ROHC (S)-NIOH, Indian Council of Medical Research (ICMR), Bangalore, Karnataka, 562110, India.
Department of Paediatrics, K S Hegde Medical Academy, Nitte, Derlakatte, Mangalore, 575018, India.
BMC Pediatr. 2021 Oct 20;21(1):462. doi: 10.1186/s12887-021-02933-4.
Disasters can have deep physical and psychological impact among survivors. An extraordinary southwest monsoon has unleashed floods and landslides in Kerala state in 2018. Adolescents are more vulnerable to psychological impairment after a disaster and trauma during initial stages of life can etch an indelible signature in the individual's development and may lead to future disorders.
A 3-month, Cross-sectional study was done among 670 adolescents in private and public schools using stratified sampling in Alleppey district. The study tool included a structured questionnaire that collected information on sociodemographics, flood-related variables, Trauma screening questionnaire and academic performance.
The mean age of the participants was 16.03 ± 0.73 years with almost equal gender distribution. One-third of students reported flood-related damage to house/property, and a few lost their pets. Nearly 50% of the students reported that they still re-experience and get upsetting memories about flood events. The prevalence of probable PTSD noted to be 34.9%. We observed that 31% of students in public school screened positive for PTSD compared to 38.8% of private school students. (odds ratio = 1.409, CI 1.024-1.938). Male gender (Odds ratio = 1.503, CI 1.093-2.069), higher age (Odds ratio = 1.701, CI 1.120-2.585), damage during floods (Odds ratio = 2.566, CI 1.814-3.630), presence of morbidity (Odds ratio = 3.568, CI 1.888-6.743), camp stay (Odds ratio = 3.788, CI 2.364-6.067) and loss of pets (Odds ratio = 3.932, CI 2.019-7.657) were the factors significantly associated with PTSD. We noted a deterioration in academic performance in 45.9% of students who screened positive for PTSD.
High prevalence of stress disorder highlights the need for early identification and intervention for PTSD and including trained counsellors as a part of the disaster management team in future.
灾难会对幸存者造成深刻的身心影响。2018 年，一场异常的西南季风在喀拉拉邦引发了洪水和山体滑坡。青少年在灾难后更容易受到心理伤害，生命初期的创伤可能会在个体发展中留下不可磨灭的印记，并导致未来的障碍。
在阿勒皮区，采用分层抽样法，对 670 名私立和公立学校的青少年进行了为期 3 个月的横断面研究。研究工具包括一份结构化问卷，收集了社会人口统计学、与洪水有关的变量、创伤筛查问卷和学业成绩的信息。
参与者的平均年龄为 16.03±0.73 岁，性别分布几乎相等。三分之一的学生报告说房屋/财产遭受洪水破坏，少数学生失去了宠物。近 50%的学生报告说，他们仍会重温和感到不安的洪水事件记忆。注意到可能的创伤后应激障碍患病率为 34.9%。我们观察到，公立学校筛查出 PTSD 的学生比例为 31%，而私立学校学生的比例为 38.8%。（比值比=1.409，CI 1.024-1.938）。男性（比值比=1.503，CI 1.093-2.069）、较高年龄（比值比=1.701，CI 1.120-2.585）、洪水期间受损（比值比=2.566，CI 1.814-3.630）、患病（比值比=3.568，CI 1.888-6.743）、营地停留（比值比=3.788，CI 2.364-6.067）和宠物丢失（比值比=3.932，CI 2.019-7.657）是与 PTSD 显著相关的因素。我们注意到，筛查出 PTSD 的学生中有 45.9%的学习成绩恶化。
应激障碍的高患病率突出表明需要早期识别和干预 PTSD，并在未来将训练有素的顾问纳入灾害管理团队。
