Psychological distress among adolescents in Chengdu, Sichuan at 1 month after the 2008 Sichuan earthquake.
A devastating earthquake occurred on May 12, 2008 in Sichuan, China. This study investigated the prevalence and factors in association with psychological problems among secondary school students living in Chengdu (90 km away from the disaster epicenter) in June 2008. In a cross-sectional survey, 3,324 secondary students self-administered a structured questionnaire in classroom setting. Validated scales were used in this study. Among all respondents, 22.3% reported post-traumatic stress disorder (PTSD); 22.6% were probable depression cases; 10.6% reported suicidal ideation; and 14.1% would like to receive psychological counseling. No gender differences were found. While social/emotional support from teachers or peers (OR from 0.40 to 0.78) and exposure to positive news reports (OR from 0.59 to 0.62) were found protective, prior experience of severe mental distress (OR from 1.60 to 2.68) and corporal punishment (OR from 1.31 to 1.58), worry about future aftershocks (OR from 1.64 to 3.11), absence from school when it was not closed (OR from 1.38 to 1.48), exposures to scary or sorrowful disaster media coverage (OR from 1.39 to 2.07), post-disaster visits to affected sites (OR from 1.51 to 1.59), separation from parents (OR = 1.61), etc., were risk factors predictive of some of the aforementioned psychological problems. Negative mental health impacts were prevalent among the respondents. Teachers, parents, and the mass media are all important in maintaining good mental health among adolescents that are indirectly affected by the severe earthquake. The results have important implications for earthquake preparedness and relief work in the future.
Lau
Joseph T F
JT
Centre for Health Behaviours Research, School of Public Health and Primary Care, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, NT, Hong Kong, SAR, China. jlau@cuhk.edu.hk
Yu
Xiaonan
X
Zhang
Jianxin
J
Mak
Winnie W S
WW
Choi
Kai Chow
KC
Lui
Wacy W S
WW
Zhang
Jianxin
J
Chan
Emily Y Y
EY
D000293:Adolescent; D002681:China / Q000453:epidemiology; D003430:Cross-Sectional Studies; D055866:Earthquakes; D005260:Female; D006801:Humans; D008297:Male; D000297:Psychology, Adolescent; D013313:Stress Disorders, Post-Traumatic / Q000453:epidemiology; D013315:Stress, Psychological / Q000175:diagnosis* / Q000453:epidemiology; D011795:Surveys and Questionnaires
Psychiatry Res. 2008 Mar 15;158(2):164-71
18258306
J Epidemiol Community Health. 2006 Aug;60(8):675-82
16840756
J Am Acad Child Adolesc Psychiatry. 1995 Oct;34(10):1369-80
7592275
Soc Sci Med. 2008 Feb;66(4):994-1007
18164112
J Am Acad Child Adolesc Psychiatry. 1994 Jan;33(1):94-105
8138526
N Engl J Med. 2002 Mar 28;346(13):982-7
11919308
Psychiatry. 2002 Winter;65(4):289-300
12530330
J Psychosom Res. 2008 Jul;65(1):81-6
18582616
Am J Psychiatry. 2000 Aug;157(8):1260-6
10910788
Eur Child Adolesc Psychiatry. 2003 Dec;12(6):273-80
14689259
Am J Psychiatry. 1997 Apr;154(4):536-42
9090342
J Consult Clin Psychol. 1995 Dec;63(6):938-47
8543716
J Psychiatr Res. 2004 May-Jun;38(3):313-22
15003437
J Am Acad Child Adolesc Psychiatry. 1995 Sep;34(9):1174-84
7559312
Am J Psychiatry. 2005 Mar;162(3):530-7
15741470
Psychiatry. 2000 Winter;63(4):358-70
11218559
Int Rev Psychiatry. 2006 Dec;18(6):523-8
17162692
Eur Child Adolesc Psychiatry. 2007 Oct;16(7):449-57
17876513
Br J Psychiatry. 1993 Aug;163:239-47
8075917
Am J Psychiatry. 2005 Dec;162(12):2302-8
16330594
Am J Psychiatry. 1999 Jul;156(7):1069-74
10401454
J Trauma Stress. 2002 Apr;15(2):147-56
12013066
J Pers Assess. 1990 Winter;55(3-4):610-7
2280326
J Urban Health. 2002 Sep;79(3):373-82
12200506
Acta Psychiatr Scand. 2000 Jul;102(1):58-64
10892611
Am J Psychiatry. 1999 Oct;156(10):1536-44
10518163