Prevalence of PTSD and Depression among Junior Middle School Students in a Rural Town Far from the Epicenter of the Wenchuan Earthquake in China 英文参考文献.docVIP

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Prevalence of PTSD and Depression among Junior Middle School Students in a Rural Town Far from the Epicenter of the Wenchuan Earthquake in China 英文参考文献.doc

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Prevalence of PTSD and Depression among Junior Middle School Students in a Rural Town Far from the Epicenter of the Wenchuan Earthquake in China 英文参考文献

PrevalenceofPTSDandDepressionamongJunior MiddleSchoolStudentsinaRuralTownFarfromthe EpicenteroftheWenchuanEarthquakeinChina WeiWang1.,WeiFu1.,JinWu3.,Xian-cangMa1.,Xue-liSun2,YiHuang2,KenjiHashimoto3* ,Cheng- geGao1* 1DepartmentofPsychiatry,FirstAffiliatedHospitalofMedicalCollegeofXi’anJiaotongUniversity,Xi’an,China,2MentalHealthCenter,WestChinaHospital,Sichuan University,Chengdu,China,3DivisionofClinicalNeuroscience,ChibaUniversityCenterforForensicMentalHealth,Chiba,Japan Abstract Context: On May12th 2008, a devastating earthquake measuring 8.0 on the Richter scale, struck Wenchuan county and surroundingareasinChina.Theprevalenceofmentalillnessamongchildrenandadolescentsinaruraltownfarfromthe earthquakeepicenterisunknown. Objective: Toassess theprevalenceofposttraumatic stressdisorder(PTSD)anddepressionamongjuniormiddleschool studentsinaruraltownNingqiangcounty,327kmfromtheearthquakeepicenter. Design,Setting,andParticipants:Apopulation-basedmentalhealthsurveywasconductedinMarch,2009. Main Outcome Measure: Survey Self-designedGeneral Condition Survey Scale, Children’s Revised Impactof Event Scale (CRIES-13), and the Depression Self-rating Scale for Children (DSRSC) were used to sample 1,841 junior middle school studentsinNingqiangcounty,tenmonthsaftertheWenchuanearthquake. Results:Theprevalencerateofahigh-riskforPTSDwas28.4%,with32.7%amongfemales,23.8%amongmales(femalevs. male, p,0.001), 38.6% in the severe exposure group and 24.3% in the mild exposure group (severe vs. mild exposure, p,0.001).Fordepressivesymptoms,theoverallprevalencewas19.5%,with24.0%amongfemales,14.7%amongmales, 24.5% in the severe exposure group and 17.5% in the mild exposure group (female vs. male, p,0.001; severe vs. mild exposure,p,0.001,respectively).Inmultivariateanalysis,factorssuchas‘‘havingfeltdespair’’,or‘‘danger’’and‘‘havingown housedestroyedordamaged’’weresignificantlyassociatedwithPTSDsymptoms.Femalegenderanddelayedevacuation infemales,andearthquakerelatedexperiencesinmalesweresig