Adolescents and children are at high risk for post-traumatic stress disorder
According to past epidemiological studies, schoolchildren who belong to one or more of the following are at high risk: disaster severity is high (injury or parents are injured, trapped, or in distress, the home is dumped) This isOf the high risk factors, the most important one.
Because this has an overall impact, affecting both children and parents.
And affected parents, their reactions will once again affect the children.
In a disaster, the likelihood of a child developing severe post-disaster trauma symptoms has changed.
Even if a child is originally optimistic and healthy, severe symptoms are likely to occur in a catastrophe.
In other words, the more serious the loss of personal and property in the home of a school child, the more dangerous the school child will experience severe symptoms.
Disasters that occur close to the child are also injuries or deaths to loved ones, and children who witness them are more likely to have severe symptoms.
Some children are safe at home, but in the whole process, they saw the fatalities of others (such as corpses).
This can also cause a lot of stress, such witnessing is much more stressful than seeing on TV or hearing from classmates.
Separation from parents (parents who have experienced difficulties or have been hospitalized after the disaster) Parents and primary caregivers are the source of children’s sense of security. Without them, the world of children is almost disintegrated, and it will be more difficult to restore balance from destruction.
A bereaved child faces more stress than other children.
Parents whose parents have severe post-traumatic symptoms and stable symptoms can give their children sufficient support to correct their child’s wrong attribution to the disaster.
If the parents themselves are affected by severe post-traumatic symptoms, it will be more difficult to assist the child and may even affect the child.
After the disaster, there was a serious internal conflict between families. The earthquake disaster caused damage to homes, collapsed hospitals, disrupted communications, and almost collapsed the economy and traffic.
This is extremely stressful for the adults in the family. The usual interaction problems in the family are likely to surface at this time, and many families have severe conflicts at this time.
Children may not be as traumatized by the direct disaster of the earthquake, but they may be harmed by adult interaction and quantitative changes.
The child already has other illnesses, such as a child who has an emotional disorder, attention deficit or behavioral problems, the original problem may become more serious after the wound.
Girls are more likely to develop severe post-traumatic symptoms as a result of most previous studies, but the cause is unknown.
It cannot be said that all boys must be okay. In order to be brave in front of classmates, many boys will cause the wound symptoms to be masked after the disaster and become late-looking wound diseases.
Why do we have to look for children in the “high-risk group”?
1. Many children have severe symptoms, but are not easy to detect quiet, obedient children, and even they repeatedly wake up at night, full of incorrect attributions to the earthquake, they still do not actively show worry or sadness in front of others, they are even in groupsA considerable degree of participation in the event is still possible.
2. Many children have severe symptoms, which gradually appear one month or even months after the disaster. These cases may be ignored because most people will feel that their symptoms are not related to trauma.
3. Many children had similar symptoms before the earthquake, and they are susceptible to neglect. Children have a greater chance of developing long-term post-disaster trauma symptoms, which deserves special attention.
However, because they already had many behavioral problems before the earthquake, caregivers often changed that their problems may exist and have nothing to do with the earthquake, and as a result they were ignored.
4, if the child has severe symptoms without treatment, it will often have far-reaching consequences. Many long-term follow-up studies have shown that after years of disaster, post-traumatic stress disorder (post-traumatic stress disorder; hereinafter referred to as PTSD)The prevalence rate remains high.
This shows that this disease is prone to long-term effects.
5. Medical resources are limited and must be used on children with the most likely symptoms. After the disaster, the medical system not only treats patients outside the hospital or medical station for treatment, but also hopes to achieve early detection and early treatment.purpose.
However, the large area affected by the earthquake and the large population made it impossible to conduct large-scale visits.
Therefore, it is the most feasible way to evaluate the most likely children.
Should all children in the “high-risk group” be treated?
Children who are not in the “high-risk group” must not be at risk?
The significance of determining high-risk factors is that children in the “high-risk group” are more at risk than children in the “non-high-risk group”.
We want to find children who need our help more efficiently.
However, it is not necessary for everyone in the high-risk group to suffer from post-disaster fractures, and it is not necessary for the small-risk group not to suffer.
Therefore, a diagnostic assessment must be performed to correct the child’s severe symptoms.
If you have severe symptoms, determine if your child should be treated.
Then, on the other hand, referrals.
Similarly, if a parent or teacher has found a child with severe symptoms, they should be treated even if the child does not belong to our defined risk group.