Risk factors for posttraumatic stress reactions among chinese students following exposure to a snowstorm disaster 英文参考文献.docVIP
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Risk factors for posttraumatic stress reactions among chinese students following exposure to a snowstorm disaster 英文参考文献
Wuetal.BMCPublicHealth2011,11:96
/1471-2458/11/96
RESEARCH ARTICLE
OpenAccess
Riskfactorsforposttraumaticstressreactions
amongchinesestudentsfollowingexposure
toasnowstormdisaster
DaxingWu*,HuifangYin,ShujingXu,YingZhao
Abstract
Background:Itisimportanttounderstandwhichfactorsincreasetheriskofposttraumaticstressdisorder(PTSD)in
adolescents.PreviousstudieshaveshownthatthemostimportantriskfactorsforPTSDincludethetype,severity,
anddurationofexposuretothetraumaticevents.
Methods:Across-sectionalsurveywasusedtoinvestigatethepsychologicalsymptomsassociatedwiththe
aftermathofasnowstormdisasterintheHunanprovinceofChinainJanuary2008.StudentslivinginHunanwere
surveyedatathree-monthfollow-upafterthedisaster.ThequestionnairebatteryincludedtheImpactofEvent
Scale-Revised(IES-R,traumaandsymptomsassociatedwithPTSD),theChineseversionoftheLifeOrientationTest-
Revised(LOT-R,optimismandpessimism),theChineseversionoftheEysenckPersonalityQuestionnaire(EPQ,
neuroticismandextraversion),theChineseTraitCopingStyleQuestionnaire(TCSQ,positiveandnegativecoping
styles),andarangeofquestionsaddressingsocialdemographiccharacteristicsandfactorsrelatingtothe
snowstorm.Thesurveywasadministeredinschool,and968studentscompletedandreturnedthequestionnaires.
Results:Theresultsshowedthat14.5%ofthestudentshadatotalIES-Rscore≥20.Studentswithgreaterschool-
to-homedistancesshowedhigherlevelsofposttraumaticstresssymptomsthanstudentswholivedshorter
distancesfromschool.Studentswithemotionalsupportfromtheirteachersreportedhigherlevelsofposttraumatic
stresssymptoms(21.20%)thanstudentswithoutateacher’semotionalsupport(11.07%).TheIES-Rtotaland
subscalescorescorrelatedwithallvariablesexceptextraversion.Thebinarylogisticregressionanalysisresults
showedthattheteacher’semotionalsupport[oddsratio(OR)=1.72,95%confidenceinterval(CI)=1.13-2.62],
school-to-homedistance(OR=1.01,95%CI=1.00-1.01),negativecoping(OR=1.05;95%CI=1.02-1.08),and
neuroticism(OR=1.04,95%CI=1.02-1.06)wereriskfactorsthatpredictedPTSDfrequencyandseverity
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