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Erschienen in: Quality of Life Research 4/2013

01.05.2013

Longitudinal study on health-related quality of life among child and adolescent survivors of the 2008 Sichuan earthquake

verfasst von: Wenhua Tian, Zhaobao Jia, Guangfeng Duan, Weizhi Liu, Xiao Pan, Qiang Guo, Ru Chen, Xue Zhang

Erschienen in: Quality of Life Research | Ausgabe 4/2013

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Abstract

Purpose

To longitudinally characterize child survivors’ quality of life after a massive earthquake in low- and middle-income settings.

Methods

Population-based surveys were conducted in the severely affected areas 15 and 36 months after the earthquake, using a multi-stage systematic sampling design.

Results

A total of 596 participants were included in the initial assessment, of which 430 were re-surveyed in the follow-up assessment. For both assessments, means of the PedsQL total and subscale scores fell significantly below the general healthy children (P < 0.05 for all comparisons). Reduction in PedsQL total scores was observed from the initial to the follow-up assessment (82.2 vs. 80.3, P = 0.01). In regression analysis, mental health symptoms were examined as the biggest contributors for PedsQL scores, and girls and older children were found to report lower PedsQL scores than their counterparts.

Conclusions

Health-related quality of life among child and adolescent survivors decreased over time. Besides helping children with identified risk experiences, attention should also be allocated to children without specific traumatic experiences, since the earthquake may have a delayed effect on them.
Literatur
1.
Zurück zum Zitat Dirkzwager, A. J., van der Velden, P. G., Grievink, L., & Yzermans, C. J. (2007). Disaster-related posttraumatic stress disorder and physical health. Psychosomatic Medicine, 69(5), 435–440.PubMedCrossRef Dirkzwager, A. J., van der Velden, P. G., Grievink, L., & Yzermans, C. J. (2007). Disaster-related posttraumatic stress disorder and physical health. Psychosomatic Medicine, 69(5), 435–440.PubMedCrossRef
2.
Zurück zum Zitat Dorn, T., Yzermans, J. C., Spreeuwenberg, P. M., Schilder, A., & van der Zee, J. (2008). A cohort study of the long-term impact of a fire disaster on the physical and mental health of adolescents. Journal of Traumatic Stress, 21(2), 239–242.PubMedCrossRef Dorn, T., Yzermans, J. C., Spreeuwenberg, P. M., Schilder, A., & van der Zee, J. (2008). A cohort study of the long-term impact of a fire disaster on the physical and mental health of adolescents. Journal of Traumatic Stress, 21(2), 239–242.PubMedCrossRef
3.
Zurück zum Zitat Reijneveld, S. A., Crone, M. R., Verhulst, F. C., & Verloove-Vanhorick, S. P. (2003). The effect of a severe disaster on the mental health of adolescents: A controlled study. Lancet, 362(9385), 691–696.PubMedCrossRef Reijneveld, S. A., Crone, M. R., Verhulst, F. C., & Verloove-Vanhorick, S. P. (2003). The effect of a severe disaster on the mental health of adolescents: A controlled study. Lancet, 362(9385), 691–696.PubMedCrossRef
4.
Zurück zum Zitat Vu, L., & Vanlandingham, M. J. (2012). Physical and mental health consequences of Katrina on Vietnamese immigrants in New Orleans: A pre- and post-disaster assessment. Journal of Immigrant and Minority Health, 14(3), 386–394. Vu, L., & Vanlandingham, M. J. (2012). Physical and mental health consequences of Katrina on Vietnamese immigrants in New Orleans: A pre- and post-disaster assessment. Journal of Immigrant and Minority Health, 14(3), 386–394.
5.
Zurück zum Zitat Wilson, J., Murray, V., & Kettle, J. N. (2009). The July 2005 London bombings: Environmental monitoring, health risk assessment and lessons identified for major incident response. Occupational and Environmental Medicine, 66(10), 642–643.PubMedCrossRef Wilson, J., Murray, V., & Kettle, J. N. (2009). The July 2005 London bombings: Environmental monitoring, health risk assessment and lessons identified for major incident response. Occupational and Environmental Medicine, 66(10), 642–643.PubMedCrossRef
6.
