Co-occurring patterns of post-traumatic stress disorder and depression among flood victims: A latent profile analysis

Zhou, Xiao

doi:10.1177/1359105318763505

Cited by 14 publications

(15 citation statements)

References 64 publications

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“…The possible explanation for this is that with increasing age, individuals accumulate more experience facing negative events and have more psychological energy to deal with catastrophic events (Amir & Ramati, 2002 ). Sex and cause of death had no predictive effects in this study, which was inconsistent with the results of some prior studies (Cao et al, 2018 ; Zhen et al, 2018 ). The main reason for these results may lie in the intricacies of Chinese culture.…”

Section: Discussioncontrasting

confidence: 99%

“…Specifically, the high symptom group proportion (27.8%) was higher than that reported in previous studies (from 5.4% to 9.0%; Cao et al, 2015 ; Zhen et al, 2019 ). The moderate symptom group proportion (32.8%) was close to that identified in Armour et al ( 2015 ); however, it was higher than some other previous studies (Zhen, Quan, & Zhou, 2018 ; Zhen et al, 2019 ). The low symptom group proportion (39.4%) was smaller than those identified in previous studies (Cao et al, 2015 ; Zhen et al, 2019 ).…”

Section: Discussionsupporting

confidence: 84%

“…It is possible that this difference resulted from the different types of traumatic events experienced by participants. Previous research examined samples consisting of veterans (Armour et al, 2015 ), flood disaster victims (Zhen et al, 2018 ), and earthquake survivors (Zhen et al, 2019 ), whereas the participants in the present study were bereaved parents who had lost their only child, which might have led to more traumatic responses than other types of traumatic events (Liang, Zhou, & Liu, 2019 ; Liu et al, 2017 ).…”

Section: Discussionmentioning

confidence: 87%

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A profile analysis of post-traumatic stress disorder and depressive symptoms among Chinese Shidu parents

Eli

Zhou

Liang

et al. 2020

European Journal of Psychotraumatology

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Background: Due to the one-child policy implemented in China, most families have only one child. When parents experience the death of their only child, these parents receive the label 'Shidu parents'. Shidu is a major public health issue in China. However, the patterns of post-traumatic stress disorder (PTSD) and depressive symptoms that are present in this population remain unclear. Objective: This study aims to identify profiles of PTSD and depressive symptoms among Shidu parents and to explore the predictors of profile membership. Methods: A total of 363 participants (M age = 61.5 years, SD = 7.5) were asked to complete questionnaires assessing PTSD, depressive symptoms, perceived social support, and demographic information. Latent profile analyses and multivariate logistic regressions were used. Results: Three distinct profiles were identified: low (39.4%), moderate (32.8%), and high symptoms (27.8%). Parents who were younger and perceived lower levels of support from family and significant others were more likely to experience higher levels of PTSD and depressive symptoms. Conclusions: These results indicate that the severity of PTSD and depressive symptoms tightly cohere, providing evidence for the co-occurrence of PTSD and depressive symptoms after bereavement. The findings provide valuable information for the development of tailored professional interventions for bereaved parents. Un análisis de perfil del trastorno de estrés postraumático y de los sίntomas de depresiόn entre los padres shidu chinos Antecedentes: Debido a la política de un hijo implementada en China, la mayoría de las familias tienen sólo un hijo. Cuando los padres experimentan la muerte de su único hijo, estos padres reciben la etiqueta de 'padres shidu'. Shidu es un gran problema de salud pública en China. Sin embargo, los patrones del trastorno de estrés postraumático (TEPT) y de los síntomas de depresión que se presentan en esta población no están claros. Objetivo: Este estudio busca identificar los perfiles del TEPT y de los síntomas depresivos entre los padres shidu y explorar los predictores de la pertenencia al perfil. Método: Se le solicitó a un total de 363 participantes (M edad = 61.5 años, DE = 7.5) que completaran cuestionarios para evaluar TEPT, síntomas depresivos, apoyo social, e información demográfica. Se usaron análisis de perfil latente y regresiones logísticas multivariadas. Resultados: Tres perfiles distintivos fueron identificados: síntomas bajos (39.4%), moderados (32.8%), y altos (27.8%). Los padres que eran más jóvenes y que reportaron niveles más bajos de apoyo desde la familia y otros tenían más probabilidades de experimentar altos niveles de TEPT y síntomas depresivos. Conclusiones: Estos resultados indican que la severidad del TEPT y los síntomas depresivos coinciden estrechamente, proporcionando evidencia para la co-occurrencia del TEPT y los síntomas depresivos luego de la pérdida. Los hallazgos proveen información valiosa para el desarrollo de intervenciones profesionales a la medida para los padres en due...

