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題名：兒童青少年地震創傷後壓力反應之追蹤研究
書刊名：彰化師大輔導學報
作者：高淑貞
作者(外文)：Kao, Shu-chen
出版日期：2004
卷期：26:1
頁次：頁85-106
主題關鍵詞：長期研究；地震創傷壓力反應；憂鬱；焦慮；Longitudinal study；PTSD；Depression；Anxiety
原始連結：連回原系統網址new window
相關次數：
  • 被引用次數被引用次數:期刊(7) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:7
  • 共同引用共同引用:3
  • 點閱點閱:45
本研究針對九二一地震某災區國中小學生之地震創傷壓力反應，進行三年期前後之調查比較，以探討地震災害對兒童青少年之長期影響，災難發生後不同時間與災童年齡大小對壓力反應的影響。研究主要在測量創傷壓力反應，並佐以憂鬱與焦慮的調查。除追蹤暸解三年後之適應狀況外，並以縱貫、橫斷、世代三種研究設計比較前後不同群組之資料。結果顯示地震三年後約有5.2%學生為PTSD高危險群，4.1%為高憂鬱群，女生比男生更多PTSD與憂鬱症狀。PTSD與憂鬱、焦慮存在高相關，焦慮在預測PTSD是較好的指標。兒童晚期比青少年初期更顯著表現PTSD症狀，災難發生後三年，時間顯著削弱大部分學童PTSD反應，但青少年初期此族群在地震三年前後反應差異不大。最後根據研究發現，對實務工作與研究方向提出建議。
This study aims to explore the post-earthquake trauma stress reactions among late childhood and early adolescent in three years and to investigate the effects of time and age on the development of PTSD. Two surveys were conducted for data collections, the first survey was two months after the earthquake while the second survey was three years later. Subjects included 301 pupils and 550 adolescents as total. PTSD, depression and anxiety among students were investigated by instruments. Data were analyzed through three different research designs, the longitudinal, cross-sectional, and cohort designs, for different purposes. Results show that three years after the earthquake, there are 5.2% of students who are at high risk of PTSD and 4.1 % are at high risk of depression. Both gender and grade are significant different in PTSD and depression. There are significant correlations among PTSD, depression and anxiety. Comparing with depression, anxiety is a better predictor for PTSD. As time passing by, most pupils are recovering from the PTSD symptoms. Children are more vulnerable to PTSD than adolescents are. Adolescents in different time period have similar responses to earthquake. Recommendations for further clinical work and study are also discussed.
期刊論文
1.Goenjian, A. K.、Steinberg, A. M.、Najarian, L. M.(2000)。Prospective study of posttraumatic stress, anxiety, and depressive reactions after earthquake and political violence。American Journal of Psychiatry，157(6)，911-916。  new window
2.Davidson, J. R. T.、Hughes, D. L.、Blazer, D. G.、Gorger, L. K.(1993)。Posttraumatic stress disorder in the community--an epidemiological study。Psychological Medicine，21(3)，713-721。  new window
3.Sharan, P.、Chaudhary, G.、Kavathekar, S. A.、Saxena, S.(1996)。Preliminary Report of Psychiatric Disorders in Survivors of a Severe earthquake。American Journal of Psychiatry，153(4)，556-558。  new window
4.Kessler, R. C.、Sonnega, A.、Bromet, E.、Hughes, M.、Nelson, C. B.(1995)。Posttraumatic stress disorder in the national comorbidity survey。Archives of General Psychiatry，52(12)，1048-1060。  new window
5.Breslau, N.、Kessler, R. C.、Chilcoat, H. D.、Schultz, L. R.、Davis, G. C.、Andreski, P.(1996)。Trauma and posttraumatic stress disorder in the community: the 1996 Detroit Area Survey of Trauma。Archives of General Psychiatry，55(7)，626-632。  new window
6.Thabet, A. A.、Vostanis, P.(2000)。Post traumatic stress disorder reactions in children of war: a longitudinal study。Child Abuse & Neglect，24(2)，291-298。  new window
7.Koopman, C.、Classen, C.、Spiegel, D.(1994)。Predictors of posttraumatic stress symptoms among survivors of the Oakland/Berkeley, Calif., Firestorm。American Journal of Psychiatry，151(6)，888-894。  new window
8.李明濱、Lee, Y. J.、Yen, L. L.、Lin, M. H.、Lue, B. H.(19901200)。Reliability and Validity of Using a Brief Psychiatric Symptom Rating Scale in Clinical Practice。臺灣醫學會雜誌，89(12)，1081-1087。  new window
9.Breslau, Naomi、Davis, Glenn C.、Andreski, Patricia、Peterson, Edward(1991)。Traumatic events and posttraumatic stress disorder in an urban population of young adults。Archives of General Psychiatry，48(3)，216-222。  new window
10.Dodge, K. A.(1993)。Social-cognitive mechanisms in the development of conduct disorder and depression。Annual Review of Psychology，44，559-584。  new window
11.高淑貞、邱南英(20020900)。九二一地震災區學童心理復健工作模式--以集集地區為例。中華心理衛生學刊，15(3)，1-30。new window  延伸查詢new window
12.Cohen, J. A.(1998)。Practice Parameter for the Assessment and Treatment of Children and Adolescents With Posttraumatic Stress Disorder。Journal of the American Academy of Child & Adolescent Psychiatry，49(4)，414-430。  new window
13.Koslowsky, M.、Bleich, A.、Dolev, A.、Lerer, B.(1997)。Post-traumatic stress disorder and depression. An analysis of comorbidity。The British Journal of Psychiatry，170(5)，479-482。  new window
14.Carlson, E.(2001)。Psychometric study of a brief screen for PTSD: Assessing the impact of multiple traumatic events。Psychological Assessment Resources，8(4)，431-438。  new window
15.Lefkowitz, M. M.、Tesiny, E.(1985)。Depression in children: Prevalence and correlates。Journal of Consulting and Clinical Psychology，53，647-656。  new window
16.Boris, N.(2000)。Attachment and developmental psychopathology。Psychiatry，63(1)，75-84。  new window
會議論文
1.林杏足(2001)。921震災喪親青少年悲傷經驗與歷程之個案研究。廿一世紀的教育改革與教育發展國際學術研討會，彰化師範大學輔導與諮商學系 (主辦) 。  延伸查詢new window
圖書
1.American Psychiatric Association(2000)。Diagnostic and Statistical manual of mental disorders。Washington, DC：Book Promotion & Service LTD。  new window
2.財團法人董氏基金會(2002)。青少年憂鬱量表使用手冊。臺北：財團法人董氏基金會。  延伸查詢new window
其他
1.Donnelly, C. L.(2002)。Post-traumatic stress disorder in children and adolescents - Epidemiology, diagnosis and treatment options。  new window
2.Fletcher, K. E.(1996)。Childhood posttraumatic stress disorder。  new window
3.Foa, E.(1999)。Expert consensus treatment guidelines for posttraumatic stress disorder。  new window
4.Franklin, L.(2001)。Posttraumatic stress disorder and major depressive disorder: Investigating the role of overlapping symptoms in diagnostic comorbidity。  new window
5.Frommberger, U.(1999)。The concept of "sense of coherence" and the development of posttraumatic stress disorder in traffic accident victims。  new window
6.Holeva, V.(2001)。Personality and peritraumatic dissociation in the prediction of PTSD in victims of road traffic accidents。  new window
7.Inoue-Sakuri, C.(2000)。Posttraumatic stress and lifestyles are associated with natural killer cell activity in victims of the Hanshin-Awaji earthquake in Japan。  new window
8.Ireland, T.(2002)。Developmental issues in the impact of child maltreatment on later delinquency and dryguse。  new window
9.Kashani, J.(1989)。Developmental prospective in child and adolescent depressive symptoms in a community sample。  new window
10.Kato, H.(1996)。Posttraumatic symptoms among younger and elderly evacuees in the early stages following the 1995 Hanshin-Awaji earthquake in Japen。  new window
11.Kim-Leff, M.(1996)。Genetics and developmental psychopathology: Present status and future perspectives edited by David Magnusson and Paul Casaer。  new window
12.Ollendick, T.(2002)。The developmental psychopathology of social anxiety disorder。  new window
13.Ollendick, T.(2001)。Applying developmental theory to the assessment and treatment of childhood disorders: Does it make a difference?。  new window
14.Perilla, J.(2002)。Ethnicity, culture, and disaster response: Identifying and explining ethnic differences in PTSD six months after hurricane Andrew。  new window
15.Pfefferbaum, B.(1997)。Posttraumatic stress disorder in children: A review of the past 10 years。  new window
16.Pullen, L. M.(2000)。Adolescent depression: Important facts that matter。  new window
17.Pynoos, R.(1998)。A public mental health approach to the postdisaster treatment of children and adolescents。  new window
18.Reynolds, WReynolds, W. M., & Johnston, H. F.(1994)。Handbook of depression in children and adolescents，New York：Plenum Press。  new window
19.Stein, M.(2001)。Major depressive and post-traumatic s tress disorder comorbidity in females victims of intimate partner violence。  new window
20.Wyman, P. A.(1992)。Interviews with children who experienced major life stress: Family and child attributes that predict resilient outcomes。  new window
21.Young, B., Ford, J., Ruzek, J., Friedman, M. & Gusman, F.(1999)。Disaster mental health services: A guidebook for clinicians and administrators，CA：The national center for post-traumatic stress disorder education & clinical laboratory。  new window
22.Yule, W.(2001)。Post-traumatic stress disorder in children and adolescents。  new window
 
 
 
 
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