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震后 3 年雅安地震灾区儿童青少年 PTSD 症状和抑郁症状的现患率及其相关预测因素。

The Prevalence of PTSD Symptoms and Depressive Symptoms and Related Predictors in Children and Adolescents 3 Years After the Ya'an Earthquake.

机构信息

College of Teacher Education and Psychology, Sichuan Normal University, Chengdu, 610068, China.

Management School, Jinan University, Guangzhou, 510632, China.

出版信息

Child Psychiatry Hum Dev. 2019 Apr;50(2):300-307. doi: 10.1007/s10578-018-0840-6.

DOI:10.1007/s10578-018-0840-6
PMID:30302576
Abstract

The objectives of this study were to investigate the prevalence of post-traumatic stress disorder (PTSD) symptoms and depressive symptoms in teenage survivors three years after the Ya'an earthquake to assess the differences between left-behind (LBC) and non-left-behind (non-LBC) children, and to explore predictors for PTSD symptoms and depressive symptoms. The participants were assessed using children's revised impact of event scale (CRIES) and short mood and feelings questionnaire (SMFQ), after which t tests, Chi square tests, and a multivariate logistic regression were conducted to examine the differences in the LBC and identify the associated predictors. It was found that the PTSD and depressive symptom prevalences were 13.10% and 20.75%, with the LBC having a significantly higher prevalence than the non-LBC. The PTSD and depression symptoms tended to be highly comorbid (r = .52, p < .001). Being female, being aged less than 15, having siblings, being an LBC, and having higher exposure were found to be associated with PTSD and depressive symptoms.

摘要

本研究旨在调查雅安市地震三年后青少年幸存者创伤后应激障碍(PTSD)症状和抑郁症状的流行情况,评估留守(LBC)和非留守(non-LBC)儿童之间的差异,并探讨 PTSD 症状和抑郁症状的预测因素。采用儿童修订后的事件影响量表(CRIES)和短期情绪和感觉问卷(SMFQ)对参与者进行评估,然后进行 t 检验、卡方检验和多变量逻辑回归,以检验 LBC 之间的差异并确定相关预测因素。结果发现,PTSD 和抑郁症状的患病率分别为 13.10%和 20.75%,LBC 的患病率明显高于 non-LBC。PTSD 和抑郁症状往往高度共病(r=.52,p<.001)。女性、年龄小于 15 岁、有兄弟姐妹、留守和暴露程度较高与 PTSD 和抑郁症状相关。

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