SEARCH

SEARCH BY CITATION

This study is an evaluation of a psychosocial intervention involving child and adolescent survivors of the 2008 Sichuan China earthquake. Sociodemographics, earthquake-related risk exposure, resilience using the Connor-Davidson Resilience Scale, and posttraumatic stress disorder (PTSD) using the UCLA-PTSD Index were collected from 1,988 intervention participants and 2,132 controls. Mean resilience scores and the odds of PTSD did not vary between groups. The independent factors for risk and resilience and the dependent variable, PTSD, in the measurement models between control and intervention groups were equivalent. The structural model of risk and 2 resilience factors on PTSD was examined and found to be unequivalent between groups. In contrast to controls, risk exposure (B = −0.32, p < .001) in the intervention group was negatively associated with PTSD. Rational thinking (B = −0.48, p < .001), a resilience factor, was more negatively associated with PTSD in the intervention group. The second resilience factor explored, self-awareness, was positively associated with PTSD in both groups (B = 0.46 for controls, p < .001, and B = 0.69 for intervention, p < .001). Results highlight the need for more cross-cultural research in resilience theory to develop culturally appropriate interventions and evaluation measures.

Traditional and Simplified Chinese Abstracts by AsianSTSS

標題:地震後介入工作如何緩和中國兒童創傷後壓力症的風險和復原因素。

撮要:本研究是評估2008年中國四川大地震兒童青少年生還者接受心理社會介入的效果。從1988名接受介入服務人士和2132名對照人士中,我們分析社會人口統計學特徵,地震風險經歷, Connor-Davidson復原量表的復原力,和UCLA-PTSD指標的創傷後壓力症(PTSD)。平均復原力數值和PTSD機率在各組別間並無差異。介入及對照組別的測計模型中,風險和復原力獨立因素與附屬變量(即PTSD)都是相等的。檢視PTSD風險結構模型和兩種復原力因素後,發現組別間並不相等。與對照組比較,介入組別的風險經歷(B = -0.32,p<.001)與PTSD是負相連。復原力因素中的理性思維(B = -0.48,p<.001)與介入組別的PTSD呈更多負相連。第二種復原力因素,即自我覺醒,與兩組別的PTSD(對照組的B = 0.46,p<.001;介入組的B = 0.69,p<.001)呈正相連。結果顯示復原理論必須增加更多跨文化研究,以助設計切合當地文化的介入服務和評估方法。

标题:地震后介入工作如何缓和中国儿童创伤后压力症的风险和复原因素。

撮要:本研究是评估2008年中国四川大地震儿童青少年生还者接受心理社会介入的效果。从1988名接受介入服务人士和2132名对照人士中,我们分析社会人口统计学特征,地震风险经历, Connor-Davidson复原量表的复原力,和UCLA-PTSD指标的创伤后压力症(PTSD)。平均复原力数值和PTSD机率在各组别间并无差异。介入及对照组别的测计模型中,风险和复原力独立因素与附属变量(即PTSD)都是相等的。检视PTSD风险结构模型和两种复原力因素后,发现组别间并不相等。与对照组比较,介入组别的风险经历(B = -0.32,p<.001)与PTSD是负相连。复原力因素中的理性思维(B = -0.48,p<.001)与介入组别的PTSD呈更多负相连。第二种复原力因素,即自我觉醒,与两组别的PTSD(对照组的B = 0.46,p<.001;介入组的B = 0.69,p<.001)呈正相连。结果显示复原理论必须增加更多跨文化研究,以助设计切合当地文化的介入服务和评估方法。