汶川地震重灾区青少年创伤后应激障碍轨迹研究。
Trajectories of posttraumatic stress disorders among adolescents in the area worst-hit by the Wenchuan earthquake.
机构信息
Department of Psychology and Behavioral Sciences, Zhejiang University, Hangzhou 310028, China.
Beijing Key Laboratory of Applied Experimental Psychology, Faculty of Psychology, Beijing Normal University, Beijing 100875, China.
出版信息
J Affect Disord. 2018 Aug 1;235:303-307. doi: 10.1016/j.jad.2018.04.032. Epub 2018 Apr 6.
BACKGROUND
This study examined the trajectories of posttraumatic stress disorder (PTSD) among adolescents in the area worst-hit by the Wenchuan earthquake, and assessed the role of trauma exposure in differentiating distinct PTSD trajectories.
METHODS
In total, 391 adolescents were selected from the Wenchuan and Maoxian counties in Sichuan province (the area worst-hit by the earthquake). Participants completed a trauma exposure questionnaire at 1 year, and the Child PTSD Symptom Scale at 1 year, 1.5 years, 2 years, and 2.5 years after the earthquake.
RESULTS
Three latent PTSD trajectories were found in adolescents: moderate-stable (81.6%), decreasing (8.7%), and increasing trajectories (9.7%). T1 trauma exposure was more likely to be related to the decreasing trajectory group.
LIMITATIONS
All variables were measured by self-report scales. There was high non-random dropout.
CONCLUSION
The course of PTSD was heterogeneous among adolescents following the same natural disaster.
背景
本研究调查了在汶川地震受灾最严重地区青少年的创伤后应激障碍（PTSD）轨迹，并评估了创伤暴露在区分不同 PTSD 轨迹中的作用。
方法
共从四川省汶川县和茂县（地震受灾最严重地区）选取了 391 名青少年。参与者在地震发生后 1 年、1.5 年、2 年和 2.5 年时完成了创伤暴露问卷和儿童 PTSD 症状量表。
结果
在青少年中发现了三种潜在的 PTSD 轨迹：中度稳定（81.6%）、下降（8.7%）和上升轨迹（9.7%）。T1 创伤暴露更可能与下降轨迹组相关。
局限性
所有变量均通过自我报告量表进行测量。存在较高的非随机辍学率。
结论
在经历相同自然灾害的青少年中，PTSD 的发展过程是异质的。
Zotero 插件