Jieling Chen, Xinchun Wu
School of Psychology, Beijing Normal University, Beijing, China.
Child Adolesc Ment Health. 2017 Feb;22(1):23-29. doi: 10.1111/camh.12175. Epub 2016 Jun 28.
Pathological and beneficial outcomes have been documented in children and adolescents exposed to disasters, but the patterns of the outcomes are not known. This study was conducted to identify patterns of post-traumatic stress symptoms and post-traumatic growth and examine the predictors for the patterns among children and adolescents following an earthquake.
Self-reported measures (post-traumatic stress symptoms, post-traumatic growth, disaster exposure, and social support) were assessed among a total of 618 participants (age 12.26 ± 2.75) at 8 months post disaster. Latent profile analysis was utilized to identify the patterns of post-traumatic stress symptoms and post-traumatic growth, and multinomial logistic regressions were conducted to examine the predictors for the patterns.
Three patterns were identified. Most of the participants fell into the Thriving pattern and smaller proportions fell into either the Resilient or Stressed and Growing pattern. Loss and injury, subjective fear, and social support could predict the membership in patterns of post-traumatic stress symptoms and post-traumatic growth.
Practitioners are suggested to identify the pattern of post-traumatic stress symptoms and post-traumatic growth for different children and adolescents, and provide the service targeting their needs.
接触过灾难的儿童和青少年已出现病理性和有益性的结果，但这些结果的模式尚不清楚。本研究旨在确定创伤后应激症状和创伤后成长的模式，并研究地震后儿童和青少年中这些模式的预测因素。
在灾难发生8个月后，对总共618名参与者（年龄12.26±2.75）进行自我报告测量（创伤后应激症状、创伤后成长、灾难暴露和社会支持）。采用潜在剖面分析来确定创伤后应激症状和创伤后成长的模式，并进行多项逻辑回归分析以检验这些模式的预测因素。
确定了三种模式。大多数参与者属于茁壮成长模式，较小比例的参与者属于恢复力强或压力与成长并存模式。损失和伤害、主观恐惧和社会支持可以预测创伤后应激症状和创伤后成长模式的归属。
建议从业者针对不同的儿童和青少年确定创伤后应激症状和创伤后成长的模式，并根据他们的需求提供服务。
