Longitudinal trajectories of post-traumatic stress disorder symptoms among adolescents after the Wenchuan earthquake in China

Fan, Fenglei; Long, Kan; Zhou, Yuwei; Zheng, Yunxiang; Liu, Xijuan

doi:10.1017/s0033291715000884

Cited by 178 publications

(193 citation statements)

References 38 publications

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“…Posttraumatic stress disorder (PTSD) is one of the most studied negative outcomes in trauma-focused research (Fan, Long, Zhou, Zheng, & Liu, 2015; Giannopoulou et al, 2006). Youth are at particularly high risk of being exposed to traumatic events (Lieberman & Van Horn, 2009).…”

Section: Introductionmentioning

confidence: 99%

Dispositional mindfulness mediates the relationships of parental attachment to posttraumatic stress disorder and academic burnout in adolescents following the Yancheng tornado

Yuan

Liu

et al. 2018

European Journal of Psychotraumatology

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Background: Previous studies have shown that parental attachment is associated with low severity of posttraumatic stress disorder (PTSD) and low academic burnout in individuals who have experienced traumatic events. Objective: The present study investigated the ways in which parental attachment is related to PTSD symptoms and academic burnout in Chinese traumatized adolescents by considering the role of dispositional mindfulness. Method: A total of 443 Chinese adolescents who had experienced a severe tornado one year prior to this study completed measures of parental attachment, dispositional mindfulness, PTSD and academic burnout. Results: The results showed that our model fitted the data well [χ2/df = 2.968, CFI = 0.971, TLI = 0.955, RMSEA (90% CI) = 0.067 (0.052–0.082)] and revealed that dispositional mindfulness partially mediates the relationship between parental attachment, PTSD severity and academic burnout. Conclusions: The findings suggested that dispositional mindfulness and parental attachment may be two critical resources in dealing with traumatization and academic burnout.

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Section: Introductionmentioning

confidence: 99%

Dispositional mindfulness mediates the relationships of parental attachment to posttraumatic stress disorder and academic burnout in adolescents following the Yancheng tornado

Yuan

Liu

et al. 2018

European Journal of Psychotraumatology

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“…For example, Fan et al (2015) found that 65.3% adolescent survivors may show no adverse psychological outcomes. One study found that 72.5% of adolescent survivors showed no depression after the Wenchuan earthquake (Ye et al, 2014).…”

Section: Introductionmentioning

confidence: 99%

Understanding the Relationship between Trauma Exposure and Depression among Adolescents after Earthquake: The Roles of Fear and Resilience

Zhou

2016

Front. Psychol.

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Middle school students (N = 1435) were assessed 18 months after the Wenchuan earthquake using measures of trauma exposure, fear, resilience, and depression, to examine the effects of fear and resilience on the relationship between trauma exposure and depression. Fear mediated the relationship between trauma exposure and depression, whereas resilience moderated the relationship between fear and depression. These findings suggest that trauma exposure has a direct positive impact on depression, but also indirectly affects depression through fear. Moreover, fear positively predicted depression under conditions of low resilience, whereas this effect was not significant when resilience was high. These results are discussed in terms of their implications for adolescents after trauma.

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“…Most previous studies have shown that psychological morbidity decreases over time following natural disasters (Eksi & Braun, 2009; Fan et al, 2015; Piyasil et al, 2011), as also shown in our previous study on adults from the same data collection (Hlodversdottir et al, 2016), while other studies do not show significant changes over time (Jia et al, 2013; Thienkrua et al, 2006; Weems et al, 2010) or they show an increase in symptoms (Shaw et al, 1996; Ye et al, 2014). One reason for our findings might be that proper surveillance and psychological support was not implemented immediately for children after the eruption, indicating that children are a particularly vulnerable group that need developmentally appropriate interventions beyond the needs of adults.…”

Section: Discussionmentioning

confidence: 98%

“…Usually, psychological symptoms peak during the first year post-disaster (Eksi & Braun, 2009; Fan, Long, Zhou, Zheng, & Liu, 2015; Piyasil et al, 2011), but some studies indicate that symptoms do not significantly decrease over time (Jia et al, 2013; Thienkrua et al, 2006; Weems et al, 2010). Long-term studies have even found an increase in psychological symptoms years after the disaster (Shaw, Applegate, & Schorr, 1996; Ye, Fan, Li, & Han, 2014).…”

Section: Introductionmentioning

confidence: 99%

Long-term health of children following the Eyjafjallajökull volcanic eruption: a prospective cohort study

Hlodversdóttir

Thorsteinsdottir

Þórðardóttir

et al. 2018

European Journal of Psychotraumatology

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Background: More than 500 million people worldwide live within exposure range of an active volcano and children are a vulnerable subgroup of such exposed populations. However, studies on the effects of volcanic eruptions on children’s health beyond the first year are sparse. Objective: To examine the effect of the 2010 Eyjafjallajökull eruption on physical and mental health symptoms among exposed children in 2010 and 2013 and to identify potential predictive factors for symptoms. Method: In a population-based prospective cohort study, data was collected on the adult population (N = 1615) exposed to the 2010 Eyjafjallajökull eruption and a non-exposed group (N = 697). The exposed group was further divided according to exposure level. All participants answered questionnaires assessing their children´s and their own perceived health status in 2010 and 2013. Results: In 2010, exposed children were more likely than non-exposed children to experience respiratory symptoms (medium exposed OR 1.47; 95% CI 1.07–2.03; high exposed OR 1.52; 95% CI 1.03–2.24) and anxiety/worries (medium exposed OR 2.39; 95% CI 1.67–3.45; high exposed OR 2.77; 95% CI 1.81–4.27). Both genders had an increased risk of symptoms of anxiety/worries but only exposed boys were at increased risk of experiencing headaches and sleep disturbances compared to non-exposed boys. Within the exposed group, children whose homes were damaged were at increased risk of experiencing anxiety/worries (OR 1.62; 95% CI 1.13–2.32) and depressed mood (OR 1.55; 95% CI 1.07–2.24) than children whose homes were not damaged. Among exposed children, no significant decrease of symptoms was detected between 2010 and 2013. Conclusions: Adverse physical and mental health problems experienced by the children exposed to the eruption seem to persist for up to a three-year period post-disaster. These results underline the importance of appropriate follow-up for children after a natural disaster.

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Longitudinal trajectories of post-traumatic stress disorder symptoms among adolescents after the Wenchuan earthquake in China

Cited by 178 publications

References 38 publications

Dispositional mindfulness mediates the relationships of parental attachment to posttraumatic stress disorder and academic burnout in adolescents following the Yancheng tornado

Dispositional mindfulness mediates the relationships of parental attachment to posttraumatic stress disorder and academic burnout in adolescents following the Yancheng tornado

Understanding the Relationship between Trauma Exposure and Depression among Adolescents after Earthquake: The Roles of Fear and Resilience

Long-term health of children following the Eyjafjallajökull volcanic eruption: a prospective cohort study

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