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Section: Discussioncontrasting

confidence: 99%

Section: Discussionsupporting

confidence: 84%

Section: Discussionmentioning

confidence: 87%

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A profile analysis of post-traumatic stress disorder and depressive symptoms among Chinese Shidu parents

Eli

Zhou

Liang

et al. 2020

European Journal of Psychotraumatology

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“…Guo et al showed a similar association between age and PTSD among 1369 earthquake survivors in China. [19] Nevertheless, other reports either failed to show an association between age and PTSD [20] or showed a positive association, [21][22][23] which is opposite to the reported results in this study. The latter studies were all conducted post-natural (earthquake or flood) disasters.…”

Section: Discussioncontrasting

confidence: 99%

“…There is a consensus in the literature that females have higher odds of having PTSD than males, and the prevalence of PSTD among females is higher than that in males. [ 19 , 22 , 23 , 26 , 27 ] Along these lines, multiple reports in the literature showed a high association between depression and PTSD in adults and adolescents. [ 26 , 28 , 29 ] For instance, in a cohort conducted by Jordan et al, including 36,897 participants, the prevalence of PTSD and depression in survivors of the 9/11 World Trade Center terrorist attacks was 14.3% and 15.6%, respectively.…”

Section: Discussionmentioning

confidence: 99%

Assessing the psychological impact of Beirut Port blast: A cross-sectional study

et al. 2022

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Beirut Port blast’s magnitude is considered the third after Hiroshima and Nagasaki atomic bombings. This blast occurred in the densely populated section of Beirut, leaving more than six thousand injured patients. The psychological disturbances were assessed in the blast survivors who presented to the Emergency Department (ED) at the American University of Beirut Medical Center (AUBMC). This was a cross-sectional study at the ED of AUBMC. Identified patients were contacted and consented to participate in the study. Post-Traumatic Stress Disorder (PTSD) was selected as an outcome. Depression, PTSD, and concussion were assessed using patient health questionnaire (PHQ)-9, PTSD checklist for DSM-5 (PCL5), and brain injury symptoms (BISx) tools, respectively. The association of patients and injury characteristics with the study outcome was assessed using logistic regression. 145 participants completed the study procedures. The participants’ average age was 39.8 ± 15.4 years, and 60% were males. Almost half of the participants showed depression on PHQ, and 2-thirds had PTSD. The participant’s age was negatively associated with PTSD, whereas being a female, having depression, and having a concussion were positively associated with PTSD. The results of this study were in line with the previous literature report except for the association between younger age and PTSD, which warrants further investigations to delineate the reasons.

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A longitudinal investigation of mental health outcomes after the Henan floods in China: Examining predictors of resilience trajectories

Liu,

Bao,

Wang

et al. 2024

PsyCh Journal

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A heavy rainstorm struck Henan, China, in July 2021. Previous studies have indicated that natural disasters have a wide range of psychological sequelae, but little research has been done on the psychological effects of floods specifically. This study aimed to track the mental health trajectories of flood victims over time and identify associated protective and risk factors. People living in the areas most impacted by the flood (N = 376) were surveyed at four different time points: 3 weeks, 1 month, 2 months, and 3 months post‐flood. Latent growth mixture modeling was utilized to delineate longitudinal patterns of depression, anxiety, and posttraumatic stress disorder (PTSD). Least absolute shrinkage and selection operator logistic regression, a supervised machine‐learning approach, was employed to discern predictors among 49 assessed variables at both contextual and personal levels. Results revealed three classes of PTSD (resilience, recovery, moderate symptoms) and anxiety (resilience, chronicity, recovery) trajectories, along with two classes of depression trajectories (resilience, chronicity). Key factors predicting resilience in mental health included personality traits, media consumption habits, pre‐existing health conditions at the individual level, and asset loss and ongoing adversities at the contextual level. In spite of the widespread impact of the flood, most victims displayed resilience in the face of adversity. Identifying critical factors across various psychological symptoms offers valuable insights for both pre‐disaster preparation and post‐disaster trans‐diagnostic psychological interventions.

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Co-occurring patterns of post-traumatic stress disorder and depression among flood victims: A latent profile analysis

Cited by 14 publications

References 64 publications

A profile analysis of post-traumatic stress disorder and depressive symptoms among Chinese Shidu parents

A profile analysis of post-traumatic stress disorder and depressive symptoms among Chinese Shidu parents

Assessing the psychological impact of Beirut Port blast: A cross-sectional study

A longitudinal investigation of mental health outcomes after the Henan floods in China: Examining predictors of resilience trajectories

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