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探讨经历过卡赫拉曼马拉什地震的儿童心理健康状况与睡眠模式之间的关系:来自地震灾区的数据。

Investigation of the Relationship Between Mental Health Status and Sleep Patterns of Children Who Experienced the Kahramanmaraş Earthquake: Data From the Earthquake Region.

机构信息

Mehmet Emin Düken, RN, Harran University, Şanlıurfa, Turkey.

出版信息

J Am Psychiatr Nurses Assoc. 2024 Sep-Oct;30(5):868-877. doi: 10.1177/10783903231211506. Epub 2023 Nov 22.

Abstract

BACKGROUND

The psychological conditions of children exposed to earthquakes, such as somatization, obsessive-compulsive, hostility, and paranoid thought, have not been adequately studied.

AIM

This study was conducted to examine the relationship between the mental states and sleep patterns of children who experienced the Kahramanmaraş earthquake.

METHODS

This is a descriptive, cross-sectional, and relational study that included 867 children from 11 provinces of Turkey affected by the earthquake that occurred in Kahramanmaraş on February 6th. The Child Follow-up Form, Mental Symptom Screening Scale, and Child Sleep Habits Scale were used to collect data.

RESULTS

The psychological symptoms (anxiety, depression, somatization, anger-hostility, obsessive-compulsive symptoms, interpersonal sensitivity, phobic anxiety, paranoid ideation, psychotic symptoms, and other issues) experienced by children after the earthquake explained 96.9% of their sleep disturbance. Some of the demographic characteristics, such as age, the status of experiencing loss in the earthquake, the survival status of their mother and father, the survival status of their siblings, the total number of losses after the earthquake, the total number of losses in the nuclear family, total hours spent under the rubble, the hours children waited for their father, mother, and siblings to come out of the rubble, accounted for 77.9% of the mental symptoms (SCL-90).

CONCLUSIONS

These results showed the importance of early recognition and treatment of sleep disturbances to prevent possible psychiatric disorders after children have been exposed to natural disasters. It is of great importance to evaluate the mental states of children after the earthquake and to apply appropriate psychiatric interventions.

摘要

背景

遭受地震的儿童的心理状况,如躯体化、强迫观念、敌对和偏执思维等,尚未得到充分研究。

目的

本研究旨在探讨经历过卡赫拉曼马拉什地震的儿童的精神状态与睡眠模式之间的关系。

方法

这是一项描述性、横断面和关系研究,纳入了来自土耳其 11 个受 2 月 6 日卡赫拉曼马拉什地震影响的省份的 867 名儿童。使用儿童随访表、精神症状筛查量表和儿童睡眠习惯量表收集数据。

结果

地震后儿童经历的心理症状(焦虑、抑郁、躯体化、愤怒-敌意、强迫观念、人际关系敏感、恐怖焦虑、偏执观念、精神病性症状和其他问题)解释了 96.9%的睡眠障碍。一些人口统计学特征,如年龄、在地震中是否经历丧失、父母的生存状况、兄弟姐妹的生存状况、地震后的总损失数、核心家庭的总损失数、被困在废墟下的总时间、等待父母和兄弟姐妹从废墟中出来的时间,解释了 77.9%的心理症状(SCL-90)。

结论

这些结果表明,早期识别和治疗睡眠障碍对于预防儿童遭受自然灾害后可能出现的精神障碍非常重要。评估地震后儿童的精神状态并应用适当的精神干预措施非常重要。

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