis or a traumatic event. Factors influencing PTG in youth have not been well characterized but could have a great impact on overall maturation.
Fourth to ninth graders (n = 3337) attending elementary or junior high schools located in a district severely damaged by the Great East Japan Earthquake completed a questionnaire, including the revised Posttraumatic Growth Inventory for Children (PTGI-C-R) along with the Post Traumatic Stress Symptoms for Children 15 items (PTSSC-15), 31 months after the event. Experience of the disaster, prior traumatic experiences, and attitudes toward memories of the disaster (rumination) were scored by their caregivers and teachers, and effects of these factors on PTG were evaluated.
There were no significant associations between PTGI-C-R and sex or experiences of the disaster. However, PTGI-C-R was negatively correlated with age (r = -0.132, P < 0.001). There was significant but very weak negative correlation between PTGI-C-R and PTSSC-15 among the children (r = -0.096, P < 0.001). PTGI-C-R was significantly associated with positive attitudes to memorial services (P < 0.001) and media coverage (P < 0.05).
Positive attitudes to deliberate rumination may facilitate PTG in children following natural disasters.
创伤后成长(PTG)是指个体应对重大生活危机或创伤性事件后所产生的积极变化。影响青少年创伤后成长的因素尚未得到充分描述,但可能对整体成熟产生重大影响。
四年级至九年级(n=3337)的学生在东日本大地震受灾严重地区的小学或初中就读,在事件发生 31 个月后,他们完成了一份问卷,其中包括修订后的儿童创伤后成长量表(PTGI-C-R)和儿童创伤后应激症状 15 项量表(PTSSC-15)。由他们的照顾者和教师对他们的灾难经历、先前的创伤经历以及对灾难记忆的态度(反刍)进行评分,并评估这些因素对 PTG 的影响。
PTGI-C-R 与性别或灾难经历之间没有显著关联。然而,PTGI-C-R 与年龄呈负相关(r=-0.132,P<0.001)。儿童的 PTGI-C-R 与 PTSSC-15 之间存在显著但非常微弱的负相关(r=-0.096,P<0.001)。PTGI-C-R 与对纪念活动(P<0.001)和媒体报道(P<0.05)的积极态度显著相关。
对刻意反刍的积极态度可能促进儿童在自然灾害后的创伤后成长。