Trajectories of academic burnout in adolescents after the Wenchuan earthquake: A latent growth mixture model analysis

2018 ◽  
Vol 40 (2) ◽  
pp. 183-199 ◽  
Author(s):  
Xiao Zhou ◽  
Rui Zhen ◽  
Xinchun Wu
Keyword(s):  
Wenchuan Earthquake ◽  
Ptsd Symptoms ◽  
Post Traumatic Stress ◽  
Latent Growth ◽  
Growth Mixture Model ◽  
Research Attention ◽  
Academic Burnout ◽  
Growth Mixture ◽  
The Wenchuan Earthquake ◽  
Post Traumatic

Changes in academic burnout in adolescents have attracted much research attention; however, most studies assume that adolescent academic burnout is characterized by overall homogenous change and overlook the heterogeneity of burnout change. To address this issue, this study examined distinct latent trajectories of academic burnout in adolescents following the Wenchuan earthquake, China. Adolescents were surveyed at 1 (T1), 1.5 (T2), 2 (T3), and 2.5 years (T4) after the earthquake. Self-reported questionnaires were administered to 391 participants aged 12- to 19-years-old. The results identified three academic burnout trajectories: Increasing (3.9%), low (85.4%), and decreasing (10.7%). Additionally, intrusive post-traumatic stress disorder (PTSD) symptoms were more likely in the increasing group, avoidance PTSD symptoms were more likely in the decreasing group, and PTSD hyperarousal symptoms were more likely in the decreasing group, but less likely in the increasing group. These findings indicate that adolescents experienced heterogeneous academic burnout changes following the earthquake.

scholarly journals Risk factors of post-traumatic stress disorder 10 years after Wenchuan earthquake: a population-based case–control study

2021 ◽  
Vol 30 ◽  
Author(s):  
Bingqing Lu ◽  
Wenqi Zeng ◽  
Zhuyue Li ◽  
Jin Wen
Keyword(s):  
Risk Factors ◽  
Wenchuan Earthquake ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Ptsd Symptoms ◽  
Post Traumatic Stress ◽  
The Wenchuan Earthquake ◽  
Post Traumatic ◽  
Control Study

Abstract Aims To investigate the prevalence of post-traumatic stress disorder (PTSD) symptoms in the hard-hit areas 10 years after the Wenchuan earthquake, and explore the risk factors of long-term PTSD among Wenchuan earthquake survivors. Methods A matched case–control study was conducted. The involving participants were from the hard-hit areas 10 years after the Wenchuan earthquake. The collected information includes demographic characteristics, socioeconomic status, behaviour habits, earthquake exposure, perceived social support, physical health and mental health. Mental health status was measured using the PTSD Checklist-Civilian Version (PCL-C). Respondents with PCL-C score ⩾38 were classified as cases, and then the cases and controls were matched based on age (±3 years) and community location according to a ratio of 1:3. Results We obtained 86 cases and 258 controls. After controlling for confounding factors, it was found that lower income (OR 2.42; 95% CI 1.16–5.03), chronic diseases (OR 3.00; 95% CI 1.31–6.88) and death of immediate families in the earthquake (OR 7.30; 95% CI 2.36–22.57) were significantly associated with long-term PTSD symptoms. Conclusion Even 10 years after the Wenchuan earthquake, the survivors in the hard-hit areas still suffered from severe mental trauma. Low income, chronic diseases and death of immediate families in the earthquakes are significantly associated with long-term PTSD symptoms. Interventions by local governments and health institutions to address these risk factors should be undertaken to promote the health of survivors.

Prevalence of post-traumatic stress disorder among adolescents after the Wenchuan earthquake in China

2011 ◽  
Vol 42 (8) ◽  
pp. 1687-1693 ◽  
Author(s):  
Z. Zhang ◽  
M.-S. Ran ◽  
Y.-H. Li ◽  
G.-J. Ou ◽  
R.-R. Gong ◽  
...  
Keyword(s):  
Wenchuan Earthquake ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Depression Symptoms ◽  
Ptsd Symptoms ◽  
Post Traumatic Stress ◽  
The Wenchuan Earthquake ◽  
Post Traumatic

BackgroundThe Wenchuan earthquake was a catastrophic earthquake in China. The aim of this study is to explore longitudinally the rates of post-traumatic stress disorder (PTSD) and depression in adolescents after the Wenchuan earthquake, and to identify independent predictors of PTSD.MethodPTSD and depression symptoms among adolescents at 6, 12 and 18 months after the Wenchuan earthquake were investigated using the PTSD Checklist Civilian Version and the Beck Depression Inventory (BDI). Subjects in this study included 548 high school student survivors in a local boarding high school.ResultsThe rates of PTSD symptoms were 9.7%, 1.3% and 1.6% at the 6-, 12- and 18-month follow-ups, respectively. BDI scores were found to be the best predictor of severity of PTSD at 6, 12 and 18 months. Gender was another variable contributing significantly to PTSD at 6 and 12 months after the earthquake. In the 12-month follow-up, home damage was found to be a predictor of severity of PTSD symptoms. Being a child with siblings was found to be a predictor of severity of PTSD symptoms at 12 and 18 months after the earthquake.ConclusionsPTSD symptoms changed gradually at various stages after the earthquake. Depression symptoms were predictive of PTSD symptoms in the 18-month follow-up study. Other predictors of PTSD symptoms included female gender and being a child with siblings. The results of this study may be helpful for further mental health interventions for adolescents after earthquakes.

scholarly journals Changes Over Time in Post-traumatic Stress Disorder Among Children Who Survived the 2008 Wenchuan Earthquake and Predictive Variables

2021 ◽  
Vol 12 ◽  
Author(s):  
Ying Chen ◽  
Chow Lam ◽  
Hong Deng ◽  
Kam Ying Ko
Keyword(s):  
Children And Adolescents ◽  
Wenchuan Earthquake ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Ptsd Symptoms ◽  
Post Traumatic Stress ◽  
2008 Wenchuan Earthquake ◽  
Predictive Variables ◽  
Post Traumatic ◽  
Changes Over Time

Background: This study examines changes over time in post-traumatic stress disorder (PTSD) among children who survived the 2008 Wenchuan earthquake and the relevant predictive variables.Methods: A total of 203 children and adolescents were investigated 24 months after the earthquake, and 151 children and adolescents completed the 1-year follow-up study. Participants completed the Children's Revised Impact of Event Scale (CRIES-13), the Center for Epidemiologic Studies Depression Scale (CES-D) and the Connor-Davidson Resilience Scale (CD-RISC). Hierarchical linear regression analysis was used to evaluate the predictors of changes in PTSD severity.Results: Eighty percent of the children still had some PTSD symptoms 2 years after the Wenchuan earthquake, and 66.25% of the children had symptoms that lasted 3 years. In the model predicting PTSD symptom severity, the loss of family members and child burial explained a significant 21.9% of the variance, and depression explained a significant 16.7% of the variance. In the model predicting changes in PTSD severity, the change scores for resilience and depression explained a significant 18.7% of the variance, and cognitive behavioral therapy (CBT) explained a significant 33.6% of the variance.Conclusions: PTSD symptoms in children and adolescents can persist for many years after trauma. In addition to using psychological interventions to improve PTSD symptoms, improvements in depression and resilience should also be considered.

scholarly journals Trajectory of post-traumatic stress following traumatic injury: 6-year follow-up

2015 ◽  
Vol 206 (5) ◽  
pp. 417-423 ◽  
Author(s):  
Richard A. Bryant ◽  
Angela Nickerson ◽  
Mark Creamer ◽  
Meaghan O'Donnell ◽  
David Forbes ◽  
...  
Keyword(s):  
Traumatic Stress ◽  
Traumatic Injury ◽  
Female Gender ◽  
Post Traumatic Stress ◽  
Latent Growth ◽  
Traumatic Injuries ◽  
Growth Mixture ◽  
Growth Mixture Modelling ◽  
Post Traumatic

BackgroundTraumatic injuries affect millions of patients each year, and resulting post-traumatic stress disorder (PTSD) significantly contributes to subsequent impairment.AimsTo map the distinctive long-term trajectories of PTSD responses over 6 years by using latent growth mixture modelling.MethodRandomly selected injury patients (n = 1084) admitted to four hospitals around Australia were assessed in hospital, and at 3, 12, 24 and 72 months. Lifetime psychiatric history and current PTSD severity and functioning were assessed.ResultsFive trajectories of PTSD response were noted across the 6 years: (a) chronic (4%), (b) recovery (6%), (c) worsening/recovery (8%), (d) worsening (10%) and (e) resilient (73%). A poorer trajectory was predicted by female gender, recent life stressors, presence of mild traumatic brain injury and admission to intensive care unit.ConclusionsThese findings demonstrate the long-term PTSD effects that can occur following traumatic injury. The different trajectories highlight that monitoring a subset of patients over time is probably a more accurate means of identifying PTSD rather than relying on factors that can be assessed during hospital admission.

Longitudinal trajectories of post-traumatic stress disorder symptoms among adolescents after the Wenchuan earthquake in China

2015 ◽  
Vol 45 (13) ◽  
pp. 2885-2896 ◽  
Author(s):  
F. Fan ◽  
K. Long ◽  
Y. Zhou ◽  
Y. Zheng ◽  
X. Liu
Keyword(s):  
Life Events ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Ptsd Symptom ◽  
Ptsd Symptoms ◽  
Post Traumatic Stress ◽  
Symptom Trajectories ◽  
The Wenchuan Earthquake ◽  
Post Traumatic

BackgroundThis study examines the patterns and predictors of post-traumatic stress disorder (PTSD) symptom trajectories among adolescent survivors following the Wenchuan earthquake in China.MethodA total of 1573 adolescent survivors were followed up at 6, 12, 18 and 24 months post-earthquake. Participants completed the Posttraumatic Stress Disorder Self-Rating Scale (PTSD-SS), Adolescent Self-Rating Life Events Checklist, Social Support Rate Scale, and the Simplified Coping Style Questionnaire. Distinct patterns of PTSD symptom trajectories were established through grouping participants based on time-varying changes of developing PTSD (i.e. reaching the clinical cut-off on the PTSD-SS). Multivariate logistic regressions were used to examine predictors for trajectory membership.ResultsPTSD prevalence rates at 6, 12, 18 and 24 months were 21.0, 23.3, 13.5 and 14.7%, respectively. Five PTSD symptom trajectories were observed: resistance (65.3% of the sample), recovery (20.0%), relapsing/remitting (3.3%), delayed dysfunction (4.2%) and chronic dysfunction (7.2%). Female gender and senior grade were related to higher risk of developing PTSD symptoms in at least one time point, whereas being an only child increased the possibility of recovery relative to chronic dysfunction. Family members’ injury/loss and witness of traumatic scenes could also cause PTSD chronicity. More negative life events, less social support, more negative coping and less positive coping were also common predictors for not developing resistance or recovery.ConclusionsAdolescents’ PTSD symptoms showed an anniversary reaction. Although many adolescents remain euthymic or recover over time, some adolescents, especially those with the risk factors noted above, exhibit chronic, delayed or relapsing symptoms. Thus, the need for individualized intervention with these adolescents is indicated.

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