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Gepubliceerd in: Quality of Life Research 9/2010

01-11-2010

Mental health and quality of life survey among child survivors of the 2008 Sichuan earthquake

Auteurs: Zhaobao Jia, Wenhua Tian, Xiang He, Weizhi Liu, Chunlin Jin, Hansheng Ding

Gepubliceerd in: Quality of Life Research | Uitgave 9/2010

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Abstract

Purpose

To characterize child survivors’ mental health and quality of life after a massive earthquake.

Methods

A population-based survey of 596 children aged between 8 and 16 years was conducted in the severely affected areas of the earthquake, using a multi-stage systematic sampling design.

Results

The point prevalence rates of posttraumatic stress disorder (PTSD) and depression among the child survivors aged between 8 and 16 years 15 months after the earthquake were 12.4 and 13.9%, respectively. Health-related quality of life (HRQoL) was found to be strongly and negatively associated with PTSD and depression. Children who had lost family members were most likely to develop PTSD (OR = 6.6; P < 0.001) as well as depression (OR = 4.1; P < 0.001). Children who reported no utilization of mental health services were four times more likely to suffer from PTSD than those who did not (P = 0.002).

Conclusions

More than one in five child survivors were identified as having PTSD or depression; HRQoL of these identified children were deeply compromised. Utilization of mental health services may significantly reduce the risk of developing PTSD symptoms.
Literatuur
3.
go back to reference Thienkrua, W., Cardozo, B. L., Chakkraband, M. L., Guadamuz, T. E., Pengjuntr, W., Tantipiwatanaskul, P., et al. (2006). Symptoms of posttraumatic stress disorder and depression among children in tsunami-affected areas in southern Thailand. Journal of the American Medical Association, 296(5), 549–559. CrossRefPubMed Thienkrua, W., Cardozo, B. L., Chakkraband, M. L., Guadamuz, T. E., Pengjuntr, W., Tantipiwatanaskul, P., et al. (2006). Symptoms of posttraumatic stress disorder and depression among children in tsunami-affected areas in southern Thailand. Journal of the American Medical Association, 296(5), 549–559. CrossRefPubMed
4.
go back to reference Goenjian, A. K., Molina, L., Steinberg, A. M., Fairbanks, L. A., Alvarez, M. L., Goenjian, H. A., et al. (2001). Posttraumatic stress and depressive reactions among Nicaraguan adolescents after hurricane Mitch. American Journal of Psychiatry, 158(5), 788–794. CrossRefPubMed Goenjian, A. K., Molina, L., Steinberg, A. M., Fairbanks, L. A., Alvarez, M. L., Goenjian, H. A., et al. (2001). Posttraumatic stress and depressive reactions among Nicaraguan adolescents after hurricane Mitch. American Journal of Psychiatry, 158(5), 788–794. CrossRefPubMed
5.
go back to reference Sharan, P., Chaudhary, G., Kavathekar, S. A., & Saxena, S. (1996). Preliminary report of psychiatric disorders in survivors of a severe earthquake. American Journal of Psychiatry, 153(4), 556–558. PubMed Sharan, P., Chaudhary, G., Kavathekar, S. A., & Saxena, S. (1996). Preliminary report of psychiatric disorders in survivors of a severe earthquake. American Journal of Psychiatry, 153(4), 556–558. PubMed
6.
go back to reference Bromet, E., & Dew, M. A. (1995). Review of psychiatric epidemiologic research on disasters. Epidemiologic Reviews, 17(1), 113–119. PubMed Bromet, E., & Dew, M. A. (1995). Review of psychiatric epidemiologic research on disasters. Epidemiologic Reviews, 17(1), 113–119. PubMed
7.
go back to reference Yule, W. (2001). Posttraumatic stress disorder in the general population and in children. Journal of Clinical Psychiatry, 62(17), 23–28. PubMed Yule, W. (2001). Posttraumatic stress disorder in the general population and in children. Journal of Clinical Psychiatry, 62(17), 23–28. PubMed
