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Prevalence and risk factors of Post-Traumatic Stress Disorder in children and adolescents after the 2012 earthquake affecting the Emilia Romagna Region (Italy)

机译:2012年地震影响艾米利亚-罗马涅地区(意大利)的儿童和青少年创伤后应激障碍的患病率和危险因素

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On May 2012, two major earthquakes hit the Province of Modena (Emilia Romagna Region, Northern Italy): the country suffered 27 deaths and several hundred injured citizen; 15000 local resident were left homeless. Post-Traumatic Stress Disorder (PTSD) is a major debilitating psychological disorder that frequently occurs after natural disasters, including earthquakes, with a prevalence ranging, according to different authors, from 28 to 70%. Many cases will remit within 12 months, however about one-third of cases will have a chronic course. Given the high PTSD rates in children and adolescents, the long term impact on their well-being and the relevant social costs of chronic mental disorders, it is of primary importance to recognize and effectively treat cases as soon as possible and to identify potential individual and social risk and protective factors to be addressed in future effective preventive interventions. An epidemiological cross-sectional study has been set up and is on progress in a randomly selected sample of school children and adolescents (9-14 years) exposed to the earthquake with the aim to assess the PTSD prevalence and to explore potential risk (demographic, parental factors and level of trauma exposure) and protective factors (e.g. social support) associated to PTSD development and persistence. The assessment protocol includes the administration of an exposure questionnaire on objective/subjective experiences during the earthquake, the UCLA PTSD Index for DSM-Ⅳ questionnaire, and the Strengths and Difficulties Questionnaire. Parental symptomatology will be also assessed using the Symptom Checklist-90-R questionnaire, in order to evaluate the influence of parental psychopathology on children conditions. The present research will have important implications for the prevention in Italy of chronic PTSD, for treatment of traumatized children and adolescents, as well as for the development of effective post-trauma interventions.
机译:2012年5月,摩德纳省(意大利北部的艾米利亚·罗马涅地区)遭受了两次大地震:该国27人死亡,数百人受伤。 15000名当地居民无家可归。创伤后应激障碍(PTSD)是一种严重的使人衰弱的心理疾病,经常发生在自然灾害(包括地震)之后,据不同作者称,其患病率从28%到70%不等。许多病例会在12个月内汇出,但是约有三分之一的病例患有慢性病。鉴于儿童和青少年的PTSD发生率高,对他们的福祉的长期影响以及慢性精神疾病的相关社会成本,因此,尽早识别和有效治疗病例并找出潜在的个体和儿童具有最重要的意义。在未来有效的预防干预措施中要解决的社会风险和保护因素。已经建立了一项流行病学横断面研究,该研究正在随机选择的暴露于地震的小学生和青少年(9-14岁)中进行,目的是评估PTSD的患病率并探讨潜在风险(人口统计学,父母因素和接触创伤的程度)以及与创伤后应激障碍的发展和持续性相关的保护性因素(例如社会支持)。评估方案包括管理关于地震期间客观/主观经历的暴露调查表,针对DSM-Ⅳ调查表的UCLA PTSD指数以及优势和困难调查表。为了评估父母的心理病理学对儿童状况的影响,还将使用Symptom Checklist-90-R问卷对父母的症状进行评估。本研究将对意大利预防慢性创伤后应激障碍,治疗遭受创伤的儿童和青少年以及发展有效的创伤后干预措施具有重要意义。

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