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Disaster mental health, particularly postdisaster child mental health, is neglected in India. This study compares the impact of a natural disaster versus a spate of communal riots that occurred in Gujarat, India on January 26, 2001, and February 2002 to June 2002, respectively. Children aged 8–15 years from highly exposed earthquake sites (n = 128) and riot sites (n = 171) were approached for participation. A matching control sample of 351 nontrauma-exposed children was sought to compare with the trauma groups. Trauma and postdisaster adversities were studied using the UCLA disaster trauma tool; Goodman's Strengths and Difficulties Questionnaire was used to assess adjustment difficulties. Spearman's correlations were calculated to find associations between trauma items on UCLA's brief trauma scale and Strengths and Difficulties Questionnaire items. Results suggest that 7.6% of the earthquake sample and 38.7% from the riots sample manifested clinically significant mental health problems. The earthquake sample had 24.8% of those above clinical cutoff for probable posttraumatic stress disorder and the riots sample had 27.3% children who displayed posttraumatic stress symptoms. Children exposed to violence were psychologically more affected and in the presence of postdisaster adversities, posttraumatic stress symptoms persisted long term. This finding should enable development of differential psychotherapeutic interventions for children exposed to extreme events.

Traditional and Simplified Chinese Abstracts by AsianSTSS

標題:2001-2002年古吉拉特邦地震和騷亂事件:研究兒童對自然災害和社會暴亂經歷的反應差異。

撮要:印度長期忽視災難精神健康的工作,特別在兒童方面。本研究在古吉拉特邦,對比2001年1月26日自然災害及2002年2月至6月期間一系列社區騷動所引起的衝擊。樣本包括:在頻密地震區域(n=128)和騷亂地區(n=171) 的8至15歲兒童。而配對對照組為351名未經歷騷動的兒童。採用UCLA災難創傷工具及Goodman能力和困難問卷來評估創傷和創傷後逆境的適應障礙。Spearman等級相關計算UCLA簡短災難量表的創傷項目及能力和困難問卷項目之間的關連。結果是地震樣本的7.6%和騷動樣本的38.7%都有顯著的臨床精神健康問題。地震樣本內有24.8%確認為臨床創傷後壓力症,而騷亂樣本有27.3%兒童顯現創傷後壓力症狀。經歷暴力的兒童受更大心理困擾,而面對創傷後逆境,創傷後壓力症狀則長期持續。本研究成果有助更好地發展差異性心理介入治療以幫助經歷極端事件兒童。

标题:2001-2002年古吉拉特邦地震和骚乱事件:研究儿童对自然灾害和社会暴乱经历的反应差异。

撮要:印度长期忽视灾难精神健康的工作,特别在儿童方面。本研究在古吉拉特邦,对比2001年1月26日自然灾害及2002年2月至6月期间一系列地区骚动所引起的冲击。样本包括:在频密地震区域(n=128)和骚乱地区(n=171) 的8至15岁儿童。而配对对照组为351名未有经历骚动的儿童。采用UCLA灾难创伤工具及Goodman能力和困难问卷来评估创伤和创伤后逆境的适应障碍。Spearman等级相关计算UCLA简短灾难量表的创伤项目及能力和困难问卷项目之间的关连。结果是地震样本的7.6%和骚动样本的38.7%都有显著的临床精神健康问题。地震样本内有24.8%确认为临床创伤后压力症,而骚乱样本有27.3%儿童显现创伤后压力症状。经历暴力的儿童受更大心理困扰,而面对创伤后逆境,创伤后压力症状则长期持续。本研究成果有助更好地发展差异性心理介入治疗以帮助经历极端事件儿童。