Khan Aftab, Ullah Obaid, Nawaz Khadija, Ahmad Israr
Aftab Khan, M.Phil. Pakistan Medical Research Council (PMRC) Research Centre, Khyber Medical College, Peshawar, Pakistan.
Obaid Ullah M.Phil. Pakistan Medical Research Council (PMRC) Research Centre, Khyber Medical College, Peshawar, Pakistan.
Pak J Med Sci. 2018 May-Jun;34(3):525-529. doi: 10.12669/pjms.343.14885.
BACKGROUND & OBJECTIVES: Terrorist attack in Army Public School Peshawar, Pakistan left behind more than hundred children dead. It was the highest death toll of children in the world in a single terrorists attack. The attack dominated national and international news, high level security measures have been adopted in all school throughout Pakistan, which created fear and stress in children. The objective of the study was to determine post-traumatic stress disorder among children after six month of terrorist attack inspite of rigorous psychosocial support and rehabilitation.
We wanted to determine Post Traumatic Stress Disorder (PTSD) among children of Army Public School of age range 10 to 18 years after 5 months of intervention and rehabilitation following terrorists attack. For this a self-report questionnaire, Child PTSD Symptom Scale (CPSS), which assess and identify symptoms matching DSM (Diagnostic and Statistical Manual of Mental Disorders) IV criteria for post-traumatic stress disorder of children, was filled. Informed consent was taken from school Principal and responders.
A total 205 students of age range 10 to 18 years participated in the study. The most frequent age group of the study were 16 years and 14 years students with frequency 58 (28.3%) and 46 (22.4%) respectively. Among 205 participated school children PTSD were found in 154 (75.2%) children while only 24.8% students had no PTSD symptoms. In more than 50% PTSD positive school children had functional impairment for each category of fun and hobbies, friendship, school work, family relation, doing chores, general happiness and saying prayers.
Study found a very high prevalence of PTSD among 10 to 18 years age group students of Army Public School inspite of five months continuous intervention and rehabilitation services. Study showed that this age group needs long term psychosocial treatment in case of trauma.
巴基斯坦白沙瓦陆军公立学校发生的恐怖袭击导致一百多名儿童死亡。这是单次恐怖袭击中全球儿童死亡人数最多的事件。此次袭击占据了国内外新闻头条，巴基斯坦所有学校都采取了高级别的安全措施，这给孩子们带来了恐惧和压力。本研究的目的是确定在经过严格的心理社会支持和康复治疗六个月后，恐怖袭击对儿童造成的创伤后应激障碍情况。
我们想确定在恐怖袭击发生五个月后的干预和康复治疗后，年龄在10至18岁的陆军公立学校儿童中的创伤后应激障碍（PTSD）情况。为此，我们填写了一份自我报告问卷——儿童PTSD症状量表（CPSS），该量表用于评估和识别符合《精神疾病诊断与统计手册》（DSM）第四版中儿童创伤后应激障碍标准的症状。我们获得了学校校长和受访者的知情同意。
共有205名年龄在10至18岁的学生参与了该研究。研究中最常见的年龄组是16岁和14岁的学生，人数分别为58人（28.3%）和46人（22.4%）。在205名参与研究的学童中，有154名（75.2%）儿童患有PTSD，而只有24.8%的学生没有PTSD症状。在超过50%患有PTSD的学童中，在娱乐和爱好、友谊、学业、家庭关系、做家务、总体幸福感和祈祷等各个方面都存在功能障碍。
研究发现，尽管经过了五个月的持续干预和康复服务，陆军公立学校10至18岁年龄组的学生中PTSD的患病率仍然非常高。研究表明，这个年龄组在遭受创伤时需要长期的心理社会治疗。
