Chen Xiao-Yan, Chen Jieling, Shi Xuliang, Jiang Min, Li Yuanyuan, Zhou Ya, Ran Maosheng, Lai Yuan, Wang Tong, Fan Fang, Liu Xianchen, Chan Cecilia Lai Wan
Center for Studies of Psychological Application, School of Psychology, South China Normal University, Shipai Road, Guangzhou 510631, Guangdong, China.
The Nethersole School of Nursing, The Chinese University of Hong Kong, Hong Kong, China.
J Affect Disord. 2020 Apr 1;266:201-206. doi: 10.1016/j.jad.2020.01.084. Epub 2020 Jan 22.
Maternal psychopathology can be an important factor associated with psychological adjustment of children. However, there is limited research on long-term impacts of maternal posttraumatic stress disorder (PTSD) on children's mental health. This study examined how PTSD trajectories of women exposed to the 2008 Wenchuan earthquake in China predicted their children's mental health symptoms 10 years after the earthquake.
410 dyads of mothers and their adolescent children who exposed to the Wenchuan earthquake were investigated at 12 and 18 months post-earthquake. While the mothers completed measures of earthquake exposure and PTSD symptoms, the children completed measures of earthquake exposure, PTSD, depression and anxiety symptoms. In the 10-year follow up, 257 out of the 410 children completed measures of PTSD, depression and anxiety symptoms. Data were analyzed using linear regression.
Four trajectories of maternal PTSD symptoms were identified: (a) chronic (9.5%); (b) resilient (66.3%); (c) delayed (7.6%); and (d) recovery (16.6%); More importantly, the findings demonstrated that children whose mothers experienced chronic PTSD reported higher level of PTSD and anxiety symptoms 10 years after the earthquake.
Only two waves of maternal PTSD were collected, self-reported tools other than clinical reviews were used to collect data, and a significant proportion of participants did not respond at the 10-year follow-up.
This study identified maternal PTSD trajectories following the Wenchuan earthquake. Chronic PTSD symptoms in mothers were associated with increased risk of children's PTSD and anxiety 10 years after the earthquake.
母亲的精神病理学可能是与儿童心理调适相关的一个重要因素。然而，关于母亲创伤后应激障碍（PTSD）对儿童心理健康的长期影响的研究有限。本研究考察了中国2008年汶川地震受灾女性的PTSD轨迹如何预测地震10年后其子女的心理健康症状。
对410对在地震后12个月和18个月接受调查的母亲及其青春期子女进行了研究。母亲们完成了地震暴露和PTSD症状的测量，而孩子们完成了地震暴露、PTSD、抑郁和焦虑症状的测量。在10年随访中，410名儿童中有257名完成了PTSD、抑郁和焦虑症状的测量。数据采用线性回归分析。
确定了母亲PTSD症状的四种轨迹：（a）慢性（9.5%）；（b）恢复力强（66.3%）；（c）延迟（7.6%）；（d）恢复（16.6%）；更重要的是，研究结果表明，母亲经历慢性PTSD的儿童在地震10年后报告的PTSD和焦虑症状水平更高。
仅收集了两波母亲PTSD数据，使用了临床评估以外的自我报告工具来收集数据，并且相当一部分参与者在10年随访中没有回应。
本研究确定了汶川地震后母亲的PTSD轨迹。母亲的慢性PTSD症状与地震10年后儿童患PTSD和焦虑症的风险增加有关。
