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[极端天气事件及其对儿童和青少年心理健康的影响]

[Extreme weather events and their impact on the mental health of children and adolescents].

作者信息

Mambrey Viola, Wermuth Inga, Böse-O'Reilly Stephan

机构信息

Institut und Poliklinik für Arbeits‑, Sozial- und Umweltmedizin, Klinikum der Universität München, LMU München, Ziemssenstr. 1, 80336, München, Deutschland.

Klinik und Poliklinik für Kinder- und Jugendpsychiatrie, Psychosomatik und Psychotherapie, Klinikum der Universität München, LMU München, München, Deutschland.

出版信息

Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2019 May;62(5):599-604. doi: 10.1007/s00103-019-02937-7.

Abstract

As part of climate change, a rise in meteorological extreme weather events (EWE) like heavy precipitation and flooding can be observed in Germany. Severe extreme events can evoke great fear and pose a risk for traumatization. These traumas and the sustained stress caused by the event may result in adverse psychological health effects. Children and adolescents represent a vulnerable group due to the fact that they hold less coping strategies than adults and are strongly dependent on their environment.This narrative overview intends to summarise the prevalence of mental illness after an EWE and the related risk factors in order to draw meaningful conclusions about the mental health of children and adolescents in Germany. Therefore, existing literature from the WHO European region and from countries with a similar income level (e.g. Canada, Australia, USA) was taken into account. Since floods and heavy precipitation are the most frequent EWE in Germany, the focus was placed on them.An increase in anxiety disorders, depression symptoms, posttraumatic stress and behavioural disorders can be observed in children and adolescents after an EWE. The literature provides little information on the prevalence of such mental health effects as a result of EWEs and their effects, and which risk factors are of importance. There is thus still considerable need for research internationally and especially in Germany.

摘要

作为气候变化的一部分,在德国可以观察到诸如强降水和洪水等极端气象事件(EWE)有所增加。严重的极端事件会引发巨大恐惧,并带来创伤风险。这些创伤以及事件造成的持续压力可能会对心理健康产生不利影响。儿童和青少年是弱势群体,因为他们比成年人拥有更少的应对策略,且严重依赖周围环境。本叙述性综述旨在总结极端气象事件后精神疾病的患病率及相关风险因素,以便就德国儿童和青少年的心理健康得出有意义的结论。因此,考虑了世界卫生组织欧洲区域以及收入水平相近国家(如加拿大、澳大利亚、美国)的现有文献。由于洪水和强降水是德国最常见的极端气象事件,所以重点关注了它们。在极端气象事件发生后,儿童和青少年中焦虑症、抑郁症状、创伤后应激障碍和行为障碍有所增加。关于极端气象事件导致的此类心理健康影响的患病率及其影响,以及哪些风险因素至关重要,文献提供的信息很少。因此,国际上尤其是德国仍有相当大的研究需求。

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