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意大利2012年地震后父母的内化性精神病理学与后代的创伤后应激障碍

Parental Internalizing Psychopathology and PTSD in Offspring after the 2012 Earthquake in Italy.

作者信息

Forresi Barbara, Caputi Marcella, Scaini Simona, Caffo Ernesto, Aggazzotti Gabriella, Righi Elena

机构信息

Department of Psychology, Sigmund Freud University (Milan), Ripa di Porta Ticinese, 77-20143 Milan, Italy.

Department of Life Sciences, University of Trieste, Via E. Weiss, 2-34128 Trieste, Italy.

出版信息

Children (Basel). 2021 Oct 17;8(10):930. doi: 10.3390/children8100930.

Abstract

Post-traumatic stress disorder (PTSD) is common in youths after earthquakes, with parental psychopathology among the most significant predictors. This study investigated the contribution and the interactional effects of parental internalizing psychopathology, the severity of exposure to the earthquake, and past traumatic events to predict PTSD in offspring, also testing the reverse pattern. Two years after the 2012 earthquake in Italy, 843 children and adolescents (9-15 years) living in two differently affected areas were administered a questionnaire on traumatic exposure and the UCLA PTSD Reaction Index. Anxiety, depression, and somatization were assessed in 1162 parents through the SCL-90-R. General linear model showed that, for offspring in the high-impact area, predictors of PTSD were earthquake exposure, past trauma, and parental internalizing symptoms, taken individually. An interaction between earthquake exposure and parental depression or anxiety (not somatization) was also found. In the low-impact area, youth PTSD was only predicted by earthquake exposure. The reverse pattern was significant, with parental psychopathology explained by offspring PTSD. Overall, findings support the association between parental and offspring psychopathology after natural disasters, emphasizing the importance of environmental factors in this relationship. Although further research is needed, these results should be carefully considered when developing mental health interventions.

摘要

创伤后应激障碍(PTSD)在青少年经历地震后很常见,其中父母的精神病理学是最重要的预测因素之一。本研究调查了父母内化性精神病理学、地震暴露的严重程度以及过去的创伤事件对预测后代PTSD的贡献和交互作用,同时也测试了相反的模式。在意大利2012年地震两年后,对生活在两个受影响程度不同地区的843名儿童和青少年(9 - 15岁)进行了关于创伤暴露和加州大学洛杉矶分校PTSD反应指数的问卷调查。通过症状自评量表(SCL - 90 - R)对1162名父母的焦虑、抑郁和躯体化症状进行了评估。一般线性模型显示,对于高影响地区的后代,PTSD的预测因素分别为地震暴露、过去的创伤和父母的内化症状。还发现地震暴露与父母的抑郁或焦虑(而非躯体化)之间存在交互作用。在低影响地区,青少年PTSD仅由地震暴露预测。相反的模式也很显著,即后代PTSD可解释父母的精神病理学。总体而言,研究结果支持了自然灾害后父母与后代精神病理学之间的关联,强调了环境因素在这种关系中的重要性。尽管还需要进一步研究,但在制定心理健康干预措施时应仔细考虑这些结果。

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