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首页> 外文期刊>BMC Psychiatry >Post-traumatic stress disorder in children and adolescents one year after a super-cyclone in Orissa, India: exploring cross-cultural validity and vulnerability factors
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Post-traumatic stress disorder in children and adolescents one year after a super-cyclone in Orissa, India: exploring cross-cultural validity and vulnerability factors

机译：印度奥里萨邦超级飓风袭击一年后儿童和青少年的创伤后应激障碍：探索跨文化的有效性和脆弱性因素

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Background It has been asserted that psychological responses to disasters in children and adolescents vary widely across cultures, but this has rarely been investigated. The objectives of the study were to clinically evaluate the construct of traumatic stress symptoms and disorder in children and adolescents after a super-cyclone in Orissa, India; to find out the prevalence at one year; compare the effect in high and low exposure areas and study the factors associated with it. Methods Clinical examination of children and adolescents (n = 447) was done, supplemented by a symptoms checklist based on International Classification of Mental and Behavioural Disorders, Diagnostic Criteria for Research and a semi-structured questionnaire for disaster related experiences. Results A majority of children had post-traumatic symptoms. Post-traumatic stress disorder (PTSD) was present in 30.6% (95% confidence interval: 26.4 to 34.9), and an additional 13.6% had sub-syndromal PTSD. Parents or teachers reported mental health concerns in 7.2% subjects, who were a minor proportion (12.8%) of subjects with any syndromal diagnosis (n = 196). Significantly more (43.7%) children in high exposure areas had PTSD than that (11.2%) in low exposure areas (p Conclusion Following natural disaster PTSD is a valid clinical construct in children and adolescents in Indian set up; and though highly prevalent it may be missed without clinical screening. Its manifestation and associated factors resembled those in other cultures.
机译：背景有人断言，对儿童和青少年灾难的心理反应因文化而异，但很少对此进行调查。该研究的目的是在印度奥里萨邦遭受超级飓风袭击后，对儿童和青少年的创伤性应激症状和疾病的结构进行临床评估。查明一年的患病率;比较高低暴露区域的影响并研究与之相关的因素。方法对儿童和青少年（n = 447）进行临床检查，并根据国际精神和行为障碍分类，研究诊断标准和针对灾难相关经历的半结构问卷对症状清单进行补充。结果大多数儿童有创伤后症状。创伤后应激障碍（PTSD）占30.6％（95％置信区间：26.4至34.9），另有13.6％患有亚综合征性PTSD。父母或老师报告说，有7.2％的受试者患有精神健康问题，在所有患有症状诊断的受试者中（n = 196），该比例很小（12.8％）。在高暴露地区，患有PTSD的儿童要多得多（43.7％），而在低暴露地区则是（11.2％）（p结论）自然灾害后，PTSD在印度裔儿童和青少年中是一种有效的临床结构;尽管高度流行，但可能如果不进行临床筛查，就会被遗漏，其表现和相关因素类似于其他文化。

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