肯尼亚克拉伊县部分儿童之家丧亲青少年创伤后应激障碍和抑郁的危险因素

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摘要

根据DSM-5的标准,危险因素可以是创伤前、创伤中和创伤后。创伤前因素包括气质因素、环境因素、遗传因素和生理因素。创伤周围(环境)因素包括家庭功能障碍、缺乏社会支持、压力环境等。创伤后因素是指那些创伤,创伤程度越大,患PTSD的可能性就越大。该研究旨在确定PTSD和抑郁症的危险因素。这项研究是在肯尼亚的八个儿童之家进行的。根据Casagrande样本量计算,选取符合纳入标准的12-18岁丧亲青少年160人作为样本。采用目的性抽样方法,采用社会人口调查问卷、加州大学洛杉矶分校(UCLA)创伤后应激障碍反应指数(青少年版)和儿童抑郁量表(CDI)收集数据。采用IBM SPSS (version20)统计软件对数据进行描述性和推理性分析。研究表明,丧失亲人的青少年患PTSD的危险因素是性别和与监护人一起生活。性别是PTSD发生的危险因素,男性p=0.04,女性p=0.020,丧偶后与监护人生活在一起p= 0.20。数据表明,性别和与监护人生活是丧亲青少年患PTSD和抑郁症的危险因素。
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Risk Factors of PTSD and Depression among Bereaved Adolescents in Selected Children’s Homes in Kajiado County, Kenya
According to DSM-5 criteria, risk factors can be pre-traumaic, peri-traumatic, and post-traumatic.The pre-traumatic factors are cited as temperamental, environmental, genetic and physiological. The peri-traumatic (environmental) factors are family dysfunctionality, and lack of social support, stressful environment among others. Post-traumatic factors are the those of the trauma, the greater the magnitude of trauma,the greater the likelihood of PTSD. The study was to establish the risk factors of PTSD and Depression. The study took place in 8 selected children’s homes in Kajiado County, Kenya. Based on Casagrande sample size calculation, a sample size of 160 bereaved adolescents aged 12-18 years who met the inclusion criteria was sampled. A purposive sampling technique was used and data was collected using Socio demographic Questionnaires, University of California Los Angeles (UCLA) PTSD Reaction Index (Adolescents version) and Children’s Depression Inventory (CDI). Data was analyzed descriptively and inferentially using IBM SPSS (version20) statistical software. The study showed that risk factors of PTSD among bereaved adolescents was gender and living with guardians. Gender is a risk factor for developing PTSD in p=0.04 for males and p=0.020 for females and living with guardians after bereavement seen at p value of 0.20.The data indicated that gender and living with a guardian is a risk factor for developing PTSD and Depression among bereaved adolescents.
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