nach oben

Quality of Life Research

Erschienen in:

01.11.2010

Mental health and quality of life survey among child survivors of the 2008 Sichuan earthquake

verfasst von: Zhaobao Jia, Wenhua Tian, Xiang He, Weizhi Liu, Chunlin Jin, Hansheng Ding

Erschienen in: Quality of Life Research | Ausgabe 9/2010

Einloggen, um Zugang zu erhalten

Abstract

Purpose

To characterize child survivors’ mental health and quality of life after a massive earthquake.

Methods

A population-based survey of 596 children aged between 8 and 16 years was conducted in the severely affected areas of the earthquake, using a multi-stage systematic sampling design.

Results

The point prevalence rates of posttraumatic stress disorder (PTSD) and depression among the child survivors aged between 8 and 16 years 15 months after the earthquake were 12.4 and 13.9%, respectively. Health-related quality of life (HRQoL) was found to be strongly and negatively associated with PTSD and depression. Children who had lost family members were most likely to develop PTSD (OR = 6.6; P < 0.001) as well as depression (OR = 4.1; P < 0.001). Children who reported no utilization of mental health services were four times more likely to suffer from PTSD than those who did not (P = 0.002).

Conclusions

More than one in five child survivors were identified as having PTSD or depression; HRQoL of these identified children were deeply compromised. Utilization of mental health services may significantly reduce the risk of developing PTSD symptoms.

State Council Information Office of the People’s Republic of China (2008). Latest Developments of Wenchuan Earthquake Relief September 25, 2008. http://www.scio.gov.cn/zxbd/wz/200905/t310218.htm. Accessed June 2, 2009.

Department of Education, Sichuan province (2009). 5335 students were confirmed dead or missing in Wenchuan earthquake by May 7, 2009. http://www.gov.cn/jrzg/2009-05/07/content_1306695.htm. Accessed June 12, 2009.

Thienkrua, W., Cardozo, B. L., Chakkraband, M. L., Guadamuz, T. E., Pengjuntr, W., Tantipiwatanaskul, P., et al. (2006). Symptoms of posttraumatic stress disorder and depression among children in tsunami-affected areas in southern Thailand. Journal of the American Medical Association, 296(5), 549–559.CrossRefPubMed

Goenjian, A. K., Molina, L., Steinberg, A. M., Fairbanks, L. A., Alvarez, M. L., Goenjian, H. A., et al. (2001). Posttraumatic stress and depressive reactions among Nicaraguan adolescents after hurricane Mitch. American Journal of Psychiatry, 158(5), 788–794.CrossRefPubMed

Sharan, P., Chaudhary, G., Kavathekar, S. A., & Saxena, S. (1996). Preliminary report of psychiatric disorders in survivors of a severe earthquake. American Journal of Psychiatry, 153(4), 556–558.PubMed

Bromet, E., & Dew, M. A. (1995). Review of psychiatric epidemiologic research on disasters. Epidemiologic Reviews, 17(1), 113–119.PubMed

Yule, W. (2001). Posttraumatic stress disorder in the general population and in children. Journal of Clinical Psychiatry, 62(17), 23–28.PubMed

Perkonigg, A., Pfister, H., Stein, M. B., Hofler, M., Lieb, R., Maercker, A., et al. (2005). Longitudinal course of posttraumatic stress disorder and posttraumatic stress disorder symptoms in a community sample of adolescents and young adults. American Journal of Psychiatry, 162(7), 1320–1327.CrossRefPubMed

Fichter, M. M., Kohlboeck, G., & Quadflieg, N. (2008). The Upper Bavarian longitudinal community study 1975–2004. 2. Long-term course and outcome of depression. A controlled study. European Archives of Psychiatry and Clinical Neuroscience, 258(8), 476–488.CrossRefPubMed

10.

Roussos, A., Goenjian, A. K., Steinberg, A. M., Sotiropoulou, C., Kakaki, M., Kabakos, C., et al. (2005). Posttraumatic stress and depressive reactions among children and adolescents after the 1999 earthquake in Ano Liosia, Greece. American Journal of Psychiatry, 162(3), 530–537.CrossRefPubMed

11.

United Nations International Children’s Emergency Fund (UNICEF). A treasure chest of hope for children impacted by disasters and war. http://www.unicef.org/media/media_50668.html. Accessed June 13, 2009.

12.

World Health Organization. (1948). Constitution of the world health organization. Geneva, Switzerland: World Health Organization.

13.

Lee, I., Ha, Y. S., Kim, Y. A., & Kwon, Y. H. (2004). PTSD symptoms in elementary school children after Typhoon Rusa. Taehan Kanho Hakhoe Chi, 34(4), 636–645.PubMed

14.

Hsu, C. C., Chong, M. Y., Yang, P., & Yen, C. F. (2002). Posttraumatic stress disorder among adolescent earthquake victims in Taiwan. Journal of the American Academy of Child Adolescent Psychiatry, 41(7), 875–881.CrossRef

15.