8.
go back to reference Perkonigg, A., Pfister, H., Stein, M. B., Hofler, M., Lieb, R., Maercker, A., et al. (2005). Longitudinal course of posttraumatic stress disorder and posttraumatic stress disorder symptoms in a community sample of adolescents and young adults. American Journal of Psychiatry, 162(7), 1320–1327. CrossRefPubMed Perkonigg, A., Pfister, H., Stein, M. B., Hofler, M., Lieb, R., Maercker, A., et al. (2005). Longitudinal course of posttraumatic stress disorder and posttraumatic stress disorder symptoms in a community sample of adolescents and young adults. American Journal of Psychiatry, 162(7), 1320–1327. CrossRefPubMed
9.
go back to reference Fichter, M. M., Kohlboeck, G., & Quadflieg, N. (2008). The Upper Bavarian longitudinal community study 1975–2004. 2. Long-term course and outcome of depression. A controlled study. European Archives of Psychiatry and Clinical Neuroscience, 258(8), 476–488. CrossRefPubMed Fichter, M. M., Kohlboeck, G., & Quadflieg, N. (2008). The Upper Bavarian longitudinal community study 1975–2004. 2. Long-term course and outcome of depression. A controlled study. European Archives of Psychiatry and Clinical Neuroscience, 258(8), 476–488. CrossRefPubMed
10.
go back to reference Roussos, A., Goenjian, A. K., Steinberg, A. M., Sotiropoulou, C., Kakaki, M., Kabakos, C., et al. (2005). Posttraumatic stress and depressive reactions among children and adolescents after the 1999 earthquake in Ano Liosia, Greece. American Journal of Psychiatry, 162(3), 530–537. CrossRefPubMed Roussos, A., Goenjian, A. K., Steinberg, A. M., Sotiropoulou, C., Kakaki, M., Kabakos, C., et al. (2005). Posttraumatic stress and depressive reactions among children and adolescents after the 1999 earthquake in Ano Liosia, Greece. American Journal of Psychiatry, 162(3), 530–537. CrossRefPubMed
12.
go back to reference World Health Organization. (1948). Constitution of the world health organization. Geneva, Switzerland: World Health Organization. World Health Organization. (1948). Constitution of the world health organization. Geneva, Switzerland: World Health Organization.
13.
go back to reference Lee, I., Ha, Y. S., Kim, Y. A., & Kwon, Y. H. (2004). PTSD symptoms in elementary school children after Typhoon Rusa. Taehan Kanho Hakhoe Chi, 34(4), 636–645. PubMed Lee, I., Ha, Y. S., Kim, Y. A., & Kwon, Y. H. (2004). PTSD symptoms in elementary school children after Typhoon Rusa. Taehan Kanho Hakhoe Chi, 34(4), 636–645. PubMed
14.
go back to reference Hsu, C. C., Chong, M. Y., Yang, P., & Yen, C. F. (2002). Posttraumatic stress disorder among adolescent earthquake victims in Taiwan. Journal of the American Academy of Child Adolescent Psychiatry, 41(7), 875–881. CrossRef Hsu, C. C., Chong, M. Y., Yang, P., & Yen, C. F. (2002). Posttraumatic stress disorder among adolescent earthquake victims in Taiwan. Journal of the American Academy of Child Adolescent Psychiatry, 41(7), 875–881. CrossRef
16.
go back to reference Kish, L. (1949). A procedure for objective respondent selection within the household. Journal of the American Statistical Association, 44, 380–387. CrossRef Kish, L. (1949). A procedure for objective respondent selection within the household. Journal of the American Statistical Association, 44, 380–387. CrossRef
17.
go back to reference Steinberg, A. M., Brymer, M. J., Decker, K. B., & Pynoos, R. S. (2004). The University of California at Los Angeles post-traumatic stress disorder reaction index. Current Psychiatry Reports, 6(2), 96–100. CrossRefPubMed Steinberg, A. M., Brymer, M. J., Decker, K. B., & Pynoos, R. S. (2004). The University of California at Los Angeles post-traumatic stress disorder reaction index. Current Psychiatry Reports, 6(2), 96–100. CrossRefPubMed
