Chui Cheryl H K, Ran Mao-Sheng, Li Rong-Hui, Fan Mei, Zhang Zhen, Li Yuan-Hao, Ou Guo Jing, Jiang Zhe, Tong Yu-Zhen, Fang Ding-Zhi
a Department of Social Work and Social Administration , Faculty of Social Sciences, University of Hong Kong , Hong Kong , China.
b Department of Biochemistry and Molecular Biology , West China School of Preclinical and Forensic Medicine , and.
J Ment Health. 2017 Feb;26(1):36-42. doi: 10.1080/09638237.2016.1276542. Epub 2017 Jan 12.
It is unclear about the change and risk factors of depression among adolescent survivors after earthquake.
This study aimed to explore the change of depression, and identify the predictive factors of depression among adolescent survivors after the 2008 Wenchuan earthquake in China.
The depression among high school students at 6, 12 and 18 months after the Wenchuan earthquake were investigated. The Beck Depression Inventory (BDI) was used in this study to assess the severity of depression.
Subjects included 548 student survivors in an affected high school. The rates of depression among the adolescent survivors at 6-, 12- and 18-month after the earthquake were 27.3%, 42.9% and 33.3%, respectively, for males, and 42.9%, 61.9% and 53.4%, respectively, for females. Depression symptoms, trauma-related self-injury, suicidal ideation and PTSD symptoms at the 6-month follow-up were significant predictive factors for depression at the 18-month time interval following the earthquake.
This study highlights the need for considering disaster-related psychological sequela and risk factors of depression symptoms in the planning and implementation of mental health services. Long-term mental and psychological supports for victims of natural disasters are imperative.
地震后青少年幸存者中抑郁症的变化情况及危险因素尚不清楚。
本研究旨在探讨2008年中国汶川地震后青少年幸存者中抑郁症的变化，并确定抑郁症的预测因素。
对汶川地震后6个月、12个月和18个月时的高中生抑郁症情况进行调查。本研究使用贝克抑郁量表（BDI）评估抑郁严重程度。
研究对象包括一所受灾高中的548名学生幸存者。地震后6个月、12个月和18个月时，青少年男性幸存者的抑郁发生率分别为27.3%、42.9%和33.3%，女性分别为42.9%、61.9%和53.4%。6个月随访时的抑郁症状、创伤相关的自我伤害、自杀意念和创伤后应激障碍症状是地震后18个月时间间隔内抑郁的显著预测因素。
本研究强调在规划和实施心理健康服务时，需要考虑与灾难相关的心理后遗症和抑郁症状的危险因素。对自然灾害受害者进行长期的心理和精神支持势在必行。
