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10.3402/ejpt.v7.30995

http://scihub22266oqcxt.onion/10.3402/ejpt.v7.30995
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suck abstract from ncbi


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pmid27534741
      Eur+J+Psychotraumatol 2016 ; 7 (ä): 30995
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  • Sixteen-year follow-up of childhood avalanche survivors #MMPMID27534741
  • Thordardottir EB ; Valdimarsdottir UA ; Hansdottir I ; Hauksdóttir A ; Dyregrov A ; Shipherd JC ; Elklit A ; Resnick H ; Gudmundsdottir B
  • Eur J Psychotraumatol 2016[]; 7 (ä): 30995 PMID27534741 show ga
  • BACKGROUND: Every year a substantial number of children are affected by natural disasters worldwide. However, data are scarce on long-term psychological impact of natural disasters on children's health. Identifying risk factors and outcomes associated with the long-term sequelae of posttraumatic stress disorder (PTSD) can provide a gateway to recovery as well as enhancement of preventive measures. OBJECTIVE: Among childhood avalanche survivors, we aimed to investigate risk factors for PTSD symptoms and the relationship between socioeconomic status (SES) and PTSD symptoms in adulthood. METHODS: Childhood survivors (aged 2-19 at the time of exposure) of two avalanches were identified through nationwide registers 16 years later. The Posttraumatic Diagnostic Scale was used to assess current PTSD symptoms. One-way ANOVA was used to explore PTSD symptoms by background and trauma-specific factors, as well as associations with current SES. Predictors of PTSD symptoms were examined by multivariable regression analysis. RESULTS: Response rate was 66% (108/163). Results from univariate ANOVA analysis revealed that female sex was associated with PTSD symptoms (F=5.96, p<0.05). When adjusted for age and sex, PTSD symptoms were associated with lower education (F=7.62, p<0.001), poor financial status (F=12.21, p<0.001), and unemployment and/or disability (F=3.04, p<0.05). In a multivariable regression model, when adjusting for age and sex, lack of social support (t=4.22, p<0.001) and traumatic reactions of caregivers (t=2.49, p<0.05) in the aftermath of the disaster independently predicted PTSD 16 years post-trauma. CONCLUSIONS: Lingering PTSD symptoms after childhood exposure to a disaster may negatively influence socioeconomic development in adulthood. Strengthening children's support systems post-disaster may prevent the long-term sequelae of symptoms.
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