Zurück zum Zitat Moline, J. M., Herbert, R., Levin, S., Stein, D., Luft, B. J., Udasin, I. G., et al. (2008). WTC medical monitoring and treatment program: comprehensive health care response in aftermath of disaster. Mount Sinai Journal of Medicine, 75(2), 67–75.PubMedCrossRef Moline, J. M., Herbert, R., Levin, S., Stein, D., Luft, B. J., Udasin, I. G., et al. (2008). WTC medical monitoring and treatment program: comprehensive health care response in aftermath of disaster. Mount Sinai Journal of Medicine, 75(2), 67–75.PubMedCrossRef
7.
Zurück zum Zitat Jia, Z., Tian, W., Liu, W., Cao, Y., Yan, J., & Shun, Z. (2010). Are the elderly more vulnerable to psychological impact of natural disaster? A population-based survey of adult survivors of the 2008 Sichuan earthquake. BMC Public Health, 10, 172.PubMedCrossRef Jia, Z., Tian, W., Liu, W., Cao, Y., Yan, J., & Shun, Z. (2010). Are the elderly more vulnerable to psychological impact of natural disaster? A population-based survey of adult survivors of the 2008 Sichuan earthquake. BMC Public Health, 10, 172.PubMedCrossRef
8.
Zurück zum Zitat Kilic, E. Z., Kilic, C., & Yilmaz, S. (2008). Is anxiety sensitivity a predictor of PTSD in children and adolescents? Journal of Psychosomatic Research, 65(1), 81–86.PubMedCrossRef Kilic, E. Z., Kilic, C., & Yilmaz, S. (2008). Is anxiety sensitivity a predictor of PTSD in children and adolescents? Journal of Psychosomatic Research, 65(1), 81–86.PubMedCrossRef
9.
Zurück zum Zitat van Griensven, F., Chakkraband, M. L., Thienkrua, W., Pengjuntr, W., Lopes Cardozo, B., Tantipiwatanaskul, P., et al. (2006). Mental health problems among adults in tsunami-affected areas in southern Thailand. The Journal of American Medical Association, 296(5), 537–548.CrossRef van Griensven, F., Chakkraband, M. L., Thienkrua, W., Pengjuntr, W., Lopes Cardozo, B., Tantipiwatanaskul, P., et al. (2006). Mental health problems among adults in tsunami-affected areas in southern Thailand. The Journal of American Medical Association, 296(5), 537–548.CrossRef
10.
Zurück zum Zitat Erhart, M., & Ravens-Sieberer, U. (2006). Health-related quality of life instruments and individual diagnosis—A new area of application. Psychosocial Medicine, 3, Doc12. Erhart, M., & Ravens-Sieberer, U. (2006). Health-related quality of life instruments and individual diagnosis—A new area of application. Psychosocial Medicine, 3, Doc12.
11.
Zurück zum Zitat Berzon, R., Hays, R. D., & Shumaker, S. A. (1993). International use, application and performance of health-related quality of life instruments. Quality of Life Research, 2(6), 367–368.PubMedCrossRef Berzon, R., Hays, R. D., & Shumaker, S. A. (1993). International use, application and performance of health-related quality of life instruments. Quality of Life Research, 2(6), 367–368.PubMedCrossRef
12.
Zurück zum Zitat Wang, X., Gao, L., Zhang, H., Zhao, C., Shen, Y., & Shinfuku, N. (2000). Post-earthquake quality of life and psychological well-being: Longitudinal evaluation in a rural community sample in northern China. Psychiatry and Clinical Neurosciences, 54(4), 427–433.PubMedCrossRef Wang, X., Gao, L., Zhang, H., Zhao, C., Shen, Y., & Shinfuku, N. (2000). Post-earthquake quality of life and psychological well-being: Longitudinal evaluation in a rural community sample in northern China. Psychiatry and Clinical Neurosciences, 54(4), 427–433.PubMedCrossRef
13.
Zurück zum Zitat Lin, M. R., Huang, W., Huang, C., Hwang, H. F., Tsai, L. W., & Chiu, Y. N. (2002). The impact of the Chi–Chi earthquake on quality of life among elderly survivors in Taiwan—A before and after study. Quality of Life Research, 11(4), 379–388.PubMedCrossRef Lin, M. R., Huang, W., Huang, C., Hwang, H. F., Tsai, L. W., & Chiu, Y. N. (2002). The impact of the Chi–Chi earthquake on quality of life among elderly survivors in Taiwan—A before and after study. Quality of Life Research, 11(4), 379–388.PubMedCrossRef
14.
Zurück zum Zitat Priebe, S., Marchi, F., Bini, L., Flego, M., Costa, A., & Galeazzi, G. (2011). Mental disorders, psychological symptoms and quality of life 8 years after an earthquake: Findings from a community sample in Italy. Social Psychiatry and Psychiatric Epidemiology, 46(7), 615–621.PubMedCrossRef Priebe, S., Marchi, F., Bini, L., Flego, M., Costa, A., & Galeazzi, G. (2011). Mental disorders, psychological symptoms and quality of life 8 years after an earthquake: Findings from a community sample in Italy. Social Psychiatry and Psychiatric Epidemiology, 46(7), 615–621.PubMedCrossRef