18.
go back to reference Pynoos, R. S., Frederick, C., Nader, K., Arroyo, W., Steinberg, A., Eth, S., et al. (1987). Life threat and posttraumatic stress in school-age children. Archives of General Psychiatry, 44(12), 1057–1063. PubMed Pynoos, R. S., Frederick, C., Nader, K., Arroyo, W., Steinberg, A., Eth, S., et al. (1987). Life threat and posttraumatic stress in school-age children. Archives of General Psychiatry, 44(12), 1057–1063. PubMed
19.
go back to reference Hawkins, S. S., & Radcliffe, J. (2006). Current measures of PTSD for children and adolescents. Journal of Pediatric Psychology, 31(4), 420–430. CrossRefPubMed Hawkins, S. S., & Radcliffe, J. (2006). Current measures of PTSD for children and adolescents. Journal of Pediatric Psychology, 31(4), 420–430. CrossRefPubMed
20.
go back to reference Bayer, C. P., Klasen, F., & Adam, H. (2007). Association of trauma and PTSD symptoms with openness to reconciliation and feelings of revenge among former Ugandan and Congolese child soldiers. Journal of the American Medical Association, 298(5), 555–559. CrossRefPubMed Bayer, C. P., Klasen, F., & Adam, H. (2007). Association of trauma and PTSD symptoms with openness to reconciliation and feelings of revenge among former Ugandan and Congolese child soldiers. Journal of the American Medical Association, 298(5), 555–559. CrossRefPubMed
21.
go back to reference Goenjian, A. K., Walling, D., Steinberg, A. M., Karayan, I., Najarian, L. M., & Pynoos, R. (2005). A prospective study of posttraumatic stress and depressive reactions among treated and untreated adolescents 5 years after a catastrophic disaster. American Journal of Psychiatry, 162(12), 2302–2308. CrossRefPubMed Goenjian, A. K., Walling, D., Steinberg, A. M., Karayan, I., Najarian, L. M., & Pynoos, R. (2005). A prospective study of posttraumatic stress and depressive reactions among treated and untreated adolescents 5 years after a catastrophic disaster. American Journal of Psychiatry, 162(12), 2302–2308. CrossRefPubMed
22.
go back to reference Bal, A., & Jensen, B. (2007). Post-traumatic stress disorder symptom clusters in Turkish child and adolescent trauma survivors. European Child and Adolescent Psychiatry, 16(7), 449–457. CrossRefPubMed Bal, A., & Jensen, B. (2007). Post-traumatic stress disorder symptom clusters in Turkish child and adolescent trauma survivors. European Child and Adolescent Psychiatry, 16(7), 449–457. CrossRefPubMed
23.
go back to reference Kovacs, M. (1981). Rating scales to assess depression in school-aged children. Acta Paedopsychiatrica, 46(5–6), 305–315. PubMed Kovacs, M. (1981). Rating scales to assess depression in school-aged children. Acta Paedopsychiatrica, 46(5–6), 305–315. PubMed
24.
go back to reference Poli, P., Sbrana, B., Marcheschi, M., & Masi, G. (2003). Self-reported depressive symptoms in a school sample of Italian children and adolescents. Child Psychiatry and Human Development, 33(3), 209–226. CrossRefPubMed Poli, P., Sbrana, B., Marcheschi, M., & Masi, G. (2003). Self-reported depressive symptoms in a school sample of Italian children and adolescents. Child Psychiatry and Human Development, 33(3), 209–226. CrossRefPubMed
25.
go back to reference Swallen, K. C., Reither, E. N., Haas, S. A., & Meier, A. M. (2005). Overweight, obesity, and health-related quality of life among adolescents: The national longitudinal study of adolescent health. Pediatrics, 115(2), 340–347. CrossRefPubMed Swallen, K. C., Reither, E. N., Haas, S. A., & Meier, A. M. (2005). Overweight, obesity, and health-related quality of life among adolescents: The national longitudinal study of adolescent health. Pediatrics, 115(2), 340–347. CrossRefPubMed
