Department of Psychiatry, Faculty of Medicine, Chiang Mai University, Amphur Muang, Chiang Mai, 50200, Thailand.
Department of Psychiatry, Faculty of Medicine, Chiang Mai University, Amphur Muang, Chiang Mai, 50200, Thailand.
Asian J Psychiatr. 2020 Jun;51:102004. doi: 10.1016/j.ajp.2020.102004. Epub 2020 Mar 19.
This research examines the prevalence of post-traumatic stress disorder (PTSD) and its related factors in students whose school burned down, one month and six months after the incident.
A total of 56 students from grades one through six were invited to participate in this study with permission from their parents. Subjects were screened for PTSD by using UCLA PTSD Reaction Index (DSM-5 Version) during three periods: 1, 6, and 12 months after the incident. Children diagnosed with PTSD were interviewed by a child and adolescent psychiatrist to confirm their diagnosis and obtain related factors. Percentage and logistic regression were used for statistical evaluation. 5 out of the 56 students (8.9 %) had PTSD one month after the incident, 2 of them recovered after six months. 6 out of 56 students (10.7 %) had PTSD at six months and 2 of 40 (5%) had PTSD at one year after the incident. Students who lived in the school's dorms had significantly more PTSD than those who lived elsewhere, p < 0.01, RR = 5.16 (4.04-6.6). After one year, age was the only factor related to PTSD (p = 0.01, odds ratio = 0.452).
Post-traumatic stress disorder is a common disorder in children after a disaster. Although some can recover shortly after an incident, others develop symptoms one month after the incident. Age is a risk factor that can lead to the development of PTSD.
本研究旨在调查学校火灾事件发生一个月和六个月后,学生创伤后应激障碍(PTSD)的患病率及其相关因素。
共邀请 56 名一至六年级的学生参加本研究,征得其父母同意。在三个时期(事件发生后 1、6 和 12 个月),使用 UCLA PTSD 反应指数(DSM-5 版)对 PTSD 进行筛查。被诊断患有 PTSD 的儿童由儿童和青少年精神病学家进行访谈,以确认其诊断并获得相关因素。采用百分比和逻辑回归进行统计评估。在事件发生一个月后,有 5 名学生(8.9%)患有 PTSD,其中 2 名在六个月后康复。在六个月时有 6 名学生(10.7%)患有 PTSD,在一年后有 40 名学生中有 2 名(5%)患有 PTSD。住在学校宿舍的学生 PTSD 发生率明显高于其他学生,p<0.01,RR=5.16(4.04-6.6)。一年后,年龄是唯一与 PTSD 相关的因素(p=0.01,优势比=0.452)。
创伤后应激障碍是儿童在灾难后的常见疾病。尽管一些人在事件发生后不久就能康复,但另一些人在事件发生一个月后就会出现症状。年龄是导致 PTSD 发展的一个风险因素。