15.
Zurück zum Zitat Goenjian, A. K., Roussos, A., Steinberg, A. M., Sotiropoulou, C., Walling, D., Kakaki, M., et al. (2011). Longitudinal study of PTSD, depression, and quality of life among adolescents after the Parnitha earthquake. Journal of Affective Disorders, 133(3), 509–515. Goenjian, A. K., Roussos, A., Steinberg, A. M., Sotiropoulou, C., Walling, D., Kakaki, M., et al. (2011). Longitudinal study of PTSD, depression, and quality of life among adolescents after the Parnitha earthquake. Journal of Affective Disorders, 133(3), 509–515.
16.
Zurück zum Zitat Jia, Z., Tian, W., He, X., Liu, W., Jin, C., & Ding, H. (2010). Mental health and quality of life survey among child survivors of the 2008 Sichuan earthquake. Quality of Life Research, 19(9), 1381–1391.PubMedCrossRef Jia, Z., Tian, W., He, X., Liu, W., Jin, C., & Ding, H. (2010). Mental health and quality of life survey among child survivors of the 2008 Sichuan earthquake. Quality of Life Research, 19(9), 1381–1391.PubMedCrossRef
20.
Zurück zum Zitat Kish, L. (1949). A procedure for objective respondent selection within the household. Journal of the American Statistical Association, 44, 380–387.CrossRef Kish, L. (1949). A procedure for objective respondent selection within the household. Journal of the American Statistical Association, 44, 380–387.CrossRef
21.
Zurück zum Zitat Hao, Y., Tian, Q., Lu, Y., Chai, Y., & Rao, S. (2010). Psychometric properties of the Chinese version of the Pediatric Quality of Life Inventory 4.0 generic core scales. Quality of Life Research, 19(8), 1229–1233.PubMedCrossRef Hao, Y., Tian, Q., Lu, Y., Chai, Y., & Rao, S. (2010). Psychometric properties of the Chinese version of the Pediatric Quality of Life Inventory 4.0 generic core scales. Quality of Life Research, 19(8), 1229–1233.PubMedCrossRef
22.
Zurück zum Zitat Varni, J. W., Seid, M., & Kurtin, P. S. (2001). PedsQL 4.0: Reliability and validity of the Pediatric Quality of Life Inventory version 4.0 generic core scales in healthy and patient populations. Medical Care, 39(8), 800–812.PubMedCrossRef Varni, J. W., Seid, M., & Kurtin, P. S. (2001). PedsQL 4.0: Reliability and validity of the Pediatric Quality of Life Inventory version 4.0 generic core scales in healthy and patient populations. Medical Care, 39(8), 800–812.PubMedCrossRef
23.
Zurück zum Zitat 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.PubMedCrossRef 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.PubMedCrossRef
24.
Zurück zum Zitat Chen, R., Hao, Y., Feng, L., Zhang, Y., & Huang, Z. (2011). The Chinese version of the Pediatric Quality of Life Inventory (PedsQL) family impact module: Cross-cultural adaptation and psychometric evaluation. Health and Quality of Life Outcomes, 9, 16.PubMedCrossRef Chen, R., Hao, Y., Feng, L., Zhang, Y., & Huang, Z. (2011). The Chinese version of the Pediatric Quality of Life Inventory (PedsQL) family impact module: Cross-cultural adaptation and psychometric evaluation. Health and Quality of Life Outcomes, 9, 16.PubMedCrossRef
25.
Zurück zum Zitat 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.PubMedCrossRef 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.PubMedCrossRef
26.
Zurück zum Zitat 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.PubMedCrossRef 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.PubMedCrossRef
27.
Zurück zum Zitat Kovacs, M. (1981). Rating scales to assess depression in school-aged children. Acta Paedopsychiatrica, 46(5–6), 305–315.PubMed Kovacs, M. (1981). Rating scales to assess depression in school-aged children. Acta Paedopsychiatrica, 46(5–6), 305–315.PubMed
28.
Zurück zum Zitat Ke, X., Liu, C., & Li, N. (2010). Social support and Quality of Life: A cross-sectional study on survivors eight months after the 2008 Wenchuan earthquake. BMC Public Health, 10, 573.PubMedCrossRef Ke, X., Liu, C., & Li, N. (2010). Social support and Quality of Life: A cross-sectional study on survivors eight months after the 2008 Wenchuan earthquake. BMC Public Health, 10, 573.PubMedCrossRef
