Posttraumatic stress and depressive symptoms in children after the Wenchuan earthquake

doi:10.1080/20008198.2018.1472992

	Posttraumatic stress and depressive symptoms in children after the Wenchuan earthquake
	Cheng, Jin 1,2; Liang, YiMing1,2 ; Fu, Lin1,2 ; Liu, ZhengKui1
通讯作者	Liu, ZhengKui(liuzk@psych.ac.cn)
摘要	Background: Many studies have reported the comorbidity of posttraumatic stress disorder (PTSD) and depression in children. However, the underlying relationship between PTSD and depression remains unclear. Objective: This study examines the relationship between PTSD and depressive symptoms in children who survived the Wenchuan earthquake in China. Methods: In total, 301 children were assessed at fourmonths and then followed up at 29, 40 and 52months after the disaster. The ages of the children ranged from 9.6-14.6years old, and the sample included 157 males and 144 females. The children were assessed by using the University of California at Los Angeles PTSD reaction index for DSM-IV for PTSD symptoms and the Children's Depression Inventory for depressive symptoms. Results: Comorbid PTSD and depressive symptoms were prevalent in 4.0, 3.3, 3.7 and 5.1% of the participants at times 1, 2, 3 and 4, respectively. The cross-lagged analysis indicated that PTSD symptoms at time 1 predicted depressive symptoms at time 2; depressive symptoms at time 1 predicted PTSD symptoms at time 2; depressive symptoms at time 2 predicted PTSD symptoms at time 3; and depressive symptoms at time 3 predicted PTSD symptoms at time 4. The findings also showed that being female, poor parental relationships and trauma exposure were risk factors for PTSD or depressive symptoms. Conclusions: The results suggest that the causal relationship between PTSD and depressive symptoms changes over time; the effects of PTSD symptoms tend to decrease, while those of depressive symptoms tend to increase. Two stages of the relationship between PTSD and depressive symptoms were observed, namely, that PTSD and depressive symptoms first influenced each other and then that depressive symptoms predicted PTSD. The results of our study also suggest that females with poor parental relationships and a high degree of trauma exposure are more likely to require intervention.
关键词	PTSD depressive symptoms cross-lagged analysis longitudinal study natural disaster
	2018-05-18
语种	英语
DOI	10.1080/20008198.2018.1472992
发表期刊	EUROPEAN JOURNAL OF PSYCHOTRAUMATOLOGY
ISSN	2000-8066
卷号	9 期号:1 页码:12
收录类别	SCI
资助项目	Consulting and Appraising Project of the Chinese Academy of Sciences[Y7CX134003] ; Pioneer Initiative of the Chinese Academy of Sciences, Feature Institutes Program[TSS-2015-06] ; Consulting and Appraising Project of the Chinese Academy of Sciences[Y7CX134003] ; Pioneer Initiative of the Chinese Academy of Sciences, Feature Institutes Program[TSS-2015-06] ; Consulting and Appraising Project of the Chinese Academy of Sciences[Y7CX134003] ; Pioneer Initiative of the Chinese Academy of Sciences, Feature Institutes Program[TSS-2015-06]
出版者	TAYLOR & FRANCIS LTD
WOS关键词	ADOLESCENTS 28 MONTHS ; FIT INDEXES ; MAJOR DEPRESSION ; EMOTION REGULATION ; GENDER-DIFFERENCES ; COMBAT EXPOSURE ; DISORDER ; PTSD ; COMORBIDITY ; SURVIVORS
WOS研究方向	Psychology ; Psychiatry
WOS类目	Psychology, Clinical ; Psychiatry
WOS记录号	WOS:000432632200001
资助机构	Consulting and Appraising Project of the Chinese Academy of Sciences ; Pioneer Initiative of the Chinese Academy of Sciences, Feature Institutes Program
引用统计	被引频次：26[WOS] [WOS记录] [WOS相关记录]
文献类型	期刊论文
条目标识符	http://ir.psych.ac.cn/handle/311026/26495
专题	中国科学院心理健康重点实验室
通讯作者	Liu, ZhengKui
作者单位	1.Inst Psychol, CAS Key Lab Mental Hlth, Beijing, Peoples R China 2.Univ Chinese Acad Sci, Dept Psychol, Beijing, Peoples R China
第一作者单位	中国科学院心理健康重点实验室
通讯作者单位	中国科学院心理健康重点实验室
推荐引用方式 GB/T 7714	Cheng, Jin,Liang, YiMing,Fu, Lin,et al. Posttraumatic stress and depressive symptoms in children after the Wenchuan earthquake[J]. EUROPEAN JOURNAL OF PSYCHOTRAUMATOLOGY,2018,9(1):12.
APA	Cheng, Jin,Liang, YiMing,Fu, Lin,&Liu, ZhengKui.(2018).Posttraumatic stress and depressive symptoms in children after the Wenchuan earthquake.EUROPEAN JOURNAL OF PSYCHOTRAUMATOLOGY,9(1),12.
MLA	Cheng, Jin,et al."Posttraumatic stress and depressive symptoms in children after the Wenchuan earthquake".EUROPEAN JOURNAL OF PSYCHOTRAUMATOLOGY 9.1(2018):12.

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