Ministry of Civil Affaires. (2008). Ten severely affected subdistricts are defined in Sichuan province. http://www.gov.cn/jrzg/2008-07/22/content_1053017.htm. Accessed June 16, 2009.

16.

Kish, L. (1949). A procedure for objective respondent selection within the household. Journal of the American Statistical Association, 44, 380–387.CrossRef

17.

Steinberg, A. M., Brymer, M. J., Decker, K. B., & Pynoos, R. S. (2004). The University of California at Los Angeles post-traumatic stress disorder reaction index. Current Psychiatry Reports, 6(2), 96–100.CrossRefPubMed

18.

Pynoos, R. S., Frederick, C., Nader, K., Arroyo, W., Steinberg, A., Eth, S., et al. (1987). Life threat and posttraumatic stress in school-age children. Archives of General Psychiatry, 44(12), 1057–1063.PubMed

19.

Hawkins, S. S., & Radcliffe, J. (2006). Current measures of PTSD for children and adolescents. Journal of Pediatric Psychology, 31(4), 420–430.CrossRefPubMed

20.

Bayer, C. P., Klasen, F., & Adam, H. (2007). Association of trauma and PTSD symptoms with openness to reconciliation and feelings of revenge among former Ugandan and Congolese child soldiers. Journal of the American Medical Association, 298(5), 555–559.CrossRefPubMed

21.

Goenjian, A. K., Walling, D., Steinberg, A. M., Karayan, I., Najarian, L. M., & Pynoos, R. (2005). A prospective study of posttraumatic stress and depressive reactions among treated and untreated adolescents 5 years after a catastrophic disaster. American Journal of Psychiatry, 162(12), 2302–2308.CrossRefPubMed

22.

Bal, A., & Jensen, B. (2007). Post-traumatic stress disorder symptom clusters in Turkish child and adolescent trauma survivors. European Child and Adolescent Psychiatry, 16(7), 449–457.CrossRefPubMed

23.

Kovacs, M. (1981). Rating scales to assess depression in school-aged children. Acta Paedopsychiatrica, 46(5–6), 305–315.PubMed

24.

Poli, P., Sbrana, B., Marcheschi, M., & Masi, G. (2003). Self-reported depressive symptoms in a school sample of Italian children and adolescents. Child Psychiatry and Human Development, 33(3), 209–226.CrossRefPubMed

25.

Swallen, K. C., Reither, E. N., Haas, S. A., & Meier, A. M. (2005). Overweight, obesity, and health-related quality of life among adolescents: The national longitudinal study of adolescent health. Pediatrics, 115(2), 340–347.CrossRefPubMed

26.

Hong, X., Li, J., Xu, F., Tse, L. A., Liang, Y., Wang, Z., et al. (2009). Physical activity inversely associated with the presence of depression among urban adolescents in regional China. BMC Public Health, 9, 148.CrossRefPubMed

27.

Yu, D., & Li, X. (2000). Preliminary use of the children’s depression inventory in China. Chinese Journal of Mental Health, 14(4), 225–227.

28.

Chang, H. J., Yang, C. Y., Lin, C. R., Ku, Y. L., & Lee, M. B. (2008). Determinants of suicidal ideation in Taiwanese urban adolescents. Journal of the Formosan Medical Association, 107(2), 156–164.CrossRefPubMed

29.

Chao, C. C., Chen, S. H., Wang, C. Y., Wu, Y. C., & Yeh, C. H. (2003). Psychosocial adjustment among pediatric cancer patients and their parents. Psychiatry and Clinical Neurosciences, 57(1), 75–81.CrossRefPubMed

30.

Kobayashi, K., & Kamibeppu, K. (2009). Measuring quality of life in Japanese children: Development of the Japanese version of PedsQL. Pediatrics International, 52, 80–88.CrossRefPubMed

31.

Petersen, S., Hagglof, B., Stenlund, H., & Bergstrom, E. (2009). Psychometric properties of the Swedish PedsQL, pediatric quality of life inventory 4.0 generic core scales. Acta Paediatrica, 98(9), 1504–1512.CrossRefPubMed

32.

Chen, Y. M., He, L. P., Mai, J. C., Hao, Y. T., Xiong, L. H., Chen, W. Q., et al. (2008). Validity and reliability of pediatric quality of life inventory version 4.0 generic core scales in Chinese children and adolescents. Zhonghua Liu Xing Bing Xue Za Zhi, 29(6), 560–563.PubMed

33.

Chan, L. F., Chow, S. M., & Lo, S. K. (2005). Preliminary validation of the Chinese version of the pediatric quality of life inventory. International Journal of Rehabilitation Research, 28(3), 219–227.CrossRefPubMed

34.

Lu, Y., Tian, Q., Hao, Y., Jing, J., Lin, Y., & Huang, D. (2008). Reliability and validity for Chinese version of pediatric quality of life inventory PedsQL 4.0. Journal of Sun Yat-Sen University, 29(3), 328–331.

35.

