Lee Min Hyung, Pfefferbaum Betty, Portley Robert, Kotamarti Vinay, Canan Fatih, North Carol S
Department of Psychiatry, University of Texas Southwestern Medical Center, Dallas, TX 78712, USA.
Department of Psychiatry and Behavioral Sciences, College of Medicine, University of Oklahoma Health Sciences Center, Oklahoma City, OK 73104, USA.
Behav Sci (Basel). 2021 Apr 1;11(4):46. doi: 10.3390/bs11040046.
Associations of disaster mental health sequelae between children and their parents have been demonstrated, but not using full diagnostic assessment. This study examined children and their parents after a series of disasters in 1982 to investigate associations of their psychiatric outcomes. Members of 169 families exposed to floods and/or dioxin or no disaster were assessed in 1986-1987 with structured diagnostic interviews. This vintage dataset collected several decades ago provides new information to this field because of the methodological rigor that is unparalleled in this literature. Disaster-related PTSD and incident postdisaster disorders in children were associated, respectively with disaster-related PTSD and incident postdisaster disorders in the chief caregiver and mother. More flood-only than dioxin-only exposed parents reported great harm by the disaster, but neither children nor parents in these two groups differed in incident psychiatric disorders. Although this study did not determine the direction of causal influences, its findings suggest that clinicians working with disaster-exposed families should work with children and adult members together, as their mental health outcomes may be intertwined.
儿童及其父母之间灾难心理健康后遗症的关联已得到证实，但尚未采用全面的诊断评估。本研究在1982年一系列灾难发生后对儿童及其父母进行了调查，以探究他们精神疾病结果之间的关联。1986年至1987年，对169个遭受洪水和/或二噁英影响或未受灾家庭的成员进行了结构化诊断访谈。这个几十年前收集的老式数据集为该领域提供了新信息，因为其方法的严谨性在该文献中是无与伦比的。儿童中与灾难相关的创伤后应激障碍和灾后新发疾病分别与主要照顾者和母亲中与灾难相关的创伤后应激障碍和灾后新发疾病相关。仅遭受洪水影响的父母比仅接触二噁英的父母报告称灾难造成的危害更大，但这两组中的儿童和父母在新发精神疾病方面并无差异。尽管本研究未确定因果影响的方向，但其结果表明，为遭受灾难影响的家庭提供服务的临床医生应同时关注儿童和成年家庭成员，因为他们的心理健康结果可能可能相互交织。