29.
Zurück zum Zitat Malkowska, A., Mazur, J., & Woynarowska, B. (2004). Level of perceived social support and quality of life in children and adolescents aged 8–18 years. Medycyna Wieku Rozwojowego, 8(3 Pt 1), 551–566.PubMed Malkowska, A., Mazur, J., & Woynarowska, B. (2004). Level of perceived social support and quality of life in children and adolescents aged 8–18 years. Medycyna Wieku Rozwojowego, 8(3 Pt 1), 551–566.PubMed
30.
Zurück zum Zitat Keenan-Miller, D., Hammen, C. L., & Brennan, P. A. (2007). Health outcomes related to early adolescent depression. Journal of Adolescent Health, 41(3), 256–262.PubMedCrossRef Keenan-Miller, D., Hammen, C. L., & Brennan, P. A. (2007). Health outcomes related to early adolescent depression. Journal of Adolescent Health, 41(3), 256–262.PubMedCrossRef
31.
Zurück zum Zitat Schnurr, P. P., & Lunney, C. A. (2008). Exploration of gender differences in how quality of life relates to posttraumatic stress disorder in male and female veterans. Journal of Rehabilitation Research and Development, 45(3), 383–393.PubMedCrossRef Schnurr, P. P., & Lunney, C. A. (2008). Exploration of gender differences in how quality of life relates to posttraumatic stress disorder in male and female veterans. Journal of Rehabilitation Research and Development, 45(3), 383–393.PubMedCrossRef
32.
Zurück zum Zitat Breslau, N. (2002). Gender differences in trauma and posttraumatic stress disorder. The Journal of Gender-Specific Medicine, 5(1), 34–40.PubMed Breslau, N. (2002). Gender differences in trauma and posttraumatic stress disorder. The Journal of Gender-Specific Medicine, 5(1), 34–40.PubMed
33.
Zurück zum Zitat Silber, E., Perry, S. E., & Bloch, D. A. (1958). Patterns of parent-child interaction in a disaster. Psychiatry, 21(2), 159–167.PubMed Silber, E., Perry, S. E., & Bloch, D. A. (1958). Patterns of parent-child interaction in a disaster. Psychiatry, 21(2), 159–167.PubMed
34.
Zurück zum Zitat 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.PubMedCrossRef 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.PubMedCrossRef
35.
Zurück zum Zitat 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. The Journal of American Medical Association, 293(5), 554–556.CrossRef 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. The Journal of American Medical Association, 293(5), 554–556.CrossRef
36.
Zurück zum Zitat Kazdin, A. (2002). A school based psychosocial intervention was effective in children with persistent post-disaster trauma symptoms. Evidence Based Mental Health, 5(3), 76.PubMedCrossRef Kazdin, A. (2002). A school based psychosocial intervention was effective in children with persistent post-disaster trauma symptoms. Evidence Based Mental Health, 5(3), 76.PubMedCrossRef
37.
Zurück zum Zitat Wolmer, L., Laor, N., & Yazgan, Y. (2003). School reactivation programs after disaster: could teachers serve as clinical mediators? Child and Adolescent Psychiatric Clinics of North America, 12(2), 363–381.PubMedCrossRef Wolmer, L., Laor, N., & Yazgan, Y. (2003). School reactivation programs after disaster: could teachers serve as clinical mediators? Child and Adolescent Psychiatric Clinics of North America, 12(2), 363–381.PubMedCrossRef
38.
Zurück zum Zitat Smilde-van den Doel, D. A., Smit, C., & Wolleswinkel-van den Bosch, J. H. (2006). School performance and social-emotional behavior of primary school children before and after a disaster. Pediatrics, 118(5), e1311–e1320.PubMedCrossRef Smilde-van den Doel, D. A., Smit, C., & Wolleswinkel-van den Bosch, J. H. (2006). School performance and social-emotional behavior of primary school children before and after a disaster. Pediatrics, 118(5), e1311–e1320.PubMedCrossRef
Metadaten
Titel
Longitudinal study on health-related quality of life among child and adolescent survivors of the 2008 Sichuan earthquake
verfasst von
Wenhua Tian
Zhaobao Jia
Guangfeng Duan
Weizhi Liu
Xiao Pan
Qiang Guo
Ru Chen
Xue Zhang
Publikationsdatum
01.05.2013
Verlag
Springer Netherlands
Erschienen in
Quality of Life Research / Ausgabe 4/2013
Print ISSN: 0962-9343
Elektronische ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-012-0201-z

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