Giannopoulou, I., Strouthos, M., Smith, P., Dikaiakou, A., Galanopoulou, V., & Yule, W. (2006). Post-traumatic stress reactions of children and adolescents exposed to the Athens 1999 earthquake. European Psychiatry, 21(3), 160–166.CrossRefPubMed

36.

Goenjian, A. K., Pynoos, R. S., Steinberg, A. M., Najarian, L. M., Asarnow, J. R., Karayan, I., et al. (1995). Psychiatric comorbidity in children after the 1988 earthquake in Armenia. Journal of the American Academy of Child Adolescent Psychiatry, 34(9), 1174–1184.CrossRef

37.

Sahin, N. H., Batigun, A. D., & Yilmaz, B. (2007). Psychological symptoms of Turkish children and adolescents after the 1999 earthquake: exposure, gender, location, and time duration. Journal of Traumatic Stress, 20(3), 335–345.CrossRefPubMed

38.

Pynoos, R. S., Goenjian, A., Tashjian, M., Karakashian, M., Manjikian, R., Manoukian, G., et al. (1993). Post-traumatic stress reactions in children after the 1988 Armenian earthquake. British Journal of Psychiatry, 163, 239–247.CrossRefPubMed

39.

Lamberg, L. (2008). Katrina’s mental health impact lingers: patients face shortages of facilities, clinicians. Journal of the American Medical Association, 300(9), 1011–1013.CrossRefPubMed

40.

Weems, C. F., Taylor, L. K., Cannon, M. F., Marino, R. C., Romano, D. M., Scott, B. G., et al. (2009). Post traumatic stress, context, and the lingering effects of the hurricane katrina disaster among ethnic minority youth. Journal of Abnormal Child Psychology, 38, 49–56.CrossRef

41.

Mitka, M. (2008). PTSD prevalence still high for persons living near world trade center attacks. Journal of the Amercan Medical Association, 300(7), 779.CrossRef

42.

DeWalt, D. A., Dilling, M. H., Rosenthal, M. S., & Pignone, M. P. (2007). Low parental literacy is associated with worse asthma care measures in children. Ambulatory Pediatrics, 7(1), 25–31.CrossRefPubMed

43.

Levandowski, B. A., Sharma, P., Lane, S. D., Webster, N., Nestor, A. M., Cibula, D. A., et al. (2006). Parental literacy and infant health: An evidence-based healthy start intervention. Health Promotion Practice, 7(1), 95–102.CrossRefPubMed

44.

Matsuoka, T., Yoshioka, T., Oda, J., Tanaka, H., Kuwagata, Y., Sugimoto, H., et al. (2000). The impact of a catastrophic earthquake on morbidity rates for various illnesses. Public Health, 114(4), 249–253.CrossRefPubMed

45.

Miller, A. C., & Arquilla, B. (2008). Chronic diseases and natural hazards: Impact of disasters on diabetic, renal, and cardiac patients. Prehospital and Disaster Medicine, 23(2), 185–194.PubMed

46.

Jhung, M. A., Shehab, N., Rohr-Allegrini, C., Pollock, D. A., Sanchez, R., Guerra, F., et al. (2007). Chronic disease and disasters medication demands of Hurricane Katrina evacuees. American Journal of Preventive Medicine, 33(3), 207–210.CrossRefPubMed

47.

Rust, G., Daniels, E., Satcher, D., Bacon, J., Strothers, H., & Bornemann, T. (2005). Ability of community health centers to obtain mental health services for uninsured patients. Journal of the American Medical Association, 293(5), 554–556.CrossRefPubMed

48.

Pirkola, S., Sund, R., Sailas, E., & Wahlbeck, K. (2009). Community mental-health services and suicide rate in Finland: A nationwide small-area analysis. Lancet, 373(9658), 147–153.CrossRefPubMed

Titel: Mental health and quality of life survey among child survivors of the 2008 Sichuan earthquake
verfasst von: Zhaobao Jia
Wenhua Tian
Xiang He
Weizhi Liu
Chunlin Jin
Hansheng Ding
Publikationsdatum: 01.11.2010
Verlag: Springer Netherlands
Erschienen in: Quality of Life Research / Ausgabe 9/2010
Print ISSN: 0962-9343
Elektronische ISSN: 1573-2649
DOI: https://doi.org/10.1007/s11136-010-9703-8

Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

Springer Medizin

Mental health and quality of life survey among child survivors of the 2008 Sichuan earthquake

Abstract

Purpose

Methods

Results

Conclusions

Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

Springer Medizin

Abstract

Purpose

Methods

Results

Conclusions

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 9/2010

Confirmatory factor analysis of the validity of the SF-12 for persons with and without a history of stroke

Health- and oral health-related quality of life among preschool children with cerebral palsy

Five-year stability in associations of health-related quality of life measures in community-dwelling older adults: the Rancho Bernardo Study

The relationship between parental overprotection and health-related quality of life in pediatric cancer: the mediating role of perceived child vulnerability

Application of the health assessment questionnaire disability index to various rheumatic diseases

HIV and COPD: impact of risk behaviors and diseases on quality of life