Prevalence of stressful life events and their association with post-traumatic stress disorder among youth attending secondary school in Haiti

PSYCHIATRY RESEARCH

卷:269

Article

Grelotti, David J.¹  Gerbasi, Margaret E.²  Eustache, Eddy³  Fils-Aime, J. Reginald³  Therosme, Tatiana³  Severe, Jennifer²  Raviola, Giuseppe J.²  Darghouth, Sarah⁴  Legha, Rupinder⁵  Pierre, Ermaze L.³  Affricot, Emmeline³  Alcindor, Yoldie³  Boyd, Katherine⁶  Becker, Anne E.²  Fawzi, Mary C. Smith² 

[1] Univ Calif San Diego, Dept Psychiat, 9500 Gilman Dr,MC 0603, La Jolla, CA 92093 USA

[2] Harvard Med Sch, Dept Global Hlth & Social Med, Boston, MA USA

[3] Mental Hlth & Psychosocial Serv, Zanmi Lasante, Mirebalais, Haiti

[4] Massachusetts Gen Hosp, Dept Psychiat, Boston, MA 02114 USA

[5] Univ Calif Los Angeles, Dept Psychiat, Los Angeles, CA USA

[6] Colorado Sch Publ Hlth, Aurora, CO USA

关键词: Adolescent;    Mental health;    Exposure to violence;    Disasters;    PTSD;    Trauma;    Anxiety disorders;    Sexual abuse;    Sexual assault;    Caribbean region;    Transitional-aged youth;    High school;   

DOI  :  10.1016/j.psychres.2018.08.074

来源: Elsevier

【 摘 要 】

The association between earthquakes and youth post-traumatic stress disorder (PTSD) has been well described, but little is known about the relationship between other stressful life events (SLEs) and PTSD among earthquake-affected youth. This study examines a variety of SLEs, including earthquake, and their association with PTSD among school-going Haitian youth following a major earthquake in 2010. In 2013, we assessed 120 students ages 18-22 for PTSD and other SLEs using a modified Structured Clinical Interview for DSM-IV (SCID)-based interview and the Stressful Life Events Checklist (SLE Checklist). Only 51.7% of participants on the SLE Checklist and 31.7% in the interview endorsed being affected by the earthquake or another disaster. Sexual assault showed the strongest association with PTSD in multivariable logistic regression. Contrary to our hypothesis, exposure to earthquake or another disaster was not significantly associated with current PTSD. In this population, exposure to interpersonal violence may have had a greater impact on PTSD risk than exposure to natural disaster. These data underscore the need to examine and reduce both acute and chronic stressors among disaster-affected youth.

【 授权许可】

Free