CAJ | 학술논문

目的采用Meta分析评价儿童及青少年地震创伤后应激障碍(post-traumatic stress disorder,PTSD)的发生情况.方法系统检索2000-2013年PubMed、Springer Link、Elsevier-SDOL、中国生物医学文献数据库(CBM)、中国期刊全文数据库(CNKI)、维普中文科技期刊全文数据库和万方数据资源系统等中有关儿童及青少年PTSD发生率的研究文献,采用Meta分析地震后PTSD合并患病率,并对不同性别、研究量表、学习阶段、调查距地震发生时间、调查地特征(灾害严重度、是否异地迁置)进行亚组分析.结果共筛选出文献19篇,共调查22 159例,报告PTSD阳性5 627例.儿童及青少年地震PTSD合并患病率为30.20％(95％ CI 21.10～39.30).亚组分析结果显示,女性儿童及青少年PTSD合并患病率(37.37％)高于男性(30.54％),中学生组PTSD患病率(33.07％)高于中小学生混合组(22.00％).应用事件影响量表修订版(impact of event scale-revised,IES-R)调查地震所致儿童及青少年PTSD患病率(41.38％)显著高于其他量表,事件影响量表儿童版(children's revised impact of event scale,CRIES-13)最低为20.84％.在地震发生后半年内、1年内和1年以上调查儿童和青少年PTSD合并患病率分别为42.49％、22.66％和22.83％.异地复学儿童及青少年PTSD患病率(47.62％)高于对照组(25.68％).地震极重灾区和重灾区儿童及青少年PTSD患病率分别为30.94％和26.44％.结论我国儿童及青少年地震PTSD患病率比较高,来自灾情严重地区、调查时间距地震发生时间短、女生、高年级学生以及异地复学/安置的学生更易发生PTSD,提示应重视受灾儿童及青少年的心理健康状况.
목적 채용Meta분석평개인동급청소년지진창상후응격장애(post-traumatic stress disorder,PTSD)적발생정황.방법 계통검색2000-2013년PubMed、Springer Link、Elsevier-SDOL、중국생물의학문헌수거고(CBM)、중국기간전문수거고(CNKI)、유보중문과기기간전문수거고화만방수거자원계통등중유관인동급청소년PTSD발생솔적연구문헌,채용Meta분석지진후PTSD합병환병솔,병대불동성별、연구량표、학습계단、조사거지진발생시간、조사지특정(재해엄중도、시부이지천치)진행아조분석.결과 공사선출문헌19편,공조사22 159례,보고PTSD양성5 627례.인동급청소년지진PTSD합병환병솔위30.20％(95％ CI 21.10～39.30).아조분석결과현시,녀성인동급청소년PTSD합병환병솔(37.37％)고우남성(30.54％),중학생조PTSD환병솔(33.07％)고우중소학생혼합조(22.00％).응용사건영향량표수정판(impact of event scale-revised,IES-R)조사지진소치인동급청소년PTSD환병솔(41.38％)현저고우기타량표,사건영향량표인동판(children's revised impact of event scale,CRIES-13)최저위20.84％.재지진발생후반년내、1년내화1년이상조사인동화청소년PTSD합병환병솔분별위42.49％、22.66％화22.83％.이지복학인동급청소년PTSD환병솔(47.62％)고우대조조(25.68％).지진겁중재구화중재구인동급청소년PTSD환병솔분별위30.94％화26.44％.결론 아국인동급청소년지진PTSD환병솔비교고,래자재정엄중지구、조사시간거지진발생시간단、녀생、고년급학생이급이지복학/안치적학생경역발생PTSD,제시응중시수재인동급청소년적심리건강상황.
Objective To estimate the prevalence of post-traumatic stress disorder(PTSD) after earthquake among children and adolescents in China.Methods Publications between 2000 and 2013 were extracted from PubMed,Springer Link,Elsevier-SDOL,Chinese Biomedical and Medicine Literature Database (CBM),China National Knowledge Infrastructure (CNKI),Chinese Science and Technology Journal Databases (VIP) and Wanfang Databases.Observational studies on prevalence of PTSD among children and adolescents were included.Pooled prevalence of PTSD in children and adolescents was analyzed using the meta-analysis.Subgroup analysis was undertook by gender,questionnaires,studying stage,investigation time away from the onset of earthquake,characteristics of earthquake sites (quake-hit degree,resume school to other places or not).Results Nineteen papers were eligible for this study.Total number of participants was 22 159,with 5 627 PTSD cases identified.PTSD was present in 30.20％ of the children and adolescents (95％ CI 21.10-39.30).Subgroup analysis showed that the pooled prevalence of PTSD in girls (37.37％) and middle school group (33.07％) were higher than that in boys (30.54％) and primary and middle school mixed group (22.00％) respectively.Pooled prevalence of PTSD was 41.38％ by using impact of event scale-revised (IES-R),far higher than that tested by other scales.Besides,the lowest prevalence was 20.84％ using children' s revised impact of event scale (CRIES-13).Pooled prevalence of PTSD estimated within 6 months,with a year,and a year after earthquake was 42.49％,22.66％,and 22.83％ respectively.Children and adolescents relocated reported an increased prevalence of PTSD (47.62％) compared with those not resettled (25.68％).In the significant worst-hit area and worst-hit area,the pooled prevalence of PTSD was 30.94％ and 26.44％ respectively.Conclusions PTSD is prevalent among children and adolescents in China,especially for those from worst-hit area,those investigated in a short-time interval,females,senior-grade students,and students resuming life in new places.Therefore,more attention should be paid to the mental health of affected children and adolescents.