26.
go back to reference Hong, X., Li, J., Xu, F., Tse, L. A., Liang, Y., Wang, Z., et al. (2009). Physical activity inversely associated with the presence of depression among urban adolescents in regional China. BMC Public Health, 9, 148. CrossRefPubMed Hong, X., Li, J., Xu, F., Tse, L. A., Liang, Y., Wang, Z., et al. (2009). Physical activity inversely associated with the presence of depression among urban adolescents in regional China. BMC Public Health, 9, 148. CrossRefPubMed
27.
go back to reference Yu, D., & Li, X. (2000). Preliminary use of the children’s depression inventory in China. Chinese Journal of Mental Health, 14(4), 225–227. Yu, D., & Li, X. (2000). Preliminary use of the children’s depression inventory in China. Chinese Journal of Mental Health, 14(4), 225–227.
28.
go back to reference Chang, H. J., Yang, C. Y., Lin, C. R., Ku, Y. L., & Lee, M. B. (2008). Determinants of suicidal ideation in Taiwanese urban adolescents. Journal of the Formosan Medical Association, 107(2), 156–164. CrossRefPubMed Chang, H. J., Yang, C. Y., Lin, C. R., Ku, Y. L., & Lee, M. B. (2008). Determinants of suicidal ideation in Taiwanese urban adolescents. Journal of the Formosan Medical Association, 107(2), 156–164. CrossRefPubMed
29.
go back to reference Chao, C. C., Chen, S. H., Wang, C. Y., Wu, Y. C., & Yeh, C. H. (2003). Psychosocial adjustment among pediatric cancer patients and their parents. Psychiatry and Clinical Neurosciences, 57(1), 75–81. CrossRefPubMed Chao, C. C., Chen, S. H., Wang, C. Y., Wu, Y. C., & Yeh, C. H. (2003). Psychosocial adjustment among pediatric cancer patients and their parents. Psychiatry and Clinical Neurosciences, 57(1), 75–81. CrossRefPubMed
30.
go back to reference Kobayashi, K., & Kamibeppu, K. (2009). Measuring quality of life in Japanese children: Development of the Japanese version of PedsQL. Pediatrics International, 52, 80–88. CrossRefPubMed Kobayashi, K., & Kamibeppu, K. (2009). Measuring quality of life in Japanese children: Development of the Japanese version of PedsQL. Pediatrics International, 52, 80–88. CrossRefPubMed
31.
go back to reference Petersen, S., Hagglof, B., Stenlund, H., & Bergstrom, E. (2009). Psychometric properties of the Swedish PedsQL, pediatric quality of life inventory 4.0 generic core scales. Acta Paediatrica, 98(9), 1504–1512. CrossRefPubMed Petersen, S., Hagglof, B., Stenlund, H., & Bergstrom, E. (2009). Psychometric properties of the Swedish PedsQL, pediatric quality of life inventory 4.0 generic core scales. Acta Paediatrica, 98(9), 1504–1512. CrossRefPubMed
32.
go back to reference Chen, Y. M., He, L. P., Mai, J. C., Hao, Y. T., Xiong, L. H., Chen, W. Q., et al. (2008). Validity and reliability of pediatric quality of life inventory version 4.0 generic core scales in Chinese children and adolescents. Zhonghua Liu Xing Bing Xue Za Zhi, 29(6), 560–563. PubMed Chen, Y. M., He, L. P., Mai, J. C., Hao, Y. T., Xiong, L. H., Chen, W. Q., et al. (2008). Validity and reliability of pediatric quality of life inventory version 4.0 generic core scales in Chinese children and adolescents. Zhonghua Liu Xing Bing Xue Za Zhi, 29(6), 560–563. PubMed
33.
go back to reference Chan, L. F., Chow, S. M., & Lo, S. K. (2005). Preliminary validation of the Chinese version of the pediatric quality of life inventory. International Journal of Rehabilitation Research, 28(3), 219–227. CrossRefPubMed Chan, L. F., Chow, S. M., & Lo, S. K. (2005). Preliminary validation of the Chinese version of the pediatric quality of life inventory. International Journal of Rehabilitation Research, 28(3), 219–227. CrossRefPubMed
34.
go back to reference Lu, Y., Tian, Q., Hao, Y., Jing, J., Lin, Y., & Huang, D. (2008). Reliability and validity for Chinese version of pediatric quality of life inventory PedsQL 4.0. Journal of Sun Yat-Sen University, 29(3), 328–331. Lu, Y., Tian, Q., Hao, Y., Jing, J., Lin, Y., & Huang, D. (2008). Reliability and validity for Chinese version of pediatric quality of life inventory PedsQL 4.0. Journal of Sun Yat-Sen University, 29(3), 328–331.
35.
go back to reference Giannopoulou, I., Strouthos, M., Smith, P., Dikaiakou, A., Galanopoulou, V., & Yule, W. (2006). Post-traumatic stress reactions of children and adolescents exposed to the Athens 1999 earthquake. European Psychiatry, 21(3), 160–166. CrossRefPubMed Giannopoulou, I., Strouthos, M., Smith, P., Dikaiakou, A., Galanopoulou, V., & Yule, W. (2006). Post-traumatic stress reactions of children and adolescents exposed to the Athens 1999 earthquake. European Psychiatry, 21(3), 160–166. CrossRefPubMed
36.
go back to reference Goenjian, A. K., Pynoos, R. S., Steinberg, A. M., Najarian, L. M., Asarnow, J. R., Karayan, I., et al. (1995). Psychiatric comorbidity in children after the 1988 earthquake in Armenia. Journal of the American Academy of Child Adolescent Psychiatry, 34(9), 1174–1184. CrossRef Goenjian, A. K., Pynoos, R. S., Steinberg, A. M., Najarian, L. M., Asarnow, J. R., Karayan, I., et al. (1995). Psychiatric comorbidity in children after the 1988 earthquake in Armenia. Journal of the American Academy of Child Adolescent Psychiatry, 34(9), 1174–1184. CrossRef
37.
go back to reference Sahin, N. H., Batigun, A. D., & Yilmaz, B. (2007). Psychological symptoms of Turkish children and adolescents after the 1999 earthquake: exposure, gender, location, and time duration. Journal of Traumatic Stress, 20(3), 335–345. CrossRefPubMed Sahin, N. H., Batigun, A. D., & Yilmaz, B. (2007). Psychological symptoms of Turkish children and adolescents after the 1999 earthquake: exposure, gender, location, and time duration. Journal of Traumatic Stress, 20(3), 335–345. CrossRefPubMed
38.
go back to reference Pynoos, R. S., Goenjian, A., Tashjian, M., Karakashian, M., Manjikian, R., Manoukian, G., et al. (1993). Post-traumatic stress reactions in children after the 1988 Armenian earthquake. British Journal of Psychiatry, 163, 239–247. CrossRefPubMed Pynoos, R. S., Goenjian, A., Tashjian, M., Karakashian, M., Manjikian, R., Manoukian, G., et al. (1993). Post-traumatic stress reactions in children after the 1988 Armenian earthquake. British Journal of Psychiatry, 163, 239–247. CrossRefPubMed
39.
go back to reference Lamberg, L. (2008). Katrina’s mental health impact lingers: patients face shortages of facilities, clinicians. Journal of the American Medical Association, 300(9), 1011–1013. CrossRefPubMed Lamberg, L. (2008). Katrina’s mental health impact lingers: patients face shortages of facilities, clinicians. Journal of the American Medical Association, 300(9), 1011–1013. CrossRefPubMed
40.
go back to reference Weems, C. F., Taylor, L. K., Cannon, M. F., Marino, R. C., Romano, D. M., Scott, B. G., et al. (2009). Post traumatic stress, context, and the lingering effects of the hurricane katrina disaster among ethnic minority youth. Journal of Abnormal Child Psychology, 38, 49–56. CrossRef Weems, C. F., Taylor, L. K., Cannon, M. F., Marino, R. C., Romano, D. M., Scott, B. G., et al. (2009). Post traumatic stress, context, and the lingering effects of the hurricane katrina disaster among ethnic minority youth. Journal of Abnormal Child Psychology, 38, 49–56. CrossRef
41.
go back to reference Mitka, M. (2008). PTSD prevalence still high for persons living near world trade center attacks. Journal of the Amercan Medical Association, 300(7), 779. CrossRef Mitka, M. (2008). PTSD prevalence still high for persons living near world trade center attacks. Journal of the Amercan Medical Association, 300(7), 779. CrossRef
42.
go back to reference DeWalt, D. A., Dilling, M. H., Rosenthal, M. S., & Pignone, M. P. (2007). Low parental literacy is associated with worse asthma care measures in children. Ambulatory Pediatrics, 7(1), 25–31. CrossRefPubMed DeWalt, D. A., Dilling, M. H., Rosenthal, M. S., & Pignone, M. P. (2007). Low parental literacy is associated with worse asthma care measures in children. Ambulatory Pediatrics, 7(1), 25–31. CrossRefPubMed
43.
go back to reference Levandowski, B. A., Sharma, P., Lane, S. D., Webster, N., Nestor, A. M., Cibula, D. A., et al. (2006). Parental literacy and infant health: An evidence-based healthy start intervention. Health Promotion Practice, 7(1), 95–102. CrossRefPubMed Levandowski, B. A., Sharma, P., Lane, S. D., Webster, N., Nestor, A. M., Cibula, D. A., et al. (2006). Parental literacy and infant health: An evidence-based healthy start intervention. Health Promotion Practice, 7(1), 95–102. CrossRefPubMed
44.
go back to reference Matsuoka, T., Yoshioka, T., Oda, J., Tanaka, H., Kuwagata, Y., Sugimoto, H., et al. (2000). The impact of a catastrophic earthquake on morbidity rates for various illnesses. Public Health, 114(4), 249–253. CrossRefPubMed Matsuoka, T., Yoshioka, T., Oda, J., Tanaka, H., Kuwagata, Y., Sugimoto, H., et al. (2000). The impact of a catastrophic earthquake on morbidity rates for various illnesses. Public Health, 114(4), 249–253. CrossRefPubMed
45.
go back to reference Miller, A. C., & Arquilla, B. (2008). Chronic diseases and natural hazards: Impact of disasters on diabetic, renal, and cardiac patients. Prehospital and Disaster Medicine, 23(2), 185–194. PubMed Miller, A. C., & Arquilla, B. (2008). Chronic diseases and natural hazards: Impact of disasters on diabetic, renal, and cardiac patients. Prehospital and Disaster Medicine, 23(2), 185–194. PubMed
46.
go back to reference Jhung, M. A., Shehab, N., Rohr-Allegrini, C., Pollock, D. A., Sanchez, R., Guerra, F., et al. (2007). Chronic disease and disasters medication demands of Hurricane Katrina evacuees. American Journal of Preventive Medicine, 33(3), 207–210. CrossRefPubMed Jhung, M. A., Shehab, N., Rohr-Allegrini, C., Pollock, D. A., Sanchez, R., Guerra, F., et al. (2007). Chronic disease and disasters medication demands of Hurricane Katrina evacuees. American Journal of Preventive Medicine, 33(3), 207–210. CrossRefPubMed
47.
go back to reference Rust, G., Daniels, E., Satcher, D., Bacon, J., Strothers, H., & Bornemann, T. (2005). Ability of community health centers to obtain mental health services for uninsured patients. Journal of the American Medical Association, 293(5), 554–556. CrossRefPubMed Rust, G., Daniels, E., Satcher, D., Bacon, J., Strothers, H., & Bornemann, T. (2005). Ability of community health centers to obtain mental health services for uninsured patients. Journal of the American Medical Association, 293(5), 554–556. CrossRefPubMed
48.
go back to reference Pirkola, S., Sund, R., Sailas, E., & Wahlbeck, K. (2009). Community mental-health services and suicide rate in Finland: A nationwide small-area analysis. Lancet, 373(9658), 147–153. CrossRefPubMed Pirkola, S., Sund, R., Sailas, E., & Wahlbeck, K. (2009). Community mental-health services and suicide rate in Finland: A nationwide small-area analysis. Lancet, 373(9658), 147–153. CrossRefPubMed
Metagegevens
Titel
Mental health and quality of life survey among child survivors of the 2008 Sichuan earthquake
Auteurs
Zhaobao Jia
Wenhua Tian
Xiang He
Weizhi Liu
Chunlin Jin
Hansheng Ding
Publicatiedatum
01-11-2010
Uitgeverij
Springer Netherlands
Gepubliceerd in
Quality of Life Research / Uitgave 9/2010
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-010-9703-8

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