Posttraumatic stress disorder and somatic symptoms among child and adolescent survivors following the Lushan earthquake in China: A six-month longitudinal study

Zhang, Jun; Zhu, Shenyue; Du, Changhui; Zhang, Ye

doi:10.1016/j.jpsychores.2015.06.001

Cited by 57 publications

(30 citation statements)

References 53 publications

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“…Trickey et al estimated the population effect sizes of 25 potential risk factors for PTSD in children and adolescents aged 6–18 years across 64 studies ( n = 32,238) [ 20 ]. These have focused on different kinds of populations such as trauma-exposed adults [ 21 ], rescue workers [ 22 ], HIV-positive women [ 23 ], refugees and internally displaced persons [ 24 ], military personnel, and veterans [ 25 ]. To date, however, there has been no meta-analysis of risk factors for PTSD in populations specifically affected by earthquakes.…”

Section: Introductionmentioning

confidence: 99%

A Meta-Analysis of Risk Factors for Post-Traumatic Stress Disorder (PTSD) in Adults and Children after Earthquakes

Tang

Deng

Glik

et al. 2017

IJERPH

177

125

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PTSD is considered the most common negative psychological reactions among survivors following an earthquake. The present study sought to find out the determinants of PTSD in earthquake survivors using a systematic meta-analysis. Four electronic databases (PubMed, Embase, Web of Science, and PsycInfo) were used to search for observational studies about PTSD following earthquakes. The literature search, study selection, and data extraction were conducted independently by two authors. 52 articles were included in the study. Summary estimates, subgroup analysis, and publication bias tests were performed on the data. The prevalence of PTSD after earthquakes ranged from 4.10% to 67.07% in adults and from 2.50% to 60.00% in children. For adults, the significant predictors were being female, low education level or socio-economic status, prior trauma; being trapped, experiencing fear, injury, or bereavement during the disaster. For children, the significant predictors were being older age, high education level; being trapped, experiencing fear, injury, or bereavement, witnessing injury/death during the earthquakes. Our study provides implications for the understanding of risk factors for PTSD among earthquake survivors. Post-disaster mental health recovery programs that include early identification, on-going monitoring, and sustained psychosocial support are needed for earthquake survivors.

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Section: Introductionmentioning

confidence: 99%

A Meta-Analysis of Risk Factors for Post-Traumatic Stress Disorder (PTSD) in Adults and Children after Earthquakes

Tang

Deng

Glik

et al. 2017

IJERPH

177

125

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“…Following the 2013 Ya’an earthquake, some studies have also examined prevalence of mental health problems such as Acute Stress Disorder (ASD), PTSD and depression among children and adolescents affected by this earthquake ( Zhang et al, 2015 , 2016 ; Zhou et al, 2016 ). For instance, in a sample of 2,299 child and adolescent survivors, Zhang et al (2015) reported the prevalence rates of probable PTSD were 37.4 and 24.2% 3 and 6 months following the earthquake, respectively. However, these studies have not taken the Wenchuan earthquake exposure and related psychiatric symptoms into account.…”

Section: Introductionmentioning

confidence: 99%

A Longitudinal Study of Recurrent Experience of Earthquake and Mental Health Problems Among Chinese Adolescents

et al. 2018

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Background: The effects of recurrent exposure to disasters on adolescents’ mental health have rarely been studied. We examined the effects of two earthquake experiences 5 years apart in a longitudinal cohort of Chinese adolescents.Methods: A total of 858 adolescents were assessed in September, 2011 (3.5 years after the Wenchuan earthquake, 1.5 years before Ya’an earthquake, T1) and April, 2013 (1 week after the Ya’an earthquake, T2). Participants’ Wenchuan earthquake experiences and symptoms of post-traumatic stress disorder (PTSD) and depression were assessed at T1, and their Ya’an earthquake experiences, Acute Stress Disorder (ASD), PTSD, and depression were assessed at T2.Results: Structural equation models showed a positive relationship between Ya’an earthquake experiences and symptoms of ASD, PTSD, and depression at T2. T1 PTSD symptoms significantly increased T2 ASD, PTSD, and depression symptoms, and also mediated the relationships between Wenchuan earthquake experiences and T2 ASD, PTSD, and depression symptoms. T1 Depression symptoms also significantly increased T2 ASD, PTSD, and depression symptoms, but only mediated the association between Wenchuan earthquake experiences and T2 depression symptoms. In addition, Wenchuan earthquake experiences moderated the effects of Ya’an earthquake experiences on ASD symptoms and PTSD symptoms but not depression.Conclusion: Repeated to exposure to disasters have adverse additive effects on adolescents’ mental health. Adolescents who experience one disaster may be sensitive to the negative impact of subsequent ones.

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“…The majority of previous studies explored the risk factors of PTSD largely in isolation from other putative risk factors, such as sleep problems [18,19] and somatic discomforts, [20,21] which have been well-documented. Everyday functional impairment was also found to be related to psychological trauma, [22,23] because small changes of everyday functioning can be predictive of an increased risk for future pathologic behavior and be a source of psychological distress.…”

Section: Introductionmentioning

confidence: 99%

Prevalence and risk factors of posttraumatic stress disorder among teachers 3 months after the Lushan earthquake

Zhang

et al. 2016

Medicine

Self Cite

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Teachers and students often suffer from the same disaster. The prevalence of PTSD in students has been given great attention. However, in acting as mentors to students and their families, teachers are more likely to have vicarious and indirect exposure via hearing stories of their aftermath and witnessing the consequences of traumatic events. There are limited data pertaining to the prevalence of PTSD and its risk factors among teachers. A total of 316 teachers from 21 primary and secondary schools in Baoxing County were administered a project-developed questionnaire which included the items regarding demographic characteristics, earthquake-related experiences, somatic discomforts, emotional reactions, support status, and everyday functioning 2 weeks after the Lushan earthquake, and they finished a 1-to-1 telephone interview for addressing the PTSD criteria of the Mini International Neuropsychiatric Interview (MINI) 3 months after the earthquake. The prevalence of PTSD was 24.4% among teachers. Somatic discomforts (odds ratio [OR] 1.89, 95% confidence interval [CI] 1.06–3.37) were positive risk factors of PTSD. Perceived social support (OR 0.30, 95% CI 0.14–0.62) and being able to calm down (OR 0.25, 95% CI 0.09–0.75) in teaching were negative risk factors. PTSD is commonly seen among teachers after an earthquake, and risk factors of PTSD were identified. These findings may help those providing psychological health programs to find the teachers who are at high risk of PTSD in schools after an earthquake in China.

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Posttraumatic stress disorder and somatic symptoms among child and adolescent survivors following the Lushan earthquake in China: A six-month longitudinal study

Cited by 57 publications

References 53 publications

A Meta-Analysis of Risk Factors for Post-Traumatic Stress Disorder (PTSD) in Adults and Children after Earthquakes

A Meta-Analysis of Risk Factors for Post-Traumatic Stress Disorder (PTSD) in Adults and Children after Earthquakes

A Longitudinal Study of Recurrent Experience of Earthquake and Mental Health Problems Among Chinese Adolescents

Prevalence and risk factors of posttraumatic stress disorder among teachers 3 months after the Lushan earthquake

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