Study on the Developmental Trajectory of Posttraumatic Stress Disorder Symptoms among Children and Adolescents

GE Fen-fen, ZHU Hong-ru, YUAN Min-lan, ZHANG Wei, ZHANG Jun

Abstract

To investigate the heterogeneity of the developmental trajectory of posttraumatic stress disorder symptoms (PTS) among children and adolescents after Lushan earthquake and to explore the effect of gender and age on the trajectory.  Methods  A total of 1 623 participants completed three assessments at 2 weeks, 3 months and 6 months after the earthquake. Latent growth mixture model (LGMM) was used for statistical analysis in the software Mplus 8.0.   Results   The PTS developmental trajectories among children and adolescents exposed to the earthquake had four categories: the normal stress group (31.1%, class 1), the persistent impairment group (4.5%, class 2), the psychological recovery group (46.8%, class 3) and the persistent mild symptom group (17.6%, class 4). The PTS development trajectories were significantly different in two gender groups, and the proportion of girls in the persistently injured group was higher than other three groups. The PTS development trajectories had no difference in two age groups.   Conclusion  The developmental trajectories of PTS in children and adolescents after the earthquake have significant population heterogeneity, which is affected by gender.

 

Keywords: Earthquake, Children and adolescents, Posttraumatic stress disorder symptoms, Trajectory, Latent growth mixture model

 

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References


GUHA-SAPIR D， HOYOIS P， BELOW R. Annual disaster statistical review 2012: the number and trends. WHO collaborating centre for research on the epidemiology of disaster. http://reliefweb.int/sites/reliefweb. int/files/resources/ADSR_2012.pdf.

BONANNO G A， BREWIN C R， KANIASTY K， et al. Weighing the costs of disaster: consequences, risks, and resilience in individuals, families, and communities. Psychol Sci Public Interest，2010，11(1): 1–49.

CHEMTOB C M， NAKASHIMA J P， HAMADA R S. Hamada, psychosocial intervention for postdisaster trauma symptoms in elementary school children: a controlled community field study. Arch Pediatr Adolesc Med，2002，156(3): 211–216.

SHAW J A， APPLEGATE B， SCHORR C. Twenty-one-month follow-up study of school-age children exposed to Hurricane Andrew. J Am Acad Child Adolesc Psychiatry，1996，35(3): 359–364.

NORRIS F H， MURPHY A D， BAKER C K， et al. Postdisaster PTSD over four waves of a panel study of Mexico's 1999 flood. J Trauma Stress， 2004，17(4): 283–292.

BONANNO G A， MANCINI A D. Beyond resilience and PTSD: mapping the heterogeneity of responses to potential trauma. Psychol Trauma，2012，4(1): 74–83.

KESSLER R C， PETUKHOVA M， SAMPSON N A， et al. Twelve-month and lifetime prevalence and lifetime morbid risk of anxiety and mood disorders in the United States. Int J Methods Psychiatr Res，2012，21(3): 169–184.

BRESLAU N， DAVIS G C， ANDRESKI P， et al. Sex differences in posttraumatic stress disorder. Arch Gen Psychiat，1997，54(11): 1044–1048.

KESSLER R C， MCGONAGLE K A， ZHAO S， et al. Lifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the united states: results from the national comorbidity survey. Arch Gen Psychiatry，1994， 51(1): 8–19.

NORTH C S， OLIVER J， PANDYA A. Examining a comprehensive model of disaster-related posttraumatic stress disorder in systematically studied survivors of 10 disasters. Am J Public Health， 2012， 102(10): e40–e48[2019-08-07]. https://ajph.aphapublications.org/doi/10.2105/AJPH.2012.300689.

BARRY T J， YEUNG S P， LAU J Y F. Meta-analysis of the influence of age on symptom change following cognitive-behavioural treatment for anxiety disorders. J Adolesc，2018，68: 232–241.

TANG B， ZHANG L. Ya'an earthquake. Lancet，2013，381(9882): 1984–1985.

CHEN Z， ZHANG Y， LIU Z， et al. Structure of the Children's Revised Impact of Event Scale (CRIES) with children and adolescents exposed to debris flood. PLoS One， 2012， 7(8): e41741[2019-12-26]. https://doi.org/10.1371/journal.pone.0041741.

WEEMS C F， GRAHAM R A. Resilience and trajectories of posttraumatic stress among youth exposed to disaster. J Child Adolesc Psychopharmacol，2014，24(1): 2–8.

SELF-BROWN S， LAI B S， HARBIN S， et al. Maternal posttraumatic stress disorder symptom trajectories following Hurricane Katrina: an initial examination of the impact of maternal trajectories on the well-being of disaster-exposed youth. Int J Public Health，2014，59(6): 957–965.

LOWE S R， GALEA S， UDDIN M， et al. Trajectories of posttraumatic stress among urban residents. Am J Community Psychol，2014，53(1/2): 159–172.

PIETRZAK R H， VAN NESS P H， FRIED T， et al. Trajectories of posttraumatic stress symptomatology in older persons affected by a large-magnitude disaster. J Psychiatr Res，2013，47(4): 520–526.

FAN F， LONG K， ZHOU Y， et al. Longitudinal trajectories of post-traumatic stress disorder symptoms among adolescents after the Wenchuan earthquake in China. Psychol Med，2015，45(13): 2885–2896.

SEGEV S， SHORER M， PELEG T P， et al. Gender differences in neurocognitive performance among children with posttraumatic stress disorder and mild traumatic brain injury. J Trauma Stress，2018，31(1): 64–70.


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