Abstract
Children and adolescents living in earthquake impacted areas may present various post-traumatic responses and adjustment along the post-traumatic reconstructive phases. Their surrounding environmental damage and reconstructive conditions may influence their adjustment as well. As part of a prospective and longitudinal research project aims to investigate the range and severity of post-traumatic stress disorder (PTSD) symptoms in children and adolescents residing near the epicenter after the Taiwan 921 Earthquake, this paper reports the changes of PTSD symptoms over a 2-year period. The study also examines the effects of school damage and reconstructive condition on PTSD symptoms. Earthquake Exposure Index for Youths and Child Posttraumatic Stress Disorder Reaction Index were administered to 2,028 and 2,077 youths at the first and second year, respectively, from two heavily impacted townships. Given that location, gender, individual and dwelling trauma exposure dose effect were controlled through a balanced sampling procedure and prior statistical confirmation, post-traumatic phase and school damage condition yield significant main effects. Students from the heavily damaged schools consistently displayed significantly more PTSD symptoms, including re-experiencing/avoidance and numbness/maladaptive symptoms, than their counterparts at the first and second year. Decline of prevalence of PTSD symptoms was noted from the first year to the second. Accordingly, there may be a need to implement a broad disaster recovery project with periodic screenings as well as school-specific and school-based mental health program.
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I. S. Bradburn (1991) ArticleTitleAfter the earth shook: children’s stress symptoms 6–8 months after a disaster Adv. Behav. Res. Ther. 13 173–179
C. C. Chao Y. Y. Wu (2000) Preliminary report of post-traumatic stress reactions in child survivors after the Taiwan 921 Earthquake C. H. Loh I. W. Liao (Eds) Proceedings of International Workshop on Annual Commemoration of Taiwan 921 Earthquake National Center for Research on Earthquake Engineering Taipei 270–282
S. H. Chen F. C. Hung Y. S. Lin H. M. Tseng (2000) Lessons from the 921 Earthquake: trauma, psychosocial reactions, and psychological growth C. H. Loh I. W. Liao (Eds) Proceedings of International Workshop on Annual Commemoration of Taiwan 921 Earthquake National Center for Research on Earthquake Engineering Taipei 318–331
S. H. Chen F. C. Hung Y. S. Lin H. M. Tseng (2002a) ArticleTitleTrauma and psychosocial aftermath among high- and low-exposure adults three months post the 921 Chi–Chi Earthquake in Taiwan Chin. J. Psychol. 44 IssueID2 167–188
S. H. Chen Y. H. Lin H. M. Tseng Y. C. Wu (2002b) ArticleTitlePosttraumatic stress reactions in children and adolescents one year after the 1999 Taiwan Chi–Chi Earthquake J. Chin. Inst. Eng. 25 IssueID8 597–609
M. Csikszentmihalyi R Larson (1984) Being Adolescent: Conflict and Growth in the Teenage Years Basic Books New York
E. H Erikson (1968) Identity, Youth, and Crisis Norton New York
M. J. Friedman A. J. Marsella (1996) Posttraumatic stress disorder: an overview of the concept A. J. Marsella M. J. Friedman E. T. Gerrity R. M. Scurfield (Eds) Ethnocultural Aspects of Posttraumatic Stress Disorder: Issues, research, and Clinical Applications American Psychological Association Washington, DC 11–32
B. L. Green (1991) ArticleTitleEvaluating the effects of disasters J. Consult. Clin. Psychol. 59 538–546
B. L. Green M. Grace M. G. Vary T. Kramer G. C. Gleser A. C. Leonard (1994) ArticleTitleChildren of disaster in the second decade: a 17 year follow-up of Buffalo Creek survivors J. Am. Acad. Child Psy. 33 IssueID1 71–79
B. L. Green M. Korol M. C. Grace M. G. Vary A. C. Leonard G. C. Gleser S. S. Cohen (1991) ArticleTitleChildren and disaster: age, gender and parental effects on PTSD symptoms J. Am. Acad. Child Psy. 30 IssueID6 945–951
J. L Herman (1992) Trauma and Recovery Basic Books New York
W. Y. Hsu (2000) Coping styles and psychological symptoms in students from 921 earthquake C. H. Loh I. W. Liao (Eds) Proceedings of International Workshop on Annual Commemoration of Taiwan 921 Earthquake, Vol. IV – Social Aspect National Center for Research on Earthquake Engineering Taipei 256–269
InstitutionalAuthorNameIRFC (International Federation of the Red Cross and the Red Crescent Societies) (2001) World Disaster Report 2001 Martinus Nijhoff Dordrecht
R. C. Kessler A. Sonnega E. Bromet M. Hughes C. B. Nelson (1995) ArticleTitlePosttraumatic stress disorder in the national comorbidity survey Arch. Gen. Psychiat. 52 IssueID12 1048–1060
M. Koral B. L. Green G. C. Gleser (1999) ArticleTitleChildren’s responses to a nuclear waste disaster: PTSD symptoms and outcome prediction J. Am. Acad. Child Psy. 38 IssueID4 368–375
A. M. Greca ParticleLa E. M. Vernberg W. L. Silverman M. J. Prinstein (1996) ArticleTitleSymptoms of posttraumatic stress in children after Hurricane Andrew: a prospective study J. Consult. Clin. Psychol. 64 712–723
Y. H. Lin (2001) Posttraumatic Stress Reaction of Adolescents after the Taiwan 921 Earthquake: Gender and Exposure Effect Analysis, Unpublished Master Thesis National Taiwan University Taipei
M. K. Lindell R. W. Perry (2000) ArticleTitleHousehold adjustment to earthquake hazard: a review of research Environ. Behav. 32 IssueID4 461–501 Occurrence Handle10.1177/00139160021972621
C. J. Lonigan M. P. Shannon C. M. Taylor A. J. Finch F. R. Sallee (1994) ArticleTitleChildren exposed to disaster, II: risk factors for the development of posttraumatic symptomatology J. Am. Acad. Child Psy. 33 94–105
A. Maercker (1999) Lifespan psychological aspects of trauma and PTSD: symptoms and psychosocial impairments A. Maercker M. Schützwohl Z. Solomon (Eds) Post-Traumatic Stress Disorder: A Lifespan Developmental Perspective Hogrefe and Huber Publishers Seattle 7–41
J. S. March L. Amaya-Jackson R. Terry P. Costanzo (1997) ArticleTitlePosttraumatic symptomatology in children and adolescents after an industrial fire J. Am. Acad. Child Psy. 36 1080–1088
A. C. McFarlane (1987) ArticleTitlePosttraumatic phenomena in a longitudinal study of children following a natural disaster J. Am. Acad. Child Psy. 26 764–749
K. Nader R. Pynoos L. Fairbanks C. Frederick (1990) ArticleTitleChildren’s PTSD reactions one year after a sniper attack at their school Am. J. Psychiat. 147 IssueID11 1526–1530
F. Norris (1992) ArticleTitleEpidemiology of trauma: frequency and impact of different potentially traumatic events on different demographic groups J. Consul. Clin. Psychol. 60 409–418
U. Orlee (1993) ArticleTitleAnnotation: children’s reaction to traumatic event J. Child Psychol. Psyc. 34 IssueID2 115–127
R. W. Perry M. K. Lindell (1982) ArticleTitleThreat perception and public response to volcano hazard J. Soc. Psychol. 116 199–204 Occurrence Handle10.1080/00224545.1982.9922771
R. S. Pynoos A. Goenjian M. Karakashian M. Tashjian R. Manjikian (1993) ArticleTitlePosttraumatic stress reactions in children after the 1988 Armenian earthquake Brit. J. Psychiat. 163 239–247 Occurrence Handle10.1192/bjp.163.2.239
R. S. Pynoos A. M. Steinberg A. Geonjian (1996) Traumatic stress in childhood and adolescence: recent developments and current controversies B. A. Kolk Particlevan der A. C. Mcfarlane L. Weisaeth (Eds) Traumatic Stress: The Effects of Overwhelming Experience on Mind, Body and Society The Guilford Press NY 331–358
R. S. Pynoos A. K. Goenjian A. M. Steinberg (1998) ArticleTitleA public mental health approach to the post-disaster treatment of children and adolescents Psychiat. Clin. N. Am. 7 195–210
R. S. Pynoos A. M. Steinberg G. Dyb A. K. Goenjian S. H. Chen M. J. Brymer (2004) Reverberations of danger, trauma, and PTSD on group dynamics B. Skalarow S. W. Twemlow S. M. Wilkinson (Eds) Analysts in the Trenches: Streets, Schools, War Zones The Analytic Press Hillsdale New Jersey
M. P. Shannon C. J. Lonigan A. J. Finch C. M. Taylor (1994) ArticleTitleChildren exposed to disaster: I. Epidemiology of PTSD-traumatic symptoms and symptom profiles J. Am. Acad. Child Psy. 33 IssueID1 80–92
J. A. Shaw B. Applegate C. Schorr (1996.:) ArticleTitleTwenty-one-month follow-up study of school-age children exposed to Hurricane Andrew J. Am. Acad. Child Psy. 35 IssueID3 359–364 Occurrence Handle10.1097/00004583-199603000-00018
W. T. Soong Y. C. Lee R. R. Huang Y. S. Liu W. C. Yu Y. S. Chen (2000) A comparative study of post-traumatic symptoms between students living at Yu-Chih and relocation to Kaohsiung after the Taiwan 921 Earthquake C. H. Loh I. W. Liao (Eds) Proceedings of International Workshop on Annual Commemoration of Taiwan 921 Earthquake National Center for Research on Earthquake Engineering Taipei 308–317
Y.C. Wu F. C. Hung S. H. Chen (2002) ArticleTitle“Changes or Not” is the question: the meaning of posttraumatic stress reactions one year after the Taiwan Chi–Chi Earthquake J. Chin. Inst. Eng. 25 IssueID8 611–620
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Chen, SH., Wu, YC. Changes of PTSD Symptoms and School Reconstruction: A Two-year Prospective Study of Children and Adolescents after the Taiwan 921 Earthquake. Nat Hazards 37, 225–244 (2006). https://doi.org/10.1007/s11069-005-4671-y
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DOI: https://doi.org/10.1007/s11069-005-4671-y