Cai Dongge, Zhu Zhongliang, Sun Hongli, Qi Yanhua, Xing Lanying, Zhao Xiaogui, Wan Qiuyuan, Su Qian, Li Hui
Department of Obstetrics and Gynecology, the First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, Shaanxi, P. R. China.
Department of Obstetrics and Gynecology, the Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an, Shaanxi, P. R. China.
PLoS One. 2017 Apr 3;12(4):e0168747. doi: 10.1371/journal.pone.0168747. eCollection 2017.
The purpose of this study was to explore whether earthquake-related maternal Post-Traumatic Stress Disorder (PTSD) is associated with impaired development of infants. Participants included 86 women who were pregnant during or after the earthquake in Ningqiang county, and their children. Data were collected from February to March of 2012. PTSD questionnaire (PTSD Checklist, Civilian Version (PCL-C)) was used to measure the effect of the earthquake on mothers, and that the scores greater than 50 were used to indicate presence of PTSD. Each child was assessed using the mental Developmental Screening Test (DST) according to age. Among the 86 women, PTSD scores equal to or greater than 50 accounted for 20.93%. Among the 86 children, 25.60% of development quotient (DQ) scores and 19.80% of mental index (MI) scores were less than 85. The correlation coefficient analysis showed that PTSD scores were inversely related to DQ and MI scores. Maternal PTSD following earthquake exposure is associated with relatively lower intellectual development in children age 0-3 years. Further research is needed to assess the persistent effects of this influence on offspring of mothers exposed to earthquake.
本研究的目的是探讨与地震相关的母亲创伤后应激障碍（PTSD）是否与婴儿发育受损有关。研究对象包括86名在宁强县地震期间或之后怀孕的妇女及其子女。数据收集于2012年2月至3月。采用创伤后应激障碍问卷（平民版创伤后应激障碍检查表（PCL-C））来评估地震对母亲的影响，得分大于50分表明存在创伤后应激障碍。根据年龄，使用心理发育筛查测试（DST）对每个孩子进行评估。在86名妇女中，创伤后应激障碍得分大于或等于50分的占20.93%。在86名儿童中，25.60%的发育商（DQ）得分和19.80%的智力指数（MI）得分低于85分。相关系数分析表明，创伤后应激障碍得分与发育商和智力指数得分呈负相关。地震暴露后母亲的创伤后应激障碍与0至3岁儿童相对较低的智力发育有关。需要进一步研究来评估这种影响对地震暴露母亲后代的持续作用。
