Posttraumatic stress disorder following the 2008 Wenchuan earthquake: A 10-year systematic review among highly exposed populations in China

2019 ◽  
Vol 243 ◽  
pp. 327-339 ◽  
Author(s):  
Yiming Liang ◽  
Jin Cheng ◽  
Josef I. Ruzek ◽  
Zhengkui Liu
Keyword(s):  
Systematic Review ◽  
Posttraumatic Stress Disorder ◽  
Posttraumatic Stress ◽  
Wenchuan Earthquake ◽  
Stress Disorder ◽  
2008 Wenchuan Earthquake ◽  
The 2008 Wenchuan Earthquake

scholarly journals Posttraumatic stress disorder symptoms among child survivors of the 2008 Wenchuan earthquake: a comparison between Chinese ethnic Han and Hui groups

PeerJ ◽  
2021 ◽  
Vol 9 ◽  
pp. e11967
Author(s):  
Xiacan Chen ◽  
Bin Li ◽  
Wan-Jun Guo ◽  
Jia-Jun Xu
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Linear Regression ◽  
Multiple Linear Regression ◽  
Posttraumatic Stress ◽  
Wenchuan Earthquake ◽  
Stress Disorder ◽  
Ptsd Symptoms ◽  
Child Survivors ◽  
2008 Wenchuan Earthquake ◽  
The 2008 Wenchuan Earthquake

Background Relatively few studies have compared posttraumatic stress disorder (PTSD) symptoms following a disaster among children of different ethnicities. We sought to investigate the differences in PTSD symptoms between the ethnic Hui and Han child survivors of the 2008 Wenchuan earthquake in China. Methods This study collected data from 1,951 Han and 247 Hui child survivors of the 2008 Wenchuan earthquake in China. The children ranged from 7 to 15 years of age. Earthquake-related exposures were measured using a modified version of the PsySTART Rapid Triage System. PTSD symptoms were evaluated using the University of California, Los Angeles PTSD-Reaction Index (UCLA PTSD-RI). Personality characteristics were assessed using the Junior Eysenck Personality Questionnaire (JEPQ). Multiple linear regression was used to investigate the association between the ethnicity and the severity of PTSD symptoms. Multiple logistic regression was used to investigate the association between the ethnicity and the percentage of screening positive for PTSD symptoms. Results The average UCLA PTSD-RI total score of the ethnic Hui group (27.01 ± 9.24) was significantly higher than that of the ethnic Han group (25.12 ± 9.17) (t = −3.05, p = 0.002), as were the avoidance/numbness (Hui: 10.02 ± 4.82; Han: 9.04 ± 4.60, t = −3.12, p = 0.002) and arousal scores (Hui: 9.36 ± 3.64; Han: 8.79 ± 3.42, t = −2.44, p = 0.015). The percentage of screening positive for D criteria (arousal symptoms) also differed significantly between the ethnic Han (41.9%, 95% CI [39.7–44.1%]) and Hui (48.6%, 95% CI [42.3–54.9%]) groups (χ2 = 3.97, p = 0.046). Ethnicity was associated with the avoidance/numbness symptom score following adjustments for sex, age, personality traits and earthquake exposure experiences by multiple linear regression (B: 0.61, 95% CI [0.04–1.17], p = 0.035). The initial significant associations between the ethnicity and the arousal symptoms score and the PTSD total score disappeared while adjusting for the subjective earthquake exposure experiences (Model 5: arousal symptoms, B = 0.41, 95% CI [−0.01 to 0.83], p = 0.056; PTSD, B = 1.00, 95% CI [−0.07 to 2.07], p = 0.066). The initial significant association between the ethnicity and the percentage of screening positive for D criteria disappeared while adjusting for the objective earthquake exposure experiences (Model 4: OR = 1.32, 95% CI [1.00–1.75], p = 0.052). Conclusion This study is the first to report the relationship between the ethnicity and PTSD symptoms among child survivors following a disaster. The findings of this study suggest that the trauma-focused cognitive behavior therapy could also be an effective treatment for Chinese ethnic Hui and Han children who are suffering from PTSD. Future research could be designed to examine whether cultural differences in perceptions and interpretations may account for the variations in subjective experiences. More attention should be paid to the ethnic minority children with PTSD in the future.

Delayed Posttraumatic Stress Disorder: Systematic Review, Meta-Analysis, and Metaregression

2009 ◽  
Author(s):  
Geert Smid ◽  
Trudy Mooren ◽  
Roos Van der Mast ◽  
Berthold Gersens ◽  
Rolf Kleber
Keyword(s):  
Systematic Review ◽  
Posttraumatic Stress Disorder ◽  
Posttraumatic Stress ◽  
Stress Disorder ◽  
Meta Analysis
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