Parent-reported posttraumatic stress reactions in children and adolescents: Findings from the mental health of parents and children in Ukraine study.

IF 2.7 2区 心理学 Q2 PSYCHIATRY Psychological trauma : theory, research, practice and policy Pub Date : 2024-11-01 Epub Date: 2023-09-25 DOI:10.1037/tra0001583
Dmytro Martsenkovskyi, Thanos Karatzias, Philip Hyland, Mark Shevlin, Menachem Ben-Ezra, Eoin McElroy, Enya Redican, Maria Louison Vang, Marylene Cloitre, Grace W K Ho, Boris Lorberg, Igor Martsenkovsky
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Abstract

Background: Despite the long-standing ongoing war in Ukraine, information regarding war-related negative mental health outcomes in children is limited. A nationwide sample of parents in Ukraine was surveyed to assess posttraumatic stress disorder (PTSD) symptoms in their children and to identify risk factors associated with child PTSD status.

Method: A nationwide opportunistic sample of 1,238 parents reported on a single randomly chosen child within their household as part of The Mental Health of Parents and Children in Ukraine Study. Data were collected approximately 6 months after the war escalation in February 2022. The prevalence of PTSD was estimated using the parent-reported Child and Adolescent Trauma Screen (CATS).

Results: Based on parental reports, 17.5% of preschoolers and 12.6% of school-age children met Diagnostic and Statistical Manual of Mental Disorders (5th ed.) criteria for PTSD. Delay in milestone development (AOR = 2.38, 95% confidence interval [CI] [1.38-4.08]), having a parent affiliated with the emergency services or army (AOR = 2.13, [1.28-3.53]), parental PTSD/complex PTSD status (AOR = 1.88, [1.22-2.89]), and mean changes in parental anxiety (AOR = 1.98, [1.44-2.72]) were among the strongest predictors of increased risk of pediatric PTSD.

Conclusion: Russia's war escalation in Ukraine resulted in an increased estimated prevalence of war-related PTSD in children of various ages. Urgent efforts to increase the capacity of national pediatric mental health services are critically needed to mitigate these challenges in an environment of limited financial and human resources. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

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父母报告的儿童和青少年创伤后应激反应:乌克兰父母和儿童心理健康研究结果。
背景:尽管乌克兰的战争长期持续,但有关儿童与战争有关的负面心理健康结果的信息有限。对乌克兰全国范围内的父母样本进行了调查,以评估他们孩子的创伤后应激障碍(PTSD)症状,并确定与儿童PTSD状态相关的风险因素。方法:作为乌克兰父母和儿童心理健康研究的一部分,对1238名父母进行了全国性的机会抽样,报告了他们家中随机选择的一个孩子。数据是在2022年2月战争升级约6个月后收集的。使用父母报告的儿童和青少年创伤筛查(CATS)来估计PTSD的患病率。结果:根据父母报告,17.5%的学龄前儿童和12.6%的学龄儿童符合《精神障碍诊断和统计手册》(第5版)的PTSD标准。里程碑发展延迟(AOR=2.38,95%置信区间[CI][1.38-4.08]),父母隶属于应急服务或军队(AOR=2.13,[1.28-3.53]),父母PTSD/复杂PTSD状态(AOR=1.88,[1.22-2.89]),父母焦虑的平均变化(AOR=1.98,[1.44-2.72])是儿童PTSD风险增加的最强预测因素之一。结论:俄罗斯在乌克兰的战争升级导致不同年龄儿童战争相关PTSD的估计患病率增加。迫切需要努力提高国家儿科心理健康服务的能力,以在财政和人力资源有限的环境中缓解这些挑战。(PsycInfo数据库记录(c)2023 APA,保留所有权利)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
11.20
自引率
3.20%
发文量
427
期刊介绍: Psychological Trauma: Theory, Research, Practice, and Policy publishes empirical research on the psychological effects of trauma. The journal is intended to be a forum for an interdisciplinary discussion on trauma, blending science, theory, practice, and policy. The journal publishes empirical research on a wide range of trauma-related topics, including: -Psychological treatments and effects -Promotion of education about effects of and treatment for trauma -Assessment and diagnosis of trauma -Pathophysiology of trauma reactions -Health services (delivery of services to trauma populations) -Epidemiological studies and risk factor studies -Neuroimaging studies -Trauma and cultural competence
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