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Prevalence and predictors of PTSD and depression among adolescent victims of the Spring 2011 tornado outbreak / Zachary W. ADAMS in Journal of Child Psychology and Psychiatry, 55-9 (September 2014)
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Titre : Prevalence and predictors of PTSD and depression among adolescent victims of the Spring 2011 tornado outbreak Type de document : Texte imprimé et/ou numérique Auteurs : Zachary W. ADAMS, Auteur ; Jennifer A. SUMNER, Auteur ; Carla Kmett DANIELSON, Auteur ; Jenna L. MCCAULEY, Auteur ; Heidi S. RESNICK, Auteur ; Kirstin GROS, Auteur ; Lisa A. PAUL, Auteur ; Kyleen E. WELSH, Auteur ; Kenneth J. RUGGIERO, Auteur Article en page(s) : p.1047-1055 Langues : Anglais (eng) Mots-clés : Disaster adolescents PTSD depression tornadoes Index. décimale : PER Périodiques Résumé : Background Relatively few studies have examined prevalence and predictors of posttraumatic stress disorder (PTSD) or major depressive episode (MDE) in disaster-affected adolescents. Fewer still have administered diagnostic measures or studied samples exposed to tornadoes, a common type of disaster. Further, methodologic problems limit the generalizability of previous findings. This study addressed prevalence estimates and risk factors for PTSD and MDE among adolescents exposed to the Spring 2011 tornado outbreak in Alabama and Joplin, Missouri. Methods A large (N = 2000), population-based sample of adolescents and caregivers, recruited randomly from tornado-affected communities, participated in structured telephone interviews. PTSD and MDE prevalence were estimated for the overall sample, by gender, and by age. Hierarchical logistic regression was used to identify risk factors for PTSD and MDE. Results Overall, 6.7% of adolescents met diagnostic criteria for PTSD and 7.5% of adolescents met diagnostic criteria for MDE since the tornado. Girls were significantly more likely than boys to meet diagnostic criteria for MDE, and older adolescents were more likely than younger adolescents to report MDE since the tornado. Female gender, prior trauma exposure, and an injured family member were associated with greater risk for PTSD and MDE. Specific incident characteristics (loss of services, concern about others’ safety) were associated with greater PTSD risk; prior disaster exposure was associated with lower MDE risk. Conclusions However, most adolescents were resilient following tornado exposure, roughly 1 in 15 developed PTSD, 1 in 13 developed MDE, and many more endorsed subclinical mental health problems. Information regarding specific risk factors can guide early screening, prevention, and intervention efforts in disaster-affected communities. En ligne : http://dx.doi.org/10.1111/jcpp.12220 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=238
in Journal of Child Psychology and Psychiatry > 55-9 (September 2014) . - p.1047-1055[article] Prevalence and predictors of PTSD and depression among adolescent victims of the Spring 2011 tornado outbreak [Texte imprimé et/ou numérique] / Zachary W. ADAMS, Auteur ; Jennifer A. SUMNER, Auteur ; Carla Kmett DANIELSON, Auteur ; Jenna L. MCCAULEY, Auteur ; Heidi S. RESNICK, Auteur ; Kirstin GROS, Auteur ; Lisa A. PAUL, Auteur ; Kyleen E. WELSH, Auteur ; Kenneth J. RUGGIERO, Auteur . - p.1047-1055.
Langues : Anglais (eng)
in Journal of Child Psychology and Psychiatry > 55-9 (September 2014) . - p.1047-1055
Mots-clés : Disaster adolescents PTSD depression tornadoes Index. décimale : PER Périodiques Résumé : Background Relatively few studies have examined prevalence and predictors of posttraumatic stress disorder (PTSD) or major depressive episode (MDE) in disaster-affected adolescents. Fewer still have administered diagnostic measures or studied samples exposed to tornadoes, a common type of disaster. Further, methodologic problems limit the generalizability of previous findings. This study addressed prevalence estimates and risk factors for PTSD and MDE among adolescents exposed to the Spring 2011 tornado outbreak in Alabama and Joplin, Missouri. Methods A large (N = 2000), population-based sample of adolescents and caregivers, recruited randomly from tornado-affected communities, participated in structured telephone interviews. PTSD and MDE prevalence were estimated for the overall sample, by gender, and by age. Hierarchical logistic regression was used to identify risk factors for PTSD and MDE. Results Overall, 6.7% of adolescents met diagnostic criteria for PTSD and 7.5% of adolescents met diagnostic criteria for MDE since the tornado. Girls were significantly more likely than boys to meet diagnostic criteria for MDE, and older adolescents were more likely than younger adolescents to report MDE since the tornado. Female gender, prior trauma exposure, and an injured family member were associated with greater risk for PTSD and MDE. Specific incident characteristics (loss of services, concern about others’ safety) were associated with greater PTSD risk; prior disaster exposure was associated with lower MDE risk. Conclusions However, most adolescents were resilient following tornado exposure, roughly 1 in 15 developed PTSD, 1 in 13 developed MDE, and many more endorsed subclinical mental health problems. Information regarding specific risk factors can guide early screening, prevention, and intervention efforts in disaster-affected communities. En ligne : http://dx.doi.org/10.1111/jcpp.